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KMID : 0370920110280020133
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Yeungnam Univercity Journal of Medicine
2011 Volume.28 No. 2 p.133 ~ p.144
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Tigecycline Treatment for Infections Caused by Multidrug-Resistant Pathogens
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Lee Mi-Jung
Seo A-Young
Bae Sang-Soo
Jeong Dong-Hyong
Yoon Kyung-Hwa
Hwang Byung-Sik
Kang Seong-Hun
Oh Dae-Myung
Kwon Ki-Tae
Lee Shin-Won
Song Do-Young
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Abstract
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Background:Tigecycline (TIG), a new broad-spectrum glycylcycline with anti-multidrug- resistant-(MDR)-pathogen activity, was launched in March 2009 in South Korea, but there are insufficient clinical studies on its use in the country. As such, this study was performed to analyze cases of severe MDR-pathogen-caused infections treated with TIG.
Methods:Patients treated with TIG within the period from May 2009 to June 2010 were enrolled in this study. Their clinical and microbiologic data were reviewed retrospectively.
Results:Twenty-one patients were treated with TIG for complicated skin and soft-tissue infections (cSSTIs) (42.9%), complicated intra-abdominal infections (cIAIs) (38.1%), or pneumonia (19.1%) caused by MDR pathogens like carbapenem-resistant Acinetobacter baumannii (76.2%), methicillin-resistant Staphylococcus aureus (61.9%), extended-spectrum beta-lactamase-producing Escherichia coli and Klebsiella pneumoniae (38.1%), and penicillin- resistant Enterococcus species (33.3%). Thirteen patients (61.9%) had successful clinical outcomes while five (23.8%) died within 30 days. The rate of clinical success was highest in cSSTI (77.8%), followed by cIAI (50%) and pneumonia (50%), and the mortality rate was highest in pneumonia (50%), followed by cIAI (25%) and cSSTI (11.1%).
Conclusion:Tigecycline therapy can be an option for the treatment of severe MDR- pathogen-caused infections in South Korea. Due to its high risk of failure and mortality, however, prudence is required in its clinical use for the treatment of severe infections like nosocomial pneumonia.
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KEYWORD
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Drug resistance, Multiple, Tigecycline
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