High doses of daptomycin (10 mg/kg/d) plus rifampin for the treatment of staphylococcal prosthetic joint infection managed with implant retention: a comparative study.

Abstract:

:We aimed to analyze the efficacy and safety of high doses of daptomycin (10 mg/kg/d) plus rifampin (D10 + R) for prosthetic joint infection (PJI). This was an observational retrospective multicenter study (2010-2012) including all patients with acute PJI by fluoroquinolone-resistant staphylococci managed with implant retention and D10 + R. Twenty cases were included: 2 (10%) were withdrawn due to toxicity, leaving 18 cases for efficacy evaluation: 13 (72%) women, age 79 years (range 58-90). Clinical failure was observed in 9 (50%) patients: in 5 cases, staphylococci were recovered (28% of microbiological failures); no modification of daptomycin-MIC was observed. These 18 cases were compared with 44 matched historical cases: failure rate was similar, but whereas in the historical series, failure occurred fundamentally during therapy, in the present series, it was recorded after discontinuation of antibiotics. In summary, D10 + R may be the initial treatment of choice for PJI by fluoroquinolone-resistant staphylococci managed with implant retention.

authors

Lora-Tamayo J,Parra-Ruiz J,Rodríguez-Pardo D,Barberán J,Ribera A,Tornero E,Pigrau C,Mensa J,Ariza J,Soriano A

doi

10.1016/j.diagmicrobio.2014.05.022

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

66-71

issue

1

eissn

0732-8893

issn

1879-0070

pii

S0732-8893(14)00241-7

journal_volume

80

pub_type

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