Title: Antibiotics For MRSA

Category: Pharmacology & Therapeutics

Keywords: MRSA, antibiotic, pneumonia, VAP, cephalosporin, infection (PubMed Search)

Posted: 5/3/2012 by Ellen Lemkin, MD, PharmD

If vancomycin resistance is suspected with MRSA infections, there are several other antibiotic choices. They are all extremely expensive.


Antibiotic ORAL Indication Precaution
Telavancin N

SSTI

May cause QT prolongation:

Caution with azole antifungals,

class III antiarrhythmics,

antidepressants, antipsychotics.

Interferes with coagulation tests.

Daptomycin N

SSTI

Bacteremia

Endocarditis

Not for pneumonia.

May cause rhabdomyolysis;

Discontinue statins.

Linezolid Y

VAP

SSTI

Not for bacteremia.

May cause serotonin syndrome;

Caution with antidepressants,

antipsychotics, tramadol, methadone.

Tigecycline N

 

Intrabdominal infections

SSTI

Not for bacteremia.

Inhibits clearance of warfarin.

Reserve for polymicrobial infections.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Skin and soft tissue infection (SSTI); ventilator acquired pneumonia (VAP)