On- and off-label utilization of dalbavancin and oritavancin for Gram-positive infections.

Author: BarberGerard R, KrsakMartin, McQueenR Brett, MillerMatthew A, MontagueBrian T, MorrisetteTaylor

Paper Details 
Original Abstract of the Article :
BACKGROUND: Long-acting lipoglycopeptides (laLGPs) are FDA approved only for acute bacterial skin and skin structure infections (ABSSSIs). However, these antibiotics show promise for off-label use, reductions in hospital length of stay (LOS) and healthcare cost savings. OBJECTIVES: To assess the ef...See full text at original site
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引用元:
https://doi.org/10.1093/jac/dkz162

データ提供:米国国立医学図書館(NLM)

Dalbavancin and Oritavancin: Off-Label Use in Gram-Positive Infections

This retrospective cohort study explores the [off-label use] of [long-acting lipoglycopeptides (laLGPs)], specifically [dalbavancin] and [oritavancin], for treating [Gram-positive infections]. The authors examined the effectiveness, safety, and cost-effectiveness of these antibiotics, which are currently FDA-approved only for acute bacterial skin and skin structure infections (ABSSSIs).

Exploring the Potential of laLGPs Beyond Their Approved Indication

The study suggests that laLGPs may be effective and safe for treating a broader range of Gram-positive infections beyond their approved indication for ABSSSIs. The researchers observed a low rate of clinical failure (15%) and minimal adverse effects in a cohort of 56 patients. Furthermore, they projected significant reductions in hospital length of stay and healthcare costs associated with laLGP treatment.

A Desert of Uncharted Territory: Exploring the Off-Label Use of Antibiotics

This research delves into the complex and often uncharted territory of off-label antibiotic use. Like a camel venturing into a new desert region, healthcare professionals must carefully weigh the potential benefits and risks of using antibiotics beyond their approved indications.

Dr. Camel's Conclusion

This study explores the potential for expanding the use of long-acting lipoglycopeptides beyond their current FDA-approved indications. Just as a camel navigates a vast and unexplored desert, researchers are venturing into new territory, seeking to optimize antibiotic treatment strategies and improve patient care. Further research is needed to validate the off-label use of these antibiotics, ensuring their safety and effectiveness in treating a wider range of infections.

Date :
  1. Date Completed 2020-08-12
  2. Date Revised 2022-04-09
Further Info :

Pubmed ID

31322694

DOI: Digital Object Identifier

10.1093/jac/dkz162

Related Literature

SNS
PICO Info
in preparation
Languages

English

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