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Persistant mrsa bacteremia

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By Chad Cannon Icu pharmacist St. Vincent's Medical Center
https://www.readbyqxmd.com/read/26565015/when-sepsis-persists-a-review-of-mrsa-bacteraemia-salvage-therapy
#1
REVIEW
Ravina Kullar, George Sakoulas, Stan Deresinski, Sebastiaan J van Hal
MRSA bacteraemia (MRSAB), including infective endocarditis, carries a high mortality rate, with up to 50% of patients failing initial therapy with vancomycin and requiring salvage therapy. Persistent MRSAB can be difficult to successfully eliminate, especially when source control is not possible due to an irremovable focus or the bacteraemia still persists despite surgical intervention. Although vancomycin and daptomycin are the only two antibiotics approved by the US FDA for the treatment of patients with MRSAB as monotherapy, the employment of novel strategies is required to effectively treat patients with persistent MRSAB and these may frequently involve combination drug therapy...
March 2016: Journal of Antimicrobial Chemotherapy
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