Glycopeptide-resistant Enterococcus faecium infections in paediatric liver transplant recipients:: safety and clinical efficacy of quinupristin/dalfopristin

被引:15
作者
Verma, A [1 ]
Dhawan, A
Philpott-Howard, J
Rela, M
Heaton, N
Vergani, GM
Wade, J
机构
[1] Kings Coll London Hosp, Dulwich Publ Hlth Lab, London SE5 9RS, England
[2] Kings Coll London Hosp, Paediat Liver Serv, London SE5 9RS, England
关键词
D O I
10.1093/jac/47.1.105
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
We describe our experience of quinupristin/dalfopristin for glycopeptide-resistant Enterococcus faecium (GREF) infections in 19 paediatric liver transplant recipients. The median patient age was 2 years and all were receiving immunosuppressive regimens. Quinupristin/dalfopristin was well tolerated and complete resolution of infection was seen in 74% of patients. Side-effects included reversible elevation of serum alkaline phosphatase, skin rash, itching, diarrhoea and vomiting, but therapy was not withdrawn from any patient. Quinupristin/dalfopristin appears safe and efficacious in critically ill immunocompromised children with renal or hepatic Impairment.
引用
收藏
页码:105 / 108
页数:4
相关论文
共 10 条
[1]  
Barrow GI., 1993, COWAN STEELS MANUAL, V3th
[2]   INVITRO ACTIVITY OF RP59500, AN INJECTABLE STREPTOGRAMIN ANTIBIOTIC, AGAINST VANCOMYCIN-RESISTANT GRAM-POSITIVE ORGANISMS [J].
COLLINS, LA ;
MALANOSKI, GJ ;
ELIOPOULOS, GM ;
WENNERSTEIN, CB ;
FERRARO, MJ ;
MOELLERING, RC .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1993, 37 (03) :598-601
[3]   SEPSIS TERMINOLOGY IN PEDIATRICS [J].
HAYDEN, WR .
JOURNAL OF PEDIATRICS, 1994, 124 (04) :657-658
[4]   Management of infections due to resistant enterococci: a review of therapeutic options [J].
Landman, D ;
Quale, JM .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 1997, 40 (02) :161-170
[5]   Effect of quinupristin/dalfopristin on the outcome of vancomycin-resistant Enterococcus faecium bacteraemia: Comparison with a control cohort [J].
Linden, PK ;
Pasculle, AW ;
McDevitt, D ;
Kramer, DJ .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 1997, 39 :145-151
[6]   Differences in outcomes for patients with bacteremia due to vancomycin-resistant Enterococcus faecium or vancomycin-susceptible E-faecium [J].
Linden, PK ;
Pasculle, AW ;
Manez, R ;
Kramer, DJ ;
Fung, JJ ;
Pinna, AD ;
Kusne, S .
CLINICAL INFECTIOUS DISEASES, 1996, 22 (04) :663-670
[7]   The efficacy and safety of quinupristin/dalfopristin for the treatment of infections caused by vancomycin-resistant Enterococcus faecium [J].
Moellering, RC ;
Linden, PK ;
Reinhardt, J ;
Blumberg, EA ;
Bompart, F ;
Talbot, GH .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 1999, 44 (02) :251-261
[8]   Drug therapy: Vancomycin-resistant enterococcal infections. [J].
Murray, BE .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (10) :710-721
[9]  
National Committee for Clinical Laboratory Standards, 1997, METH DIL ANT SUSC TE
[10]   THE NEED FOR BIOLOGICAL ASSESSMENT OF WATER-QUALITY - AUSTRALIAN PERSPECTIVE [J].
NORRIS, RH ;
NORRIS, KR .
AUSTRALIAN JOURNAL OF ECOLOGY, 1995, 20 (01) :1-6