The Efficacy and Adverse Events of Delafloxacin for Treating Acute Bacterial Skin and Skin Structure Infections: A Systematic Review and Meta-Analysis

Syed Bilal Tanvir; Syed Saad Bin Qasim; Joe Latimer; Zeeshan Qamar; Fayez Hussain Niazi

doi:10.4103/jpbs.JPBS_154_20

The Efficacy and Adverse Events of Delafloxacin for Treating Acute Bacterial Skin and Skin Structure Infections: A Systematic Review and Meta-Analysis

J Pharm Bioallied Sci. 2020 Aug;12(Suppl 1):S538-S545. doi: 10.4103/jpbs.JPBS_154_20. Epub 2020 Aug 28.

Authors

Syed Bilal Tanvir¹, Syed Saad Bin Qasim², Joe Latimer³, Zeeshan Qamar⁴, Fayez Hussain Niazi⁵

Affiliations

¹ Department of Preventive Dental Sciences, College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia.
² Department of Bioclinical Sciences, Faculty of Dentistry, Kuwait University, Kuwait City, Kuwait.
³ Biomedical Research Center, School of Environment and Life Sciences, University of Salford, Manchester, United Kingdom.
⁴ Department of Oral and Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia.
⁵ Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia.

Abstract

Background: Acute bacterial skin and skin structure infections (ABSSSI) cause significant morbidity and mortality in hospitalized patients and outpatients as well. Newer fluoroquinolones such as delafloxacin might be a useful medication for treating infections of skin caused by gram-positive bacterial species that are resistant.

Aims and objectives: The aim of this study was to evaluate all the literature on delafloxacin in databases and make comparisons of its efficacy with antimicrobial drugs routinely used to treat skin infections.

Materials and methods: A detailed search on different databases was conducted using, Cochrane Central Register of Controlled Trials, PubMed, and Embase. Primary outcome was microbiological cure at the end of the follow-up period. Absence of the signs and symptoms at the termination of the follow-up period and clinical response to medications was regarded as the secondary outcome.

Results: The pooled efficacy of delafloxacin was at 80% (95% confidence interval 1.01 [0.97, 1.06]; P = 0.51). No statistically significant difference was found between intravenous delafloxacin and comparator drugs.

Conclusion: The effectiveness of delafloxacin was found to be non-inferior to tigecycline and linezolid. Efficacy and pooled cure rate of delafloxacin was also found to be superior to vancomycin.

Keywords: Bacteria; delafloxacin; efficacy; infections; skin; systematic review.