A Case Series of Rifabutin Use in Staphylococcal Prosthetic Infections

ABSTRACT This case series describes seven patients who received rifabutin in place of rifampin combined with conventional antimicrobial therapy for treatment of hardware-associated staphylococcal infections. Infection recurrence, defined as need for unplanned surgical intervention within the evaluab...

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Main Authors: Miranda Monk, Ramy Elshaboury, Alexander Tatara, Sandra Nelson, Monique R. Bidell
Format: Article
Language:English
Published: American Society for Microbiology 2022-06-01
Series:Microbiology Spectrum
Subjects:
Online Access:https://journals.asm.org/doi/10.1128/spectrum.00384-22
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author Miranda Monk
Ramy Elshaboury
Alexander Tatara
Sandra Nelson
Monique R. Bidell
author_facet Miranda Monk
Ramy Elshaboury
Alexander Tatara
Sandra Nelson
Monique R. Bidell
author_sort Miranda Monk
collection DOAJ
description ABSTRACT This case series describes seven patients who received rifabutin in place of rifampin combined with conventional antimicrobial therapy for treatment of hardware-associated staphylococcal infections. Infection recurrence, defined as need for unplanned surgical intervention within the evaluable follow up period after starting rifabutin, occurred in two patients. Two patients experienced possible treatment-associated adverse effects. Findings support future work to examine rifabutin use, when rifampin is not suitable, for adjunctive treatment of staphylococcal hardware infections. IMPORTANCE This work evaluates real-world data and clinical outcomes when rifabutin is used in place of rifampin for adjunctive management of staphylococcal hardware-associated infections. This is the second case study looking at this specific use of rifabutin, signifying the current lack of clinical data in this area. Assessing use of rifabutin in this capacity is clinically important given its lower propensity for drug interactions compared to rifampin.
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spelling doaj.art-3c926f0faae145aea46600019638e4352022-12-22T00:32:13ZengAmerican Society for MicrobiologyMicrobiology Spectrum2165-04972022-06-0110310.1128/spectrum.00384-22A Case Series of Rifabutin Use in Staphylococcal Prosthetic InfectionsMiranda Monk0Ramy Elshaboury1Alexander Tatara2Sandra Nelson3Monique R. Bidell4Department of Pharmacy, Massachusetts General Hospital, Boston, Massachusetts, USADepartment of Pharmacy, Massachusetts General Hospital, Boston, Massachusetts, USADepartment of Medicine, Division of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts, USADepartment of Medicine, Division of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts, USADepartment of Pharmacy, Massachusetts General Hospital, Boston, Massachusetts, USAABSTRACT This case series describes seven patients who received rifabutin in place of rifampin combined with conventional antimicrobial therapy for treatment of hardware-associated staphylococcal infections. Infection recurrence, defined as need for unplanned surgical intervention within the evaluable follow up period after starting rifabutin, occurred in two patients. Two patients experienced possible treatment-associated adverse effects. Findings support future work to examine rifabutin use, when rifampin is not suitable, for adjunctive treatment of staphylococcal hardware infections. IMPORTANCE This work evaluates real-world data and clinical outcomes when rifabutin is used in place of rifampin for adjunctive management of staphylococcal hardware-associated infections. This is the second case study looking at this specific use of rifabutin, signifying the current lack of clinical data in this area. Assessing use of rifabutin in this capacity is clinically important given its lower propensity for drug interactions compared to rifampin.https://journals.asm.org/doi/10.1128/spectrum.00384-22Staphylococcusbiofilmsdrug interactionsprosthesis infectionsrifabutinrifampin
spellingShingle Miranda Monk
Ramy Elshaboury
Alexander Tatara
Sandra Nelson
Monique R. Bidell
A Case Series of Rifabutin Use in Staphylococcal Prosthetic Infections
Microbiology Spectrum
Staphylococcus
biofilms
drug interactions
prosthesis infections
rifabutin
rifampin
title A Case Series of Rifabutin Use in Staphylococcal Prosthetic Infections
title_full A Case Series of Rifabutin Use in Staphylococcal Prosthetic Infections
title_fullStr A Case Series of Rifabutin Use in Staphylococcal Prosthetic Infections
title_full_unstemmed A Case Series of Rifabutin Use in Staphylococcal Prosthetic Infections
title_short A Case Series of Rifabutin Use in Staphylococcal Prosthetic Infections
title_sort case series of rifabutin use in staphylococcal prosthetic infections
topic Staphylococcus
biofilms
drug interactions
prosthesis infections
rifabutin
rifampin
url https://journals.asm.org/doi/10.1128/spectrum.00384-22
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