Methicillin-resistant Staphylococcusaureus has emerged as a major causative pathogen in complicated skin and skin structure infections (cSSSIs). Unfortunately, treatment failure with vancomycin has been increasingly reported. Over the past decade, several alternative antimicrobial agents have been studied and approved for the treatment of cSSSIs. One such agent is the lipoglycopeptide telavancin, which was approved by the US FDA 2009. Given its dual mechanism of action, telavancin is characterized by a highly bactericidal activity and low potential for resistance selection. In addition, in clinical trials, it was efficacious and safe in the treatment of cSSSI. The purpose of this review is to give a background overview of telavancin, highlighting its microbiological, pharmacokinetic and pharmacodynamics characteristics, to summarize the available evidence for its use in the treatment of cSSSIs, and to provide an updated evaluation of its safety profile.
机构:
Penn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USAPenn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USA
Kosowska-Shick, Klaudia
;
Clark, Catherine
论文数: 0引用数: 0
h-index: 0
机构:
Penn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USAPenn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USA
Clark, Catherine
;
Pankuch, Glenn A.
论文数: 0引用数: 0
h-index: 0
机构:
Penn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USAPenn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USA
Pankuch, Glenn A.
;
McGhee, Pamela
论文数: 0引用数: 0
h-index: 0
机构:
Penn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USAPenn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USA
McGhee, Pamela
;
Dewasse, Bonifacio
论文数: 0引用数: 0
h-index: 0
机构:
Penn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USAPenn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USA
Dewasse, Bonifacio
;
Beachel, Linda
论文数: 0引用数: 0
h-index: 0
机构:
Penn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USAPenn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USA
Beachel, Linda
;
Appelbaum, Peter C.
论文数: 0引用数: 0
h-index: 0
机构:
Penn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USAPenn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USA
机构:
Univ Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Univ Texas Hlth Sci Ctr San Antonio, Sch Med, Pharmacotherapy Educ & Res Ctr, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Labreche, Matthew J.
;
Lee, Grace C.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Univ Texas Hlth Sci Ctr San Antonio, Sch Med, Pharmacotherapy Educ & Res Ctr, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Lee, Grace C.
;
Attridge, Russell T.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Incarnate Word, Feik Sch Pharm, San Antonio, TX USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Attridge, Russell T.
;
Mortensen, Eric M.
论文数: 0引用数: 0
h-index: 0
机构:
VA North Texas Hlth Care Syst, Div Gen Internal Med, Dallas, TX USA
Univ Texas SW Med Ctr Dallas, Dept Internal Med, Dallas, TX 75390 USA
Univ Texas SW Med Ctr Dallas, Dept Clin Sci, Dallas, TX 75390 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Mortensen, Eric M.
;
Koeller, Jim
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Univ Texas Hlth Sci Ctr San Antonio, Sch Med, Pharmacotherapy Educ & Res Ctr, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Koeller, Jim
;
Du, Liem C.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Du, Liem C.
;
Nyren, Natalie R.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Nyren, Natalie R.
;
Trevino, Lucina B.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Trevino, Lucina B.
;
Trevino, Sylvia B.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Trevino, Sylvia B.
;
Pena, Joel
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Pena, Joel
;
Mann, Michael W.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Mann, Michael W.
;
Munoz, Abilio
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Munoz, Abilio
;
Marcos, Yolanda
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Marcos, Yolanda
;
Rocha, Guillermo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Rocha, Guillermo
;
Koretsky, Stella
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Koretsky, Stella
;
Esparza, Sandra
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Esparza, Sandra
;
Finnie, Mitchell
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Finnie, Mitchell
;
Dallas, Steven D.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, Sch Hlth Profess, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Dallas, Steven D.
;
Parchman, Michael L.
论文数: 0引用数: 0
h-index: 0
机构:
Grp Hlth Cooperat Puget Sound, Grp Hlth Res Inst, MacColl Ctr Hlth Care Innovat, Seattle, WA USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Parchman, Michael L.
