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. 2008 Jan 16;46(3):1132–1136. doi: 10.1128/JCM.01844-07

TABLE 2.

Summary of reported cases of MRSA bacteremia with failed daptomycin treatmenta

Age of patient (yr)/gender Underlying condition(s) Source(s) of bacteremia Daptomycin dosage Time until development of nonsusceptibility after usage (days) Vancomycin MIC (μg/ml) Daptomycin MIC (μg/ml) Salvage treatment Outcome(s) Molecular method for comparison Reference
86/F Knee prosthesis Prosthetic joint infection, complication with epidural abscess and vertebral osteomyelitis 6 mg/kg/day 35 NA 4 NA NA PFGE 8
61/F Cardiac surgery Sternal osteomyelitis, vertebral osteomyelitis 6 mg/kg/day 42 NA 4 NA NA PFGE 9
91/M Pacemaker implantation Pacemaker wire infection 7 mg/kg/day 11 2 2 NA Died PFGE
NA IVDU Right-side IE 1.5 mg/kg/q12h 4 NA 5 NA NA NA 11
54/M HCV-related liver cirrhosis Portal vein septic thrombosis 4 mg/kg/q12h 27 1 2 Linezolid, and then vancomycin plus gentamicin Hospice care, microbiological success NA 12
61/M AML post-HSCT with GVHD Vertebral osteomyelitis and diskitis 6 mg/kg/day 20 NA 4 Linezolid, and then vancomycin plus rifampin Died of AML relapse; microbiological success PFGE 13
64/F DM, breast cancer Septic arthritis, leg abscess over surgical site 6 mg/kg/day b ≤2 4 Linezolid Survived, cured NA 17
66/M HCV-related liver cirrhosis, ESRD Left-side IE and probable septic phlebitis 6 mg/kg/day 0c 4 4 Linezolid Died of candidemia; microbiological success PFGE Current study
a

F, female; M, male; NA, not applicable; IVDU, intravenous-drug user; HCV, hepatitis C virus; AML, acute myeloblastic leukemia; HSCT, hemopoietic stem cell transplantation; GVHD, graft versus host disease; DM, diabetes mellitus; ESRD, end-stage renal disease; IE, infective endocarditis; q12h, every 12 h; PFGE, pulse-field gel electrophoresis.

b

—, for this case, the time period included 28 weeks over the course of 2 years.

c

Nonsusceptible at initiation.