Current use of daptomycin in cardiac surgery and postoperative intensive care

Expert Rev Anti Infect Ther. 2013 Mar;11(3):309-20. doi: 10.1586/eri.13.3.

Abstract

Infections due to multidrug-resistant pathogens have an increasing impact on patients undergoing cardiac surgery. Preoperative infections, such as endocarditis, and postoperative infections, including wound and device infection, influence patient outcomes. Special interest needs to be taken in patients admitted to cardiac surgical intensive care units, as these patients are at high risk for infections, particularly nosocomial pneumonia, catheter-related and wound infections. The increasing numbers of infections due to Gram-positive multidrug-resistant pathogens underline the necessity for newer antibiotics with bactericidal effects and a more favorable profile of side effects. Daptomycin, a lipopeptide antimicrobial agent with bactericide activity against Gram-positive organisms, has been successfully used in the treatment of complicated infections due to Gram-positive multidrug-resistant pathogens, especially regarding endocarditis, wound infections, device and catheter-related infections in intensive care units. In this review, the authors will summarize therapeutic potential of daptomycin in cardiac surgery and postoperative intensive care.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Bacteremia / drug therapy
  • Bacteremia / microbiology
  • Cardiac Surgical Procedures / adverse effects*
  • Catheter-Related Infections / drug therapy
  • Catheter-Related Infections / microbiology
  • Clinical Trials as Topic
  • Critical Care* / methods
  • Daptomycin / therapeutic use*
  • Endocarditis, Bacterial / drug therapy
  • Gram-Positive Bacteria / drug effects
  • Humans
  • Postoperative Care* / methods

Substances

  • Anti-Bacterial Agents
  • Daptomycin