Teicoplanin in the treatment of infections caused by coagulase-negative staphylococci

J Antimicrob Chemother. 1988 Jan:21 Suppl A:93-103. doi: 10.1093/jac/21.suppl_a.93.

Abstract

A total of 88 patients were treated with teicoplanin for infections caused by coagulase-negative staphylococci in open clinical studies in France and the UK. Teicoplanin was administered once daily, with a mean dose of 323 mg, for a mean duration of 16 days. Thirty-nine patients received teicoplanin alone while 49 received combination treatment. Clinical cure or improvement occurred in 79 of 82 evaluable cases (96.3%) and bacteriological elimination in 82 cases (95.1%). Treatment with teicoplanin alone was clinically successful in all cases, including 20 septicaemias, and the elimination rate was 93%. There was no apparent correlation between clinical and bacteriological outcomes and results of in-vitro testing. The variation in MICs between France and the UK was attributed to differences in the methods used.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anti-Bacterial Agents / adverse effects
  • Anti-Bacterial Agents / therapeutic use*
  • Arthritis, Infectious / drug therapy
  • Coagulase / metabolism
  • Drug Therapy, Combination
  • Glycopeptides / adverse effects
  • Glycopeptides / therapeutic use
  • Humans
  • Mediastinitis / drug therapy
  • Microbial Sensitivity Tests
  • Middle Aged
  • Osteitis / drug therapy
  • Sepsis / drug therapy
  • Skin Diseases, Infectious / drug therapy
  • Staphylococcal Infections / drug therapy*
  • Staphylococcal Infections / microbiology
  • Staphylococcus / drug effects
  • Staphylococcus / enzymology
  • Teicoplanin
  • Urinary Tract Infections / drug therapy

Substances

  • Anti-Bacterial Agents
  • Coagulase
  • Glycopeptides
  • Teicoplanin