Comparison of risk factors and outcomes of daptomycin‐susceptible and ‐nonsusceptible vancomycin‐resistant enterococcus faecium infections in liver transplant recipients; A reply to Lewis et al

M. Jorgenson,J. Descourouez,G. Leverson,W. Rose,Jeannina A Smith,L. Fernandez

Published 2018 in Transplant Infectious Disease

ABSTRACT

Daptomycin resistance is emerging and is associated with liver transplantation (LTX). The outcomes of patients infected with daptomycin-nonsusceptible-enterococci (DNSE) with minimum-inhibitory-concentrations (MIC)>4 mg/L are unfavorable. As a result, some have recommended reducing the breakpoint for DAP susceptibility in enterococci to ≤2 mg/L. Unfavorable outcomes associated with DNSE are due in part to decreased efficacy of DAP and alternative agents, along with increased toxicity of these regimens for the treatment of VRE. This article is protected by copyright. All rights reserved.

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