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      Role of telavancin in treatment of skin and skin structure infections

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          Abstract

          Skin and skin structure infections (SSSIs) are a common diagnosis encountered by ambulatory and inpatient practitioners across the country. As the SSSIs become more complicated, they require increased health care resources and often involve hospitalization and intravenous antimicrobials. Complicated SSSIs are caused by a variety of pathogens, including Gram-positive, Gram-negative, and anerobic bacteria. Empiric broad-spectrum antibiotic coverage is warranted, taking into account area disease-state epidemiology and antimicrobial susceptibility data. Telavancin is an antimicrobial agent with a broad Gram-positive spectrum of activity which was recently approved for the treatment of SSSIs. It may especially benefit patients with resistant organisms, such as methicillin-resistant Staphylococcus aureus. This article reviews telavancin and its pharmacology, efficacy, and safety data to enhance the practitioner’s knowledge base on the appropriateness of telavancin for the treatment of SSSIs.

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          Most cited references17

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          Practice guidelines for the diagnosis and management of skin and soft-tissue infections.

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            Community-acquired methicillin-resistant Staphylococcus aureus in children with no identified predisposing risk.

            Community-acquired methicillin-resistant Staphylococcus aureus (MRSA) infections in children have occurred primarily in individuals with recognized predisposing risks. Community-acquired MRSA infections in the absence of identified risk factors have been reported infrequently. To determine whether community-acquired MRSA infections in children with no identified predisposing risks are increasing and to define the spectrum of disease associated with MRSA isolation. Retrospective review of medical records. Hospitalized children with S aureus isolated between August 1988 and July 1990 (1988-1990) and between August 1993 and July 1995 (1993-1995). The University of Chicago Children's Hospital. Prevalence of community-acquired MRSA over time, infecting vs colonizing isolates, and risk factors for disease. The number of children hospitalized with community-acquired MRSA disease increased from 8 in 1988-1990 to 35 in 1993-1995. Moreover, the prevalence of community-acquired MRSA without identified risk increased from 10 per 100000 admissions in 1988-1990 to 259 per 100000 admissions in 1993-1995 (P<.001), and a greater proportion of isolates produced clinical infection. The clinical syndromes associated with MRSA in children without identified risk were similar to those associated with community-acquired methicillin-susceptible S aureus. Notably, 7 (70%) of 10 community-acquired MRSA isolates obtained from children with an identified risk were nonsusceptible to at least 2 drugs, compared with only 6 (24%) of 25 isolates obtained from children without an identified risk (P=.02). These findings demonstrate that the prevalence of community-acquired MRSA among children without identified risk factors is increasing.
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              Trends in US Hospital Admissions for Skin and Soft Tissue Infections

              Using data from the 2000–2004 US Healthcare Cost and Utilization Project National Inpatient Sample, we found that total hospital admissions for skin and soft tissue infections increased by 29% during 2000–2004; admissions for pneumonia were largely unchanged. These results are consistent with recent reported increases in community-associated methicillin-resistant Staphylococcus aureus infections.
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                Author and article information

                Journal
                Clin Cosmet Investig Dermatol
                Clinical, Cosmetic and Investigational Dermatology
                Clinical, cosmetic and investigational dermatology : CCID
                Dove Medical Press
                1178-7015
                2010
                07 October 2010
                : 3
                : 127-133
                Affiliations
                [1 ]University of Wisconsin-Madison, Madison, WI, USA;
                [2 ]Froedtert Hospital, Milwaukee, WI, USA
                Author notes
                Correspondence: Anne R Daniels, Froedtert Hospital Pharmacy, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA, Tel +1 414 805 6446, Fax +1 414 805 6702, Email arygiewi@ 123456froedterthealth.org
                Article
                ccid-3-127
                10.2147/CCID.S9027
                3047943
                21437067
                9f3effa9-0165-429f-b96f-6fd7ed417457
                © 2010 Bonkowski et al, publisher and licensee Dove Medical Press Ltd.

                This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.

                History
                : 6 October 2010
                Categories
                Review

                Dermatology
                skin and skin structure infections,telavancin,methicillin-resistant staphylococcus aureus

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