Daptomycin for highly resistant Enterococcus faecium infection
Author(s) -
Christiane Rosin,
Christine Bernsmeier,
JM Entenza,
P. Moreillon,
Reno Frei,
Maja Weisser,
Ursula Flückiger
Publication year - 2012
Publication title -
schweizerische medizinische wochenschrift
Language(s) - English
Resource type - Journals
ISSN - 0036-7672
DOI - 10.4414/smw.2012.13603
Subject(s) - daptomycin , enterococcus faecium , medicine , lipopeptide , microbiology and biotechnology , staphylococcus aureus , antibiotics , vancomycin , enterococcus , bacteria , biology , genetics
We report a case series of 11 patients with severe E. faecium infections treated with daptomycin. All strains were resistant to ampicillin (MIC >8 mg/l), but susceptible to vancomycin. Seven out of 11 strains were also highly resistant to gentamicin (MIC >500 mg/l). All patients were treated with multiple broad-spectrum antibiotics prior to isolation of E. faecium and had severe underlying diseases. Our experience suggests that salvage therapy with daptomycin might be a safe and efficacious treatment for E. faecium infections.
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