TABLE 1.
Baseline demographics, clinical characteristics, and microbiology in the ITT populationa
Characteristicb | 200 mg tedizolid once daily | 600 mg linezolid twice daily |
---|---|---|
n | 664 | 669 |
Age | 44.5 (17–86) | 44.0 (15–100) |
Median (range) (yr) | ||
≥65 | 72 (10.8) | 59 (8.8) |
Male sex | 429 (64.6) | 412 (61.6) |
Region of enrollment | ||
USA/Canada | 426 (64.2) | 426 (63.7) |
Europe | 165 (24.8) | 166 (24.8) |
Other region | 73 (11.0) | 77 (11.5) |
Temperature ≥ 38°C (fever) | 155 (23.3) | 157 (23.5) |
WBC count ≥ 10,000 cells/mm3 or <4,000 cells/mm3 | 140 (21.1) | 133 (19.9) |
SIRS | 163 (24.5) | 128 (19.1) |
Lymphadenopathy | 524 (78.9) | 524 (78.3) |
>10% immature neutrophils | 76 (11.4) | 56 (8.4) |
≥1 Gram-positive pathogen from baseline primary infection site or blood culturec | ||
Staphylococcus aureusd | 329 (81.0) | 342 (83.0) |
MRSA | 141 (34.7) | 146 (35.4) |
USA300 strain | 127 (90.1) | 110 (75.3) |
MSSA | 188 (46.3) | 198 (48.1) |
PVL-positive S. aureus | 190 (46.8) | 181 (43.9) |
Streptococcus pyogenes | 33 (8.1) | 20 (4.9) |
Streptococcus anginosus group | 30 (7.4) | 28 (6.8) |
Bacteremia | 11 (1.7) | 16 (2.4) |
Comorbidities | ||
Obesity | 200 (30.1) | 232 (34.7) |
History of diabetes mellitus | 58 (8.7) | 67 (10.0) |
Hepatic impairment/disease | 14 (2.1) | 12 (1.8) |
Renal impairment (moderate/severe) | 20 (3.0) | 29 (4.3) |
HIV positive | 13 (2.0) | 8 (1.2) |
Hepatitis C | 165 (24.8) | 194 (29.0) |
Concurrent secondary ABSSSI lesion | 96 (14.5) | 90 (13.5) |
Risk factors | ||
Current/recent i.v. drug use | 183 (27.6) | 206 (30.8) |
Poor living conditions | 40 (6.0) | 34 (5.1) |
Prior ABSSSI lesion | 146 (22.0) | 144 (21.5) |
Type of ABSSSI | ||
Cellulitis/erysipelas | 301 (45.3) | 307 (45.9) |
Major cutaneous abscess | 168 (25.3) | 166 (24.8) |
Wound infection | 195 (29.4) | 196 (29.3) |
Anatomical location of ABSSSI | ||
Lower extremity | 270 (40.7) | 282 (42.2) |
Upper extremity | 226 (34.0) | 226 (33.8) |
Groin/buttocks/back | 93 (14.0) | 93 (13.9) |
Chest/abdomen | 39 (5.9) | 33 (4.9) |
Head/neck | 36 (5.4) | 35 (5.2) |
Lesion surface area (cm3) | ||
Mean (range) | 347.8 (22.5–5,572.8) | 347.8 (27.0–5,220.0) |
>300 | 228 (34.4) | 220 (32.9) |
Data are presented as no. (%) unless otherwise stated. ITT, intent-to-treat.
WBC, white blood cell; SIRS, systemic inflammatory response syndrome; MRSA, methicillin-resistant S. aureus; MSSA, methicillin-susceptible S. aureus; PVL, Panton-Valentine leukocidin; HIV, human immunodeficiency virus; ABSSSI, acute bacterial skin and skin structure infection.
The number of patients fitting this criterion were 406 in the tedizolid group and 412 in the linezolid group.
MRSA and MSSA totals may not add up to 100% because of a lack of susceptibility data for all isolates; one patient in ESTABLISH-1 may have had both MRSA and MSSA.