Daptomycin: another novel agent for treating infections due to drug-resistant gram-positive pathogens

Clin Infect Dis. 2004 Apr 1;38(7):994-1000. doi: 10.1086/383472. Epub 2004 Mar 11.

Abstract

Daptomycin is a novel cyclic lipopeptide antibiotic that provides rapid bactericidal activity against gram-positive pathogens in vitro, including methicillin-susceptible Staphylococcus aureus, methicillin-resistant S. aureus, vancomycin-resistant S. aureus, penicillin-resistant Streptococcus pneumoniae, and ampicillin- and vancomycin-resistant enterococci. The United States Food and Drug Administration recently approved daptomycin for treatment of complicated skin and skin-structure infections. Its efficacy in the treatment of more-serious infections (e.g., staphylococcal bacteremia) is under investigation. As an intravenous agent that is administered once per day, it offers a convenient regimen for therapy that is continued after discharge, with a side effect profile that appears minimal and manageable. Spontaneous acquisition of resistance in vitro is rare, and hopefully this characteristic will extrapolate into the clinical setting. The rapid bactericidal activity, low potential for resistance, and promising safety profile associated with this agent will make it a useful addition to our growing armamentarium of antibiotics active against gram-positive pathogens.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / adverse effects
  • Anti-Bacterial Agents / chemistry
  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use*
  • Daptomycin / adverse effects
  • Daptomycin / chemistry
  • Daptomycin / pharmacology
  • Daptomycin / therapeutic use*
  • Drug Approval
  • Gram-Positive Bacterial Infections / drug therapy*
  • Humans
  • Methicillin Resistance
  • Microbial Sensitivity Tests
  • Staphylococcus aureus / drug effects
  • Vancomycin Resistance

Substances

  • Anti-Bacterial Agents
  • Daptomycin