Pharmacokinetics of daptomycin in a critically ill adolescent with vancomycin-resistant enterococcal endocarditis

Pharmacotherapy. 2006 May;26(5):694-8. doi: 10.1592/phco.26.5.694.

Abstract

Daptomycin is a lipopeptide antibiotic active against multidrug-resistant gram-positive organisms. Our search of the literature found no published pediatric pharmacokinetic data. We report the use of pharmacokinetic analysis of daptomycin in a 13-year-old boy with vancomycin-resistant Enterococcus faecium endocarditis. Pharamcokinetic parameters were found to be significantly different from published adult parameters, such as a faster elimination rate, shorter half-life, and increased clearance. These age-related differences in the pharmacokinetic profile of daptomycin have significant dosing implications. As the use of this drug for off-label indications and in pediatric populations increases, it is important for clinicians to better understand the drug's pharmacokinetic profile in these patient populations.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Anemia, Aplastic / therapy
  • Anti-Bacterial Agents / pharmacokinetics*
  • Anti-Bacterial Agents / therapeutic use
  • Bone Marrow Transplantation / adverse effects
  • Critical Illness
  • Daptomycin / pharmacokinetics*
  • Daptomycin / therapeutic use
  • Endocarditis, Bacterial / drug therapy
  • Endocarditis, Bacterial / metabolism*
  • Enterococcus faecium*
  • Fatal Outcome
  • Gram-Positive Bacterial Infections / drug therapy
  • Gram-Positive Bacterial Infections / metabolism*
  • Humans
  • Male
  • Vancomycin Resistance*

Substances

  • Anti-Bacterial Agents
  • Daptomycin