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자료유형
학술저널
저자정보
저널정보
대한감염학회 Infection and Chemotherapy Infection and Chemotherapy 제45권 제1호
발행연도
2013.1
수록면
62 - 68 (7page)

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Background: Methicillin-resistant Staphylococcus aureus (MRSA) has become a one of the most important causes of nosocomial infections, and use of vancomycin for the treatment of MRSA infection has increased. Unfortunately, vancomycin-resistant enterococcus have been reported, as well as vancomycin-resistant S. aureus . Arbekacin is an antibacterial agent and belongs to the aminoglycoside family of antibiotics. It was introduced to treat MRSA infection. We studied the clinical and bacteriological efficacy and safety of arbekacin compared to vancomycin in the treatment of infections caused by MRSA. Materials and Methods: This was a retrospective case-control study of patients who were admitted to tertiary Hospital from January 1st, 2009 to December 31st, 2010, and received the antibiotics arbekacin or vancomycin. All the skin and soft tissue MRSA infected patients who received arbekacin or vancomycin were enrolled during the study period. The bacteriological efficacy response (BER) was classified with improved and failure. The improved BER was defined as no growth of MRSA, where failure was defined as growth of MRSA, culture at the end of therapy or during treatment. Clinical efficacy response (CER) was classified as improved and failure. Improved CER was defined as resolution or reduction of the majority of signs and symptoms related to the original infection. Failure was defined as no resolution and no reduction of majority of the signs and symptoms, or worsening of one or more signs and symptoms, or new symptoms or signs associated with the original infection or a new infection Results: Totally, 122 patients (63/99 in arbekacin, 59/168 in vancomycin group) with skin and soft tissue infection who recieved arbekacin or vancomcyin at least 4 days were enrolled and analysed. The bacteriological efficacy response [improved, arbekacin vs vancomycin; 73.0% (46/63), 95% confidence interval (CI) 60.3 to 83.4% vs 83.1% (49/59), 95% CI 71.0 to 91.6%] and clinical efficacy response [improved, arbekacin vs vancomycin; 67.2% (41/61), 95% CI 52.0 to 76.7 % vs 78.0% (46/59), 95%CI 65.3 to 87.7%] were similar between the two groups (P=0.264, 0.265). The complication rate was significantly higher in the vancomycin group [29/59(49.2%), 95% CI 35.9 to 62.5%] than arbekacin [10/63(15.9%), 95% CI 8.4 to 29.0%] (P <0.001). Conclusions: Arbekacin could be considered as an alternative antibiotics for vancomycin in skin and soft tissue infection with MRSA. However, further prospective randomized trials are needed to confirm this finding.
#Arbekacin #Vancomycin #MRSA #Skin and soft tissue infection

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참고문헌 (22)

참고문헌 신청
Hamilton-Miller JM / 1995 / Activity of the semi-synthetickanamycin B derivative, arbekacin against methicillinresistantStaphylococcus aureus / J Antimicrob Chemother 35 : 8 google schola Hiramatsu K / 1997 / Methicillin-resistant Staphylococcus aureus clinicalstrain with reduced vancomycin susceptibility / J AntimicrobChemother 40 : 135 ~ 136 google schola Holmberg SD / 1987 / Health and economicimpacts of antimicrobial resistance / Rev Infect Dis 9 : 1065 ~ 1078 google schola Hwang JH / 2012 / Theusefulness of arbekacin compared to vancomycin / Eur JClin Microbiol Infect Dis 31 : 1663 ~ 1666 google schola Kirby JT / 2000 / Geographic variations in garenoxacin (BMS284756) activitytested against pathogens associated with skin and softtissue infections: report from the SENTRY Ant google schola

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