TABLE 2.
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 |
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.
—, for this case, the time period included 28 weeks over the course of 2 years.
Nonsusceptible at initiation.