Linezolid therapy for infective endocarditis

Clin Microbiol Infect. 2007 Feb;13(2):211-215. doi: 10.1111/j.1469-0691.2006.01585.x.

Abstract

Linezolid is not yet recognised as a standard therapy for infective endocarditis. This report describes nine patients with endocarditis treated with linezolid and 33 similar cases from the medical literature. The majority of cases involved multiresistant strains, and the reasons for administering linezolid were refractory disease (60%), intolerance (28%), sequential therapy (12%) and a resistant pathogen (1%). Linezolid was administered for a mean of 37 days, with a successful outcome in 79% of cases. Reversible adverse effects were described in ten cases. The mean follow-up period was 8.5 months. Further data from randomised controlled clinical trials are needed to determine the efficacy and safety of linezolid for treating endocarditis.

Publication types

  • Comparative Study

MeSH terms

  • Acetamides / adverse effects
  • Acetamides / therapeutic use*
  • Aged
  • Aged, 80 and over
  • Anti-Infective Agents / adverse effects
  • Anti-Infective Agents / therapeutic use*
  • Endocarditis, Bacterial / drug therapy*
  • Endocarditis, Bacterial / microbiology
  • Female
  • Follow-Up Studies
  • Gram-Positive Bacterial Infections / drug therapy*
  • Gram-Positive Bacterial Infections / microbiology
  • Humans
  • Infant
  • Linezolid
  • Male
  • Middle Aged
  • Oxazolidinones / adverse effects
  • Oxazolidinones / therapeutic use*
  • Time Factors
  • Treatment Outcome

Substances

  • Acetamides
  • Anti-Infective Agents
  • Oxazolidinones
  • Linezolid