High-Dose Daptomycin Is Effective as an Antibiotic Lock Therapy in a Rabbit Model of Staphylococcus epidermidis Catheter-Related Infection

Antimicrob Agents Chemother. 2018 Jan 25;62(2):e01777-17. doi: 10.1128/AAC.01777-17. Print 2018 Feb.

Abstract

Long-term catheter-related bloodstream infections (CRBSIs) involving coagulase-negative staphylococci are associated with poor patient outcomes, increased hospitalization, and high treatment costs. The use of vancomycin lock therapy has been an important step forward in treatment of these biofilms, although failures occur in 20% of patients. In this study, we report that a high dose of daptomycin lock therapy may offer a therapeutic advantage for these CRBSIs in just 24 h of treatment.

Keywords: S. epidermidis; animal model; antibiotic lock therapy; catheter-related infection; coagulase-negative staphylococci; daptomycin.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Bacterial Agents / pharmacology*
  • Bacteremia / drug therapy
  • Bacteremia / microbiology
  • Biofilms / drug effects
  • Catheter-Related Infections / drug therapy*
  • Catheter-Related Infections / microbiology
  • Daptomycin / pharmacology*
  • Rabbits
  • Staphylococcal Infections / drug therapy*
  • Staphylococcal Infections / microbiology
  • Staphylococcus epidermidis / drug effects*
  • Vancomycin / pharmacology

Substances

  • Anti-Bacterial Agents
  • Vancomycin
  • Daptomycin