van Bronswijk H, Dubois E A, van Dissel J T, Cohen A F
Leids Universitair Medisch Centrum, Albinusdreef 2, 2333 ZA Leiden.
Ned Tijdschr Geneeskd. 2007 Dec 15;151(50):2777-8.
Being a cyclic lipopeptide, daptomycin belongs to a new class of antibiotics. It acts by forming a pore in the bacterial membrane thus causing leakage of potassium and subsequent depolarization and arrest of cell function. Daptomycin has a bactericidal action on Gram-positive bacteria and is registered for the treatment of adults with complicated skin and soft tissue infections caused by Gram-positive microorganisms. There is limited experience with treatment of Staphylococcus aureus bacteraemia. Its main adverse effects include gastrointestinal symptoms, skin reactions at the site of infusion, and raised serum creatine kinase.
达托霉素作为一种环状脂肽,属于一类新型抗生素。它通过在细菌膜上形成孔道发挥作用,从而导致钾离子泄漏,随后使细胞去极化并停止细胞功能。达托霉素对革兰氏阳性菌具有杀菌作用,已获准用于治疗由革兰氏阳性微生物引起的成人复杂性皮肤和软组织感染。治疗金黄色葡萄球菌菌血症的经验有限。其主要不良反应包括胃肠道症状、输液部位的皮肤反应以及血清肌酸激酶升高。