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Do you use an antibiotic with antitoxin activity for the entire duration of therapy for patients with necrotizing MSSA or MRSA pneumonia or just until definitive clinical improvement?

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Do you use an antibiotic with antitoxin activity for the entire duration of therapy for patients with necrotizing MSSA or MRSA pneumonia or just until definitive clinical improvement?

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2 Answers
Mednet Member
Mednet Member
Infectious Disease · Cooperman Barnabas Medical Center
Answered on

I misread the question. I assumed a necrotizing S. aureus infection meant a necrotizing skin and soft-tissue infection. I’m not sure how “necrotizing pneumonia” is being defined here.

Regarding MRSA pneumonia with toxin-mediated tissue injury, there are data suggesting that linezolid may yield bette...

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Mednet Member
Mednet MemberInvited Expert
Infectious Disease · Christiana Care Health Syst
Answered on · Updated on

I use targeted therapy to the organism identified; if I do not have an organism yet and the patient has appropriate risk factors for MRSA necessitating empiric coverage, I do favor linezolid but specifically for its data in pneumonia and not its use in necrotizing fasciitis/toxin data. Once I have a...

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