دورية أكاديمية

Dalbavancin Sequential Therapy for Gram-Positive Bloodstream Infection: A Multicenter Observational Study.

التفاصيل البيبلوغرافية
العنوان: Dalbavancin Sequential Therapy for Gram-Positive Bloodstream Infection: A Multicenter Observational Study.
المؤلفون: Rebold N; Wayne State University, Detroit, MI, USA. nicholas.rebold@howard.edu.; Anti-Infective Research Laboratory, Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, 259 Mack Avenue, Detroit, MI, 48201, USA. nicholas.rebold@howard.edu.; Department of Clinical and Administrative Pharmacy Sciences, College of Pharmacy, Howard University, 2300 4th St NW, Office 114, Washington, DC, 20059, USA. nicholas.rebold@howard.edu., Alosaimy S; Wayne State University, Detroit, MI, USA.; Anti-Infective Research Laboratory, Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, 259 Mack Avenue, Detroit, MI, 48201, USA., Pearson JC; Department of Pharmacy, Brigham and Women's Hospital, Boston, MA, USA., Dionne B; Department of Pharmacy, Brigham and Women's Hospital, Boston, MA, USA.; School of Pharmacy, Northeastern University, Boston, MA, USA., Taqi A; Department of Pharmacy, Brigham and Women's Hospital, Boston, MA, USA., Lagnf A; Wayne State University, Detroit, MI, USA.; Anti-Infective Research Laboratory, Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, 259 Mack Avenue, Detroit, MI, 48201, USA.; Detroit Medical Center, Detroit Receiving Hospital, Detroit, MI, USA., Lucas K; Wayne State University, Detroit, MI, USA.; Anti-Infective Research Laboratory, Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, 259 Mack Avenue, Detroit, MI, 48201, USA., Biagi M; College of Pharmacy, University of Illinois at Chicago, Chicago, IL, USA.; Department of Pharmacy, Swedish American Health System, Rockford, IL, USA., Lombardo N; Department of Pharmacy, Swedish American Health System, Rockford, IL, USA., Eudy J; Department of Pharmacy, Augusta University Medical Center, Augusta, GA, USA., Anderson DT; Department of Pharmacy, Augusta University Medical Center, Augusta, GA, USA., Mahoney MV; Department of Pharmacy, Beth Israel Deaconess Medical Center, Boston, MA, USA., Kufel WD; Department of Medicine, State University of New York Upstate Medical University, Syracuse, NY, USA.; Department of Pharmacy Practice, Binghamton University School of Pharmacy and Pharmaceutical Sciences, Binghamton, NY, USA., D'Antonio JA; Department of Pharmacy Practice, Binghamton University School of Pharmacy and Pharmaceutical Sciences, Binghamton, NY, USA., Jones BM; Department of Pharmacy, St. Joseph's/Candler Health System, Savannah, GA, USA., Frens JJ; Department of Pharmacy, Moses H. Cone Memorial Hospital, Cone Health, Greensboro, NC, USA., Baumeister T; Department of Pharmacy, Moses H. Cone Memorial Hospital, Cone Health, Greensboro, NC, USA., Geriak M; Sharp Memorial Hospital, Sharp Healthcare, San Diego, CA, USA., Sakoulas G; Sharp Rees-Stealy Medical Group, San Diego, CA, USA.; University of California San Diego School of Medicine, Division of Host-Microbe Systems and Therapeutics, La Jolla, CA, USA., Farmakiotis D; Division of Infectious Diseases, Warren Alpert Medical School of Brown University, Providence, RI, USA.; Transplant and Oncology Infectious Diseases, Rhode Island Hospital, Providence, RI, USA., Delaportas D; Mon Health Medical Center, Morgantown, WV, USA., Larew J; Mon Health Medical Center, Morgantown, WV, USA., Veve MP; Wayne State University, Detroit, MI, USA.; College of Pharmacy, University of Tennessee, Knoxville, TN, USA.; Department of Pharmacy, Henry Ford Health System, Detroit, MI, USA., Rybak MJ; Wayne State University, Detroit, MI, USA. m.rybak@wayne.edu.; Anti-Infective Research Laboratory, Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, 259 Mack Avenue, Detroit, MI, 48201, USA. m.rybak@wayne.edu.; Detroit Medical Center, Detroit Receiving Hospital, Detroit, MI, USA. m.rybak@wayne.edu.; School of Medicine, Wayne State University, Detroit, MI, USA. m.rybak@wayne.edu.
المصدر: Infectious diseases and therapy [Infect Dis Ther] 2024 Mar; Vol. 13 (3), pp. 565-579. Date of Electronic Publication: 2024 Mar 01.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Adis Country of Publication: New Zealand NLM ID: 101634499 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2193-8229 (Print) Linking ISSN: 21936382 NLM ISO Abbreviation: Infect Dis Ther Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: 2014- : [Auckland] Adis
Original Publication: [London] : Springer Healthcare
مستخلص: Introduction: Long-acting lipoglycopeptides such as dalbavancin may have utility in patients with Gram-positive bloodstream infections (BSI), particularly in those with barriers to discharge or who require prolonged parenteral antibiotic courses. A retrospective cohort study was performed to provide further multicenter real-world evidence on dalbavancin use as a sequential therapy for Gram-positive BSI.
Methods: One hundred fifteen patients received dalbavancin with Gram-positive BSI, defined as any positive blood culture or diagnosed with infective endocarditis, from 13 centers geographically spread across the United States between July 2015 and July 2021.
Results: Patients had a mean (SD) age of 48.5 (17.5) years, the majority were male (54%), with many who injected drugs (40%). The most common infection sources (non-exclusive) were primary BSI (89%), skin and soft tissue infection (SSTI) (25%), infective endocarditis (19%), and bone and joint infection (17%). Staphylococcus aureus accounted for 72% of index cultures, coagulase-negative Staphylococcus accounted for 18%, and Streptococcus species in 16%. Dalbavancin started a median (Q 1 -Q 3 ) of 10 (6-19) days after index culture collection. The most common regimen administered was dalbavancin 1500 mg as one dose for 50% of cases. The primary outcome of composite clinical failure occurred at 12.2%, with 90-day mortality at 7.0% and 90-day BSI recurrence at 3.5%.
Conclusions: Dalbavancin may serve as a useful tool in facilitating hospital discharge in patients with Gram-positive BSI. Randomized controlled trials are anticipated to validate dalbavancin as a surrogate to current treatment standards.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Staphylococcus; Streptococcus; Bacteremia; Bloodstream infection; Dalbavancin; Glycopeptides; Injection drug use
تواريخ الأحداث: Date Created: 20240301 Latest Revision: 20240813
رمز التحديث: 20240813
مُعرف محوري في PubMed: PMC10965835
DOI: 10.1007/s40121-024-00933-2
PMID: 38427289
قاعدة البيانات: MEDLINE
الوصف
تدمد:2193-8229
DOI:10.1007/s40121-024-00933-2