;
Frei, Christopher R.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Univ Texas Hlth Sci Ctr San Antonio, Sch Med, Pharmacotherapy Educ & Res Ctr, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
机构:
Albany Coll Pharm, Dept Pharm Practice, Albany, NY 12208 USA
Ordway Res Inst, Albany, NY USAAlbany Coll Pharm, Dept Pharm Practice, Albany, NY 12208 USA
Lodise, Thomas P.
;
Lomaestro, Ben
论文数: 0引用数: 0
h-index: 0
机构:
Albany Med Ctr Hosp, Albany, NY USAAlbany Coll Pharm, Dept Pharm Practice, Albany, NY 12208 USA
Lomaestro, Ben
;
Graves, Jeffrey
论文数: 0引用数: 0
h-index: 0
机构:
Albany Coll Pharm, Dept Pharm Practice, Albany, NY 12208 USAAlbany Coll Pharm, Dept Pharm Practice, Albany, NY 12208 USA
Graves, Jeffrey
;
Drusano, G. L.
论文数: 0引用数: 0
h-index: 0
机构:
Ordway Res Inst, Albany, NY USAAlbany Coll Pharm, Dept Pharm Practice, Albany, NY 12208 USA
机构:
Washington Univ, Sch Med, Div Infect Dis, St Louis, MO 63110 USAWashington Univ, Sch Med, Div Infect Dis, St Louis, MO 63110 USA
Marcos, Luis A.
;
Camins, Bernard C.
论文数: 0引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Div Infect Dis, St Louis, MO 63110 USAWashington Univ, Sch Med, Div Infect Dis, St Louis, MO 63110 USA
Camins, Bernard C.
;
Ritchie, David J.
论文数: 0引用数: 0
h-index: 0
机构:
Barnes Jewish Hosp, St Louis, MO 63110 USA
St Louis Coll Pharm, St Louis, MO 63110 USAWashington Univ, Sch Med, Div Infect Dis, St Louis, MO 63110 USA
Ritchie, David J.
;
Casabar, Ed
论文数: 0引用数: 0
h-index: 0
机构:
Barnes Jewish Hosp, St Louis, MO 63110 USA
St Louis Coll Pharm, St Louis, MO 63110 USAWashington Univ, Sch Med, Div Infect Dis, St Louis, MO 63110 USA
Casabar, Ed
;
Warren, David K.
论文数: 0引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Div Infect Dis, St Louis, MO 63110 USAWashington Univ, Sch Med, Div Infect Dis, St Louis, MO 63110 USA
机构:
Penn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USAPenn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USA
Kosowska-Shick, Klaudia
;
Clark, Catherine
论文数: 0引用数: 0
h-index: 0
机构:
Penn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USAPenn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USA
Clark, Catherine
;
Pankuch, Glenn A.
论文数: 0引用数: 0
h-index: 0
机构:
Penn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USAPenn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USA
Pankuch, Glenn A.
;
McGhee, Pamela
论文数: 0引用数: 0
h-index: 0
机构:
Penn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USAPenn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USA
McGhee, Pamela
;
Dewasse, Bonifacio
论文数: 0引用数: 0
h-index: 0
机构:
Penn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USAPenn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USA
Dewasse, Bonifacio
;
Beachel, Linda
论文数: 0引用数: 0
h-index: 0
机构:
Penn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USAPenn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USA
Beachel, Linda
;
Appelbaum, Peter C.
论文数: 0引用数: 0
h-index: 0
机构:
Penn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USAPenn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USA
机构:
Univ Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Univ Texas Hlth Sci Ctr San Antonio, Sch Med, Pharmacotherapy Educ & Res Ctr, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Labreche, Matthew J.
;
Lee, Grace C.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Univ Texas Hlth Sci Ctr San Antonio, Sch Med, Pharmacotherapy Educ & Res Ctr, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Lee, Grace C.
;
Attridge, Russell T.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Incarnate Word, Feik Sch Pharm, San Antonio, TX USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Attridge, Russell T.
;
Mortensen, Eric M.
论文数: 0引用数: 0
h-index: 0
机构:
VA North Texas Hlth Care Syst, Div Gen Internal Med, Dallas, TX USA
Univ Texas SW Med Ctr Dallas, Dept Internal Med, Dallas, TX 75390 USA
Univ Texas SW Med Ctr Dallas, Dept Clin Sci, Dallas, TX 75390 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Mortensen, Eric M.
