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Telavancin for the treatment of nosocomial pneumonia caused by methicillin-resistant Staphylococcus aureus (MRSA)

Authors Hooper CY, Smith WJ

Received 16 January 2012

Accepted for publication 20 February 2012

Published 16 March 2012 Volume 2012:8 Pages 131—137

DOI https://doi.org/10.2147/TCRM.S23247

Review by Single-blind

Peer reviewer comments 2

Candace Y Hooper, Winter J Smith

Department of Pharmacy, Clinical and Administrative Sciences, University of Oklahoma Health Sciences Center College of Pharmacy, Oklahoma City, OK, USA

Abstract: Telavancin is a bactericidal lipoglycopeptide antibiotic that is structurally related to vancomycin. It demonstrates in vitro activity against a variety of Gram-positive pathogens including, but not limited to, methicillin-resistant Staphylococcus aureus (MRSA). Telavancin is currently FDA-approved for the treatment of complicated skin and skin-structure infections. Recently, two randomized clinical trials demonstrated the efficacy and safety of telavancin compared to vancomycin for the treatment of nosocomial pneumonia. Overall, telavancin has a favorable safety profile. However, mild gastrointestinal disturbances and reversible increases in serum creatinine were observed in clinical studies. Additional clinical studies are needed to evaluate telavancin’s efficacy and safety in comparison to other antistaphylococcal agents for the treatment of infections such as bacteremia and endocarditis.

Keywords: telavancin, MRSA, hospital-acquired pneumonia, health care-associated pneumonia, ventilator-associated pneumonia, nosocomial pneumonia

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