Bacteremia, Endocarditis, Sepsis, Staphylococcus Aureus
Conditions
Keywords
Staphylococcus aureus, bacteremia, endocarditis, sepsis, fluoroquinolone, rifampin, levofloxacin, trovafloxacin
Brief summary
To study whether fluoroquinolone (trovafloxacin or levofloxacin), added to standard treatment, could reduce the high mortality and complication rates in Staphylococcus aureus bacteremia.
Interventions
Trovafloxacin: \<60 kg 200 mg iv/orally once daily and \>60 kg 300 mg iv/orally once daily Levofloxacin: \< 60 kg 500 mg iv/orally once daily and \>60 kg 500 mg iv/orally bid
Sponsors
Study design
Eligibility
Inclusion criteria
Adult patients with at least 1 blood culture positive for Staphylococcus aureus were included within 1 to 7 days of blood culture sampling.
Exclusion criteria
* age younger than 18 years * imprisonment * proven or suspected pregnancy * breastfeeding, epilepsy * another bacteremia during the previous 28 days * polymicrobial bacteremia (\_\>3 microbes) * history of allergy to any quinolone antibiotic * previous tendinitis during fluoroquinolone therapy * prior fluoroquinolone use for more than 5 days before randomization * positive culture for Staphylococcus aureus only from a central intravenous catheter * neutropenia (\<0.5 x 109/L) or failure to supply an informed consent * patients with bacteremia due to methicillin-resistant S. aureus and a S. aureus strain resistant to any fluoroquinolone * patients with meningitis at the time of randomization
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Case fatality rate | At 28 days and at 3 months |
Secondary
| Measure | Time frame |
|---|---|
| The number of complications (e.g. deep infections) observed after the first week antibiotic treatment, decrease in serum C-reactive protein concentration, length of antibiotic treatment, need for surgical intervention, and time to defervescence. | 3 months |
Countries
Finland