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Staphylococcus aureus

 

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Sliding Table of Contents on the left of the screen

 

Tables and Figures

Table 1: Comparison of Healthcare Associated and Community Associated MRSA

Table 2. In vitro Activity of Antimicrobial Agents Against Staphylococcus aureus

Table 3. Suggested Antibiotics, Doses and Duration for Treatment of Staphylococcus aureus Infections   [Download PDF]

Table 4. Most Commonly Recommended Treatment Regimens for Staphylococcus aureus Endocarditis [Download PDF]

Table 5. Isolation Precautions Recommended for Hospitalized Patients [Download PDF]

Table 6.  Recommendations to Prevent The Spread of Vancomycin-Resistant Staphylococcus aureus [Download PDF]

Table 7.  Recommendations to prevent MRSA in Athletes [Download PDF]

 

Key Anti-Staphylococcal Antibiotics

Daptomycin   [Daptomycin Summary]  Kerry L. LaPlante, Pharm.D., Michael J. Rybak, Pharm.D.

Fusidic Acid  [Fusidic Acid Summary]  Keryn J. Christiansen, MBBS

Glycopeptides ( Dalbavancin, Oritavancin, Teicoplanin, Vancomycin)   N. Virgincar, MSc, MD, Alasdair MacGowan, M.D.

Linezolid and Other Oxazolidinones  [Linezolid Summary]  Brian T. Tsuji, Pharm D., Glenn W. Kaatz, MD, Michael J. Rybak, Pharm.D.

Mupirocin  [Mupirocin Summary]  Suzanne F. Bradley, M.D.

Quinupristin/Dalfopristin  [Quinupristin/Dalfopristin Summary]  Kimberly D. Leuthner, Pharm.D., Jeffrey R. Aeschlimann, Pharm.D., Michael J. Rybak, Pharm.D.

Tigecycline  [Tigecycline Summary]  David R.P. Guay, Pharm.D.

 

Vignettes

Richard L. Oehler: MRSA: Historical Perspective

Abigail Orenstein: The Discovery and Naming of Staphylococcus aureus

Lina G, Vandenesch F, Etienne J. A brief history of Staphylococcus aureus Panton Valentine leucocidin

John JF, Lindsay JA. Clones and Drones: Do Variants of Panton-Valentine Leukocidin Extend the Reach of Community-Associated Methicillin-Resistant Staphylococcus aureus? J Infect Dis 2008;197:175-178.

Article: Chang FY. Staphylococcus aureus Bacteremia Recurrence and the Impact of Antibiotic Treatment in a Prospective Multicenter Study. Medicine 2003.

Article: Chang FY. A Prospective Multicenter Study of Staphylococcus aureus Bacteremia Incidence of Endocarditis, Risk Factors for Mortality, and Clinical Impact of Methicillin Resistance. Medicine 2003.

Article: Menace in the Locker Room, Sports Illustrated , February 28, 2005.

Article: CDC. MRSA infecting the St. Louis Rams football team. N Eng J Med February 3, 2005

Review Article: Leid, JG. Bacterial Biofilms Resist Key Host Defenses. Microbe/Volume 4, Number 2, 2009.

Review Article: Hiramatsu K. Vancomycin-resistant Staphylococcus aureus: a new model of antibiotic resistance. Lancet Infect Dis. October 2001.

Review Article:  Lentino JR, Narita M, Yu VL New Antimicrobial Agents as Therapy for Resistant Gram-Positive Cocci.

Review Article: Rybak MJ, LaPlante KL. Community-Associated Methicillin-Resistant Staphylococcus aureus: A Review. Pharmacotherapy 2005;25(1):74-85.

Review Article: Wertheim HFL, Melles DC, et al. The role of nasal carriage of Staphylococcus aureus infections. Lancet Infectious Diseases 2005;5:751-762.

Review Article: Schaudin C, Stoodley P, Kainovic' A, O'Keeffe T, Costerton B, Robinson D, Baum M, Ehrlich G, Webster P.  Bacterial Biofilms, Other Structures Seen as Mainstream Concepts.  Microbe 2007;2:231-237.

Review Article: Kellie SM. Methicillin-resistant Staphylococcus aureus (MRSA) in pregnancy: epidemiology, clinical syndromes, management, prevention, and infection control in the peripartum and post-partum periods. 2007.

Jorgenson L, et al Vancomycin disposition and penetration into ventricular fluid of the central nervous system following intravenous therapy in patients with cerebrospinal devices.  Pediatr Neurosurg 2007;43:449-455.

Review Article:  Efflux Pumps as a Mechanism of Antimicrobial Resistance. 2008

Patient Handout:  Methicillin-resistant Staphylococcus aureus (MRSA)

Review Article: Raad, I., Hanna, H. and Maki, D. Intravascular Catheter-related Infections: Advances in Diagnosis, Prevention and Management. The LANCET Infectious Diseases 2007; Vol.7, Issue 10, 645-657.

