Table 3.
Guideline recommended uses for linezolid
Guideline and reference | Key recommendations and level of evidence |
---|---|
MRSA infections83 | Linezolid is one of the recommended antibiotics for complicated SSTIs (2), pneumonia (2), bone and joint infections (3), CNS infections (3). |
HAP/VAP/HCAP84 | Two large multicenter trials of linezolid demonstrated equivalence to vancomycin in patients with HAP (2); linezolid may be better than vancomycin in patients with renal failure and VAP (2). |
Bacterial meningitis86 | Linezolid is an alternative to vancomycin (3). |
Diabetic foot infections87 | Linezolid is one of the recommended antibiotics (2); it is not approved for osteomyelitis. |
Skin and soft tissue infections88 | Linezolid is an option due to high prevalence of CA-MRSA for hospitalized patients with severe infection or whose infection is progressing despite empirical antibiotics (2). |
Notes: Level of evidence: 1, strong evidence from at least one systematic review; 2, evidence from randomized controlled trials; 3, evidence from well-designed trials without randomization, single group pre-/postintervention, cohort, time series, or matched case control series; 4, evidence from well-designed nonexperimental, observational studies from more than one center or research group; 5, expert opinion, descriptive studies, and reports of expert committees.
Abbreviations: HAP, hospital-acquired pneumonia; VAP, ventilator-associated pneumonia; HCAP, healthcare-associated pneumonia; SSTIs, skin and soft tissue infections; CNS, central nervous system; CA-MRSA, community-associated methicillin-resistant Staphylococcus aureus.