Off-label use of antibiotics in hospitalized patients: focus on tigecycline.
نویسنده
چکیده
790. et al. DUET-2: week-48 results of a Phase III randomized double-blind trial to evaluate the efficacy and safety of TMC125 vs placebo in 591 treatment-experienced HIV-1-infected patients. In: Abstracts of the Fifteenth Conference on Abstract 791. et al. Durable efficacy of enfuvirtide over 48 weeks in heavily treatment-experienced HIV-1-infected patients in the T-20 versus optimized background regimen only 1 and 2 clinical trials. Outcomes of multidrug-resistant patients switched from enfuvirtide to raltegravir within a virologically suppressive regimen. Switch from enfuvirtide to raltegravir in highly treatment-experienced HIV-1-infected patients: a randomized open-label non-inferiority trial (EASIER – ANRS 138). A Phase IIIb pilot study substituting darunavir/ritonavir (DRV/r) and etravirine (ETR) for enfuvirtide (ENF) and current PI in a suppressive regimen. Abstract P068. www.hiv9.com. 7. Matt S, Kakuda T, Hanley W et al. Minimal pharmacokinetic interaction between the human immunodeficiency virus nonnucleoside reverse transcriptase inhibitor etravirine and the integrase inhibitor ral-tegravir in healthy subjects. two-period, crossover study in 2 cohorts to investigate the effect of steady state TMC125 and the combination of TMC125/darunavir/ ritonavir on the steady-state pharmacokinetics of oral maraviroc in healthy subjects. Abstract P4.3/02. www.eacs-conference2007.com. 9. Yazdanpanah YC, Fagard C, Descamps D et al. High rate of viro-logic success with raltegravir plus etravirine and darunavir/ritonavir in treatment-experienced patients with multidrug-resistant virus: Results of the ANRS 139 TRIO trial. A et al. Excellent short-term CD4 recovery with a PI-and NRTI-sparing regimen in triple-class failure HIV-infected patients: raltegravir, maraviroc, etravirine. and ritonavir-boosted darunavir: a safe and successful rescue regimen for multi-drug resistant HIV-1 infection. An update of the list of NNRTI mutations associated with decreased virological response to etravirine: multivariate analysis on the pooled DUET-1 and DUET-2 clinical trial data. Sir, Tigecycline is the first of a new class of antibiotics named glycylcyclines and is active in vitro against a variety of Gram-positive and Gram-negative organisms, including vancomycin-resistant enterococci, methicillin-resistant Staphylococcus aureus, extended-spectrum b-lactamase-producing Enterobacteriaceae and multidrug-resistant (MDR) Acinetobacter spp. 1 It has been approved by the US FDA for the treatment of complicated intra-abdominal infections (cIAIs), complicated skin and skin structure infections (cSSSIs) 1 and community-acquired bacterial pneumonia (CABP). 2 Notwithstanding these indications, tigecycline's pharmacological and microbiological profiles encourage physicians' use of the drug for off-label indications. The definition of off-label use is not limited to prescribing an antibiotic for an indication that is not approved by regulatory authorities. The off-label use of a medication may include other parameters such as age, …
منابع مشابه
Indications of a new antibiotic in clinical practice: results of the tigecycline initial use registry.
Tigecycline is the first of a new class of antibiotics named glycylcyclines and it was approved for the treatment of complicated intra-abdominal infections and complicated skin and skin structure infections. Notwithstanding this, tigecycline's pharmacological and microbiological profile which includes multidrug-resistant pathogens encourages physicians' use of the drug in other infections. We a...
متن کاملSwitch therapy in hospitalized patients with community-acquired pneumonia: Tigecycline vs. Levofloxacin
BACKGROUND Switch therapy is a management approach combining early discontinuation of intravenous (IV) antibiotics, switch to oral antibiotics, and early hospital discharge. This analysis compares switch therapy using tigecycline versus levofloxacin in hospitalized patients with community-acquired pneumonia (CAP). METHODS A prospective, randomized, double-blind, Phase 3 clinical trial; patien...
متن کاملPrescription Patterns for Tigecycline in Severely Ill Patients for Non-FDA Approved Indications in a Developing Country: A Compromised Outcome
Introduction: With the rise in antibiotic resistance, tigecycline has been used frequently in off-label indications, based on its in-vitro activity against multidrug-resistant organisms. In this study, our aim was to assess its use in approved and unapproved indications. Materials and Methods: This is a retrospective chart review evaluating a 2-year experience of tigecycline use for > 72 h in 1...
متن کاملAcinetobacter Prosthetic Joint Infection Treated with Debridement and High-Dose Tigecycline
Prosthesis retention is not recommended for multidrug-resistant Acinetobacter prosthetic joint infection due to its high failure rate. Nevertheless, replacing the prosthesis implies high morbidity and prolonged hospitalization. Although tigecycline is not approved for the treatment of prosthetic joint infection due to multidrug resistant Acinetobacter baumannii, its appropriate use may preclude...
متن کاملComparative study of prescribing patterns of tigecycline for trial patients versus non-trial patients.
BACKGROUND Comparing published trial patients and non-trial patients in clinical practice, clinicians often doubt whether critically ill patients are sufficiently represented in randomised clinical trials. PATIENTS AND METHODS This study evaluated the extent of infection with multidrug-resistant (MDR) pathogens, anti-microbial combination therapy, off-label use and targeted-treatment in trial...
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عنوان ژورنال:
- The Journal of antimicrobial chemotherapy
دوره 64 6 شماره
صفحات -
تاریخ انتشار 2009