Guideline:  Rybak M, et al.  Therapeutic monitoring of vancomycin in adult patients: A consensus review of the American Society of Health-System Pharmacists, the Infectious Diseases Society of America, and the Society of Infectious Diseases Pharmacists.  Am J Health-Syst Pharm 2009;66:82-98.

Baron EJ. Staphylococci

Baron EJ. Flow Chart from Colony on BAP

Baron EJ. Flow Chart Aerobic Gram Positive Organisms

Venkata Meka, M.D.: Panton-Valentine leukocidin and Synergohymenotropic toxin

Victor L. Yu: Repeat blood cultures after 3 days in patients with Stapylococcus aureus bacteremia

Awad SS, et al.  Increasing incidence of methicillin-resistant Staphylococcus aureus skin and soft-tissue infections: reconsideration of empiric antimicrobial therapy. Am J Surg 2007;194:606-610.

Barberan J, Aguilar L, Carroquino G, Gimenez M-J, Sanchez B, Martinez D, Prieto J.  Conservative Treatment of Staphylococcal Prosthetic Joint Infections in Elderly Patients.  Am J Med 2006;119:993.e7-993.e10.

Bhalla A, et al.  Staphylococcus aureus intestinal colonization is associated with increased frequency of S. aureus on skin of hospitalized patients.  BMC Infect Dis. 2007;7:105. Kallweit U, et al.  Successful treatment of methicillin-resistant Staphylococcus aureus meningitis using linezolid without removal of intrathecal infusion pump. Case report.  J Neurosurg 2007;107:651-653.

Climo MW, et al. The Effect of Daily Bathing with Chlorhexidine on the Acquisition of Methicillin-Resistant Staphylococcus aureus, Vancomycin-resistant Enterococci, and Healthcare-associated Bloodstream Infections: Results of a Quasi-experimental Multicenter Trial. Crit Care Med. 2009;37:1858-65.

Deresinski S. Active surveillance for detection of MRSA colonization. Clin Infect Dis 2008;47:v-vi.

Elliott DJ, Zaoutis TE, et al.  Empiric Antimicrobial Therapy for Pediatric Skin and Soft-Tissue Infections in the Era of Methicillin-Resistant Staphylococcus aureus.  Pediatrics. 2009;123:e959-66.

Euba G, et al.  Long-Term Follow-Up Trial of Oral Rifampin-Cotrimoxazole Combination versus Intravenous Cloxacillin in Treatment of Chronic Staphylococcal Osteomyelitis.  Antimicrob Agents Chemother. 2009;53:2672-6.

Goldberg E, Paul M, et al. Co-trimoxazole Versus Vancomycin for the Treatment of Methicillin-Resistant Staphylococcus aureus Bacteraemia: a Retrospective Cohort Study. J Antimicrob Chemother 2010;65:1779-83.

Jang HC, Kim SH, et al. Salvage Treatment for Persistent Methicillin-Resistant Staphylococcus aureus Bacteremia: Efficacy of Linezolid With or Without Carbapenem. Clin Infect Dis. 2009;49:395-401.

Fowler VG Jr, Boucher HW, Corey GR, et al; S. aureus Endocarditis and Bacteremia Study Group. Daptomycin versus standard therapy for bacteremia and endocarditis caused by Staphylococcus aureus. N Engl J Med 2006;355:653-65. Kim SH, Kim KY, et al. Outcome of Vancomycin Treatment in Patients with Methicillin-Susceptible Staphylococcus aureus Bacteremia.  Antimicrob Agents Chemother 2008;52:192-197.

Kosowska-Shick K, Clark C, et al. Activity of Telavancin Against Staphylococci and Enterococci Determined by MIC and Resistance Selection Studies. Antimicrob Agents Chemother. 2009;53:4217-24.

Lodise TP, McKinnon PS, Levine DP, Rybak MJ.  Impact of Empirical-Therapy Selection on OUtcomes of Intravenous Drug Users with Infective Endocarditis Caused by Methicillin-Susceptible Staphylococcus aureus.  Antimicrob Agents Chemother 2007;51:3731-3733.

Lodise TP, Lomaestro B, et al.  Larger Vancomycin Doses (>=4 grams/day) are Associated with an Increased Incidence of Nephrotoxicity. Antimicrob Agents Chemother 2008;52:1330-6.

Malhotra-Kumar S, Haccuria K, et al.  Current Trends in Rapid Diagnostics for Methicillin-Resistant Staphylococcus aureus and Glycopeptide-Resistant Enterococcus Species.  J Clin Microbiol 2008;46:1577-1587.

Gram stain, 2008

Mariani-Kurkdjian P. et.al.  Monitoring serum vancomycin concentrations in the treatment of Staphylococcus infections in children.  Arch Pediatr. 200815:1625-9.

Forouzesh A, Moise PA, Sakoulas G. Vancomycin Ototoxicity: A Re-Evaluation in an Era of Increasing Doses. Antimicrob Agents Chemother. 2009;53:483-6.

McKinnon PS, et al. Impact of Linezolid on Economic Outcomes and Determinants of Cost in a Clinical Trial Evaluating Patients with MRSA Complicated Skin and Soft-Tissue Infections. Ann Pharmacother. 2006;40:1017-23.

