Table 3.
Daptomycin treatment success in Staphylococcus aureus bacteremia, stratified by methicillin susceptibility (MSSA versus MRSA) and therapies useda
| Therapy | No. of cases with successful daptomycin response/total no. of cases (%) | P value | No. of MSSA cases with successful daptomycin response/total no. of MSSA cases (%) | P value | No. of MRSA cases with successful daptomycin response/total no. of MRSA cases (%) | P value |
|---|---|---|---|---|---|---|
| Daptomycin at initial dose of: | ||||||
| >6 mg/kg | 50/60 (83) | 0.408 | 15/17 (88) | 0.315 | 35/43 (81) | 0.722 |
| <6 mg/kg | 15/20 (75) | 5/7 (71) | 10/13 (77) | |||
| Concomitant β-lactam | ||||||
| With β-lactam | 26/30 (87) | 0.336 | 8/8 (100) | 0.121 | 18/22 (82) | 0.825 |
| Without β-lactam | 39/50 (78) | 12/16 (75) | 27/34 (79) | |||
| Concomitant rifampin | ||||||
| With rifampin | 13/17 (76) | 0.569 | 1/2 (50) | 0.186 | 12/15 (80) | 0.968 |
| Without rifampin | 52/63 (83) | 19/22 (86) | 33/41 (80) | |||
| Concomitant gentamicin | ||||||
| With gentamicin | 6/8 (75) | 0.633 | 1/2 (50) | 0.186 | 5/6 (83) | 0.846 |
| Without gentamicin | 59/72 (82) | 19/22 (86) | 40/50 (80) | |||
| Concomitant vancomycin | ||||||
| With vancomycin | 7/9 (78) | 0.777 | 3/4 (75) | 0.624 | 4/5 (80) | 0.983 |
| Without vancomycin | 58/71 (82) | 17/20 (85) | 41/51 (80) |
Some patients received more than one concomitant therapy. Data are not shown for concomitant linezolid (n = 2, both MRSA, with 1 failure and 1 success) and concomitant trimethoprim-sulfamethoxazole (n = 2, both MRSA, with 1 failure and 1 success).