一名患有耐甲氧西林金黄色葡萄球菌菌血症的青少年使用达托霉素治疗失败。

Daptomycin therapy failure in an adolescent with methicillin-resistant Staphylococcus aureus bacteremia.

作者信息

Jacobson Lara M, Milstone Aaron M, Zenilman Jonathan, Carroll Karen C, Arav-Boger Ravit

机构信息

Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

出版信息

Pediatr Infect Dis J. 2009 May;28(5):445-7. doi: 10.1097/INF.0b013e3181927891.

Abstract

Daptomycin is a Food and Drug Administration-approved alternative to vancomycin for the treatment of serious methicillin-resistant Staphylococcus aureus infections in adults. Treatment failure with daptomycin is increasingly reported in adults, but data in children are limited. We report an adolescent patient with severe burn injuries who had persistent methicillin-resistant Staphylococcus aureus bacteremia and rapidly developed nonsusceptibility to daptomycin. We review the relevant literature.

摘要

达托霉素是一种经美国食品药品监督管理局批准的、可替代万古霉素用于治疗成人严重耐甲氧西林金黄色葡萄球菌感染的药物。越来越多的报道称成人使用达托霉素治疗失败,但儿童方面的数据有限。我们报告了一名患有严重烧伤的青少年患者,该患者存在持续性耐甲氧西林金黄色葡萄球菌菌血症,并迅速对达托霉素产生耐药性。我们对相关文献进行了综述。

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