Evaluation of the efficacy and safety of outpatient parenteral antimicrobial therapy for infections with methicillin-sensitive Staphylococcus aureus

South Med J. 2005 Jun;98(6):590-5. doi: 10.1097/01.SMJ.0000145300.28736.BB.

Abstract

Objectives: As increasing numbers of patients are being treated with outpatient parenteral antimicrobial therapy (OPAT), it becomes ever more important to ascertain the risks and benefits of such treatment for patients.

Methods: We conducted a retrospective analysis of 1,515 patients with methicillin-sensitive Staphylococcus aureus infections who were treated with outpatient parenteral antimicrobial monotherapy. All patients were included in the adverse drug reaction analysis; 1,252 were evaluable for purposes of evaluating treatment efficacy.

Results: The six antibiotics most frequently used in this study (ceftriaxone, cefazolin, vancomycin, oxacillin, nafcillin, and clindamycin) appeared to be equivalent in achieving the desired efficacy outcome.

Conclusions: Vancomycin was associated with a significantly greater number of side effects than was ceftriaxone, cefazolin, or oxacillin, and nafcillin was associated with a significantly greater number of adverse events than ceftriaxone.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / adverse effects
  • Anti-Bacterial Agents / therapeutic use*
  • Cefazolin / administration & dosage
  • Cefazolin / therapeutic use
  • Ceftriaxone / administration & dosage
  • Ceftriaxone / therapeutic use
  • Child
  • Child, Preschool
  • Clindamycin / administration & dosage
  • Clindamycin / therapeutic use
  • Drug Monitoring
  • Female
  • Home Infusion Therapy*
  • Humans
  • Infant
  • Infusions, Parenteral
  • Male
  • Middle Aged
  • Nafcillin / administration & dosage
  • Nafcillin / adverse effects
  • Nafcillin / therapeutic use
  • Oxacillin / administration & dosage
  • Oxacillin / therapeutic use
  • Retrospective Studies
  • Streptococcal Infections / drug therapy
  • Treatment Outcome
  • Vancomycin / administration & dosage
  • Vancomycin / adverse effects
  • Vancomycin / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Clindamycin
  • Nafcillin
  • Vancomycin
  • Ceftriaxone
  • Cefazolin
  • Oxacillin