Cefazolin and Ertapenem Salvage Therapy Rapidly Clears Persistent Methicillin-Susceptible Staphylococcus aureus Bacteremia.
Staphylococcus aureus
bacteremia
cefazolin
endocarditis
ertapenem
Journal
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
ISSN: 1537-6591
Titre abrégé: Clin Infect Dis
Pays: United States
ID NLM: 9203213
Informations de publication
Date de publication:
12 09 2020
12 09 2020
Historique:
received:
20
05
2019
accepted:
20
10
2019
pubmed:
28
11
2019
medline:
28
4
2021
entrez:
28
11
2019
Statut:
ppublish
Résumé
Cefazolin and ertapenem combination therapy was used successfully to salvage 11 cases (6 endocarditis) of persistent methicillin-susceptible Staphylococcus aureus (MSSA) bacteremia, including immediate clearance (≤24 hours) in 8 cases. While in vitro synergy was modest, cefazolin plus ertapenem exhibited synergistic action in a rat model of MSSA endocarditis. The combination of cefazolin and ertapenem provides potent in vivo activity against MSSA beyond what is predicted in vitro and warrants further clinical study in the treatment of refractory MSSA bacteremia and endocarditis.
Identifiants
pubmed: 31773134
pii: 5644098
doi: 10.1093/cid/ciz995
pmc: PMC7486850
doi:
Substances chimiques
Anti-Bacterial Agents
0
Ertapenem
G32F6EID2H
Cefazolin
IHS69L0Y4T
Methicillin
Q91FH1328A
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
1413-1418Subventions
Organisme : NICHD NIH HHS
ID : P50 HD090259
Pays : United States
Organisme : NIAID NIH HHS
ID : U01 AI124316
Pays : United States
Organisme : NICHD NIH HHS
ID : U54 HD090259
Pays : United States
Organisme : NICHD NIH HHS
ID : K12 HD000850
Pays : United States
Organisme : NIAID NIH HHS
ID : K08 AI151253
Pays : United States
Informations de copyright
© The Author(s) 2019. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.
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