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Do you use daptomycin interchangeably with staphylococcal beta-lactams for ease of dosing on discharge for patients with serious MSSA infections (endocarditis, bacteremias, etc)?

2 Answers
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Infectious Disease · Emory University Hospital
Answered on · Updated on

I don’t use daptomycin interchangeably with antistaphylococcal beta-lactams for serious MSSA infections, and I think doing so routinely is a mistake. For invasive diseases like endocarditis, prolonged or complicated bacteremia, and deep-seated foci of infection, the outcome data consistently favor b...

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Mednet Member
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Infectious Disease · University of Minnesota Medical School, Minneapolis, Minnesota, United States
Answered on

I do use daptomycin for staphylococcal orthopedic implant-associated infections. While there might be signal of superiority of beta-lactams in bacteremia, they have poor biofilm activity.

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