Mitrano JA, Spooner LM, et al. Excretion of Antimicrobials used to Treat Methicillin-Resistant Staphylococcus aureus Infections during Lactation: Safety in Breastfeeding Infants. Pharmacotherapy. 2009 Sep;29:1103-9.

Muņoz P, Hortal J, et al.  Nasal carriage of S. aureus increases the risk of surgical site infection after major heart surgery.  J Hosp Infection 2008;68:25-31.

Narita M.  In Vitro and animal studies of antibiotic synergy for newer antistaphylococcal agents for Staphylococcus aureus. 2008

Patel N, Lubanski P, et al. Correlation Between Vancomycin MIC Values and Those of Other Agents Against Gram-Positive Bacteria Among Patients with Bloodstream Infections Caused by Methicillin-Resistant Staphylococcus aureus. Antimicrob Agents Chemother. 2009;53:5141-4.

Chua K, et al. Not Community-Associated Methicillin-Resistant Staphylococcus aureus (CA-MRSA)! A Clinician's Guide to Community MRSA - Its Evolving Antimicrobial Resistance and Implications for Therapy. Clin Infect Dis 2011;52:99-114.

Proctor RA. Role of Folate Antagonists in the Treatment of Methicillin-resistant Staphylococcus aureus Infection. Clin Infect Dis. 2008;46:584-593.

Rajendran PM, Young D, et al.  Randomized, Double-Blind, Placebo-Controlled Trial of Cephalexin for Treatment of Uncomplicated Skin Abscesses in a Population at Risk for Community-Acquired Methicillin-Resistant Staphylococcus aureus Infection.  Antimicrob Agents Chemother 2007;51:4044-4048.

Soriano A, Marco F, et al.  Influence of vancomycin minimum inhibitory concentration on the treatment of methicillin-resistant Staphylococcus aureus bacteremia.  Clin Infect Dis 2008;46:193-200.

Rubinstein E, et al. Pneumonia caused by methicillin-resistant Staphylococcus aureus. Clin Infect Dis. 2008;46:S378-85.

Rutland BE, Weese JS, et al. Human-to-dog transmission of methicillin-resistant Staphylococcus aureus. Emerg Infect Dis. 2009;15:1328-30.

Spellberg B. Oral Trimethoprim-Sulfamethoxazole for S. aureus and MRSA Osteomyelitis. 2008.

Svetitsky S, Leibovici L, Paul M. The comparative efficacy and safety of vancomycin vs. teicoplanin: Systematic review and meta-analysis. Antimicrob Agents Chemother. 2009 Jul 13. [Epub ahead of print]

van Loo I, Huijsdens X, et al. Emergence of Methicillin-Resistant Staphylococcus aureus of Animal Origin in Humans. Emerg Infect Dis. 2007;13:1834-9.

Zaoutis, T et al. Prolonged Intravenous Therapy Versus Early Transition to Oral Antimicrobial Therapy for Acute Osteomyelitis in Children.  Pediatrics 2009;123:636-642.

Bode, LGM, et al.  Preventing Surgical-Site Infections in Nasal Carriers of Staphylococcus aureus.  N Engl J Med 2010;362 (1):9-17.

Lee D, et al.  Successful Treatment of Methicilin-Resistant Staphylococcus aureus Meningitis with Daptomycin.  Clin Infect Dis 2008;47:588-590.

Zeller V, et al. Continuous Clindamycin Infusion, an Innovative Approach to Treating Bone and Joint Infections. Antimicrobial Agents and Chemotherapy. 2010;54:88-92.

van Hal SJ, et al. Emergence of daptomycin resistance following vancomycin-unresponsive Staphylococcus aureus bacteraemia in a daptomycin-naive patient--a review of the literature. Eur J Clin Microbiol Infect Dis 2011;30:603-610.

Jung JY, et al.  Effect of vancomycin plus rifampicin in the treatment of nosocomial methicillin-resistant Staphylococcus aureus pneumonia.  Crit Care Med 2010;38:175-180.

Vesga O, et al. Generic Vancomycin Products Fail In Vivo Despite Being Pharmaceutical Equivalents of the Innovator.  Antimicrob Agents Chemother 2010;54:3271-3279.

Horne KC, et al.  Prospective comparison of the clinical impacts of heterogeneous vancomycin-intermediate methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-susceptible MRSA. Antimicrob Agents Chemother. 2009; 53:3447-52.

USA300 MRSA: An Overview

Lauderdale TLY, et al. Carriage rates of methicillin-resistant Staphylococcus aureus (MRSA) depend on anatomic location, the number of sits cultured, culture methods, and the distribution of clonotypes.   Eur J Clin Microbiol Infect Dis 2010;29:1553-1559.

 

Authors

John Turnidge, M.D.,,   Nalini Rao, M.D.,  Feng-Yee Chang, M.D.,   Vance G. Fowler Jr, M.D. 

Susan M. Kellie, MD, MPH Sandra Arnold, MD, MS Bruce Y. Lee, M.D., MBA, Anne Tristan, PharmD, Ph.D.

 

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