;
Koeller, Jim
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Univ Texas Hlth Sci Ctr San Antonio, Sch Med, Pharmacotherapy Educ & Res Ctr, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Koeller, Jim
;
Du, Liem C.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Du, Liem C.
;
Nyren, Natalie R.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Nyren, Natalie R.
;
Trevino, Lucina B.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Trevino, Lucina B.
;
Trevino, Sylvia B.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Trevino, Sylvia B.
;
Pena, Joel
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Pena, Joel
;
Mann, Michael W.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Mann, Michael W.
;
Munoz, Abilio
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Munoz, Abilio
;
Marcos, Yolanda
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Marcos, Yolanda
;
Rocha, Guillermo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Rocha, Guillermo
;
Koretsky, Stella
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Koretsky, Stella
;
Esparza, Sandra
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Esparza, Sandra
;
Finnie, Mitchell
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Ambulatory Res Network, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Finnie, Mitchell
;
Dallas, Steven D.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Hlth Sci Ctr San Antonio, Sch Hlth Profess, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Dallas, Steven D.
;
Parchman, Michael L.
论文数: 0引用数: 0
h-index: 0
机构:
Grp Hlth Cooperat Puget Sound, Grp Hlth Res Inst, MacColl Ctr Hlth Care Innovat, Seattle, WA USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Parchman, Michael L.
;
Frei, Christopher R.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
Univ Texas Hlth Sci Ctr San Antonio, Sch Med, Pharmacotherapy Educ & Res Ctr, San Antonio, TX 78229 USAUniv Texas Austin, Coll Pharm, Div Pharmacotherapy, Austin, TX 78712 USA
机构:
Albany Coll Pharm, Dept Pharm Practice, Albany, NY 12208 USA
Ordway Res Inst, Albany, NY USAAlbany Coll Pharm, Dept Pharm Practice, Albany, NY 12208 USA
Lodise, Thomas P.
;
Lomaestro, Ben
论文数: 0引用数: 0
h-index: 0
机构:
Albany Med Ctr Hosp, Albany, NY USAAlbany Coll Pharm, Dept Pharm Practice, Albany, NY 12208 USA
Lomaestro, Ben
;
Graves, Jeffrey
论文数: 0引用数: 0
h-index: 0
机构:
Albany Coll Pharm, Dept Pharm Practice, Albany, NY 12208 USAAlbany Coll Pharm, Dept Pharm Practice, Albany, NY 12208 USA
Graves, Jeffrey
;
Drusano, G. L.
论文数: 0引用数: 0
h-index: 0
机构:
Ordway Res Inst, Albany, NY USAAlbany Coll Pharm, Dept Pharm Practice, Albany, NY 12208 USA
机构:
Washington Univ, Sch Med, Div Infect Dis, St Louis, MO 63110 USAWashington Univ, Sch Med, Div Infect Dis, St Louis, MO 63110 USA
Marcos, Luis A.
;
Camins, Bernard C.
论文数: 0引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Div Infect Dis, St Louis, MO 63110 USAWashington Univ, Sch Med, Div Infect Dis, St Louis, MO 63110 USA
Camins, Bernard C.
;
Ritchie, David J.
论文数: 0引用数: 0
h-index: 0
机构:
Barnes Jewish Hosp, St Louis, MO 63110 USA
St Louis Coll Pharm, St Louis, MO 63110 USAWashington Univ, Sch Med, Div Infect Dis, St Louis, MO 63110 USA
Ritchie, David J.
;
Casabar, Ed
论文数: 0引用数: 0
h-index: 0
机构:
Barnes Jewish Hosp, St Louis, MO 63110 USA
St Louis Coll Pharm, St Louis, MO 63110 USAWashington Univ, Sch Med, Div Infect Dis, St Louis, MO 63110 USA
Casabar, Ed
;
Warren, David K.
论文数: 0引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Div Infect Dis, St Louis, MO 63110 USAWashington Univ, Sch Med, Div Infect Dis, St Louis, MO 63110 USA