Use of Dalbavancin in Skin, Bone and Joint Infections: A Real-Life Experience in an Italian Center

Dalbavancin is a lipoglycopeptide approved for the treatment of acute bacterial skin and skin structure infections (ABSSSI). The aim of the study was to evaluate the efficacy and safety in all patients who received at least one administration of dalbavancin. Methods: We carried out a retrospective s...

Full description

Bibliographic Details
Main Authors: Lucia Brescini, Filippo Della Martera, Gianluca Morroni, Sara Mazzanti, Maria Di Pietrantonio, Paolo Mantini, Bianca Candelaresi, Francesco Pallotta, Silvia Olivieri, Valentina Iencinella, Sefora Castelletti, Emanuele Cocci, Rosaria G. Polo, Salvatore Veccia, Oscar Cirioni, Marcello Tavio, Andrea Giacometti
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/10/9/1129
_version_ 1797520499568279552
author Lucia Brescini
Filippo Della Martera
Gianluca Morroni
Sara Mazzanti
Maria Di Pietrantonio
Paolo Mantini
Bianca Candelaresi
Francesco Pallotta
Silvia Olivieri
Valentina Iencinella
Sefora Castelletti
Emanuele Cocci
Rosaria G. Polo
Salvatore Veccia
Oscar Cirioni
Marcello Tavio
Andrea Giacometti
author_facet Lucia Brescini
Filippo Della Martera
Gianluca Morroni
Sara Mazzanti
Maria Di Pietrantonio
Paolo Mantini
Bianca Candelaresi
Francesco Pallotta
Silvia Olivieri
Valentina Iencinella
Sefora Castelletti
Emanuele Cocci
Rosaria G. Polo
Salvatore Veccia
Oscar Cirioni
Marcello Tavio
Andrea Giacometti
author_sort Lucia Brescini
collection DOAJ
description Dalbavancin is a lipoglycopeptide approved for the treatment of acute bacterial skin and skin structure infections (ABSSSI). The aim of the study was to evaluate the efficacy and safety in all patients who received at least one administration of dalbavancin. Methods: We carried out a retrospective study of the use of dalbavancin in 55 patients at the Azienda Ospedaliera Ospedali Riuniti Umberto I (Ancona, Italy) from February 2017 to May 2020 and compared “on label” and “off label” use of dalbavancin in ABSSSI and non-ABSSSI. Results: A total of 55 patients were included in the study. The median age was 61 years; 51% had ABSSSI; 24% had prosthetic joint infections, and 14% had osteomyelitis. A total of 53% received a single 1500 mg infusion of dalbavancin, and 18% received a second dose 14 days later; 24% of patients received further doses at 14-day intervals. In 91% of cases, patients achieved clinical objectives with dalbavancin: 96% of patients with ABSSSI and 69% of those with prosthetic joint infections. Conclusions: Dalbavancin was shown to have an excellent tolerability profile and to be a highly successful therapeutic approach even in those cases treated “off-label”.
first_indexed 2024-03-10T07:57:40Z
format Article
id doaj.art-f27076b47da4445e9f6683e0c8b370cc
institution Directory Open Access Journal
issn 2079-6382
language English
last_indexed 2024-03-10T07:57:40Z
publishDate 2021-09-01
publisher MDPI AG
record_format Article
series Antibiotics
spelling doaj.art-f27076b47da4445e9f6683e0c8b370cc2023-11-22T11:46:42ZengMDPI AGAntibiotics2079-63822021-09-01109112910.3390/antibiotics10091129Use of Dalbavancin in Skin, Bone and Joint Infections: A Real-Life Experience in an Italian CenterLucia Brescini0Filippo Della Martera1Gianluca Morroni2Sara Mazzanti3Maria Di Pietrantonio4Paolo Mantini5Bianca Candelaresi6Francesco Pallotta7Silvia Olivieri8Valentina Iencinella9Sefora Castelletti10Emanuele Cocci11Rosaria G. Polo12Salvatore Veccia13Oscar Cirioni14Marcello Tavio15Andrea Giacometti16Infectious Diseases Clinic, Ospedali Riuniti Umberto I, Via Conca 71, 60126 Torrette, AN, ItalyInfectious Diseases Clinic, Ospedali Riuniti Umberto I, Via Conca 71, 60126 Torrette, AN, ItalyDepartment of Biomedical Sciences and Public Health, Polytechnic University of Marche Medical School, Via Tronto 10/a, 60020 Torrette, AN, ItalyInfectious Diseases Clinic, Ospedali Riuniti Umberto I, Via Conca 71, 60126 Torrette, AN, ItalyInfectious Diseases Clinic, Ospedali Riuniti Umberto I, Via Conca 71, 60126 Torrette, AN, ItalyInfectious Diseases Clinic, Ospedali Riuniti Umberto I, Via Conca 71, 60126 Torrette, AN, ItalyInfectious Diseases Clinic, Ospedali Riuniti Umberto I, Via Conca 71, 60126 Torrette, AN, ItalyInfectious Diseases Clinic, Ospedali Riuniti Umberto I, Via Conca 71, 60126 Torrette, AN, ItalyInfectious Diseases Clinic, Ospedali Riuniti Umberto I, Via Conca 71, 60126 Torrette, AN, ItalyDepartment of Biomedical Sciences and Public Health, Polytechnic University of Marche Medical School, Via Tronto 10/a, 60020 Torrette, AN, ItalyInfectious Diseases, Ospedali Riuniti Umberto I, ViaConca 71, 60126 Torrette, AN, ItalyHospital Pharmacy, Ospedali Riuniti Umberto I, Via Conca 71, 60126 Torrette, AN, ItalyHospital Pharmacy, Ospedali Riuniti Umberto I, Via Conca 71, 60126 Torrette, AN, ItalyInfectious Diseases Clinic, Ospedali Riuniti Umberto I, Via Conca 71, 60126 Torrette, AN, ItalyInfectious Diseases Clinic, Ospedali Riuniti Umberto I, Via Conca 71, 60126 Torrette, AN, ItalyInfectious Diseases, Ospedali Riuniti Umberto I, ViaConca 71, 60126 Torrette, AN, ItalyInfectious Diseases Clinic, Ospedali Riuniti Umberto I, Via Conca 71, 60126 Torrette, AN, ItalyDalbavancin is a lipoglycopeptide approved for the treatment of acute bacterial skin and skin structure infections (ABSSSI). The aim of the study was to evaluate the efficacy and safety in all patients who received at least one administration of dalbavancin. Methods: We carried out a retrospective study of the use of dalbavancin in 55 patients at the Azienda Ospedaliera Ospedali Riuniti Umberto I (Ancona, Italy) from February 2017 to May 2020 and compared “on label” and “off label” use of dalbavancin in ABSSSI and non-ABSSSI. Results: A total of 55 patients were included in the study. The median age was 61 years; 51% had ABSSSI; 24% had prosthetic joint infections, and 14% had osteomyelitis. A total of 53% received a single 1500 mg infusion of dalbavancin, and 18% received a second dose 14 days later; 24% of patients received further doses at 14-day intervals. In 91% of cases, patients achieved clinical objectives with dalbavancin: 96% of patients with ABSSSI and 69% of those with prosthetic joint infections. Conclusions: Dalbavancin was shown to have an excellent tolerability profile and to be a highly successful therapeutic approach even in those cases treated “off-label”.https://www.mdpi.com/2079-6382/10/9/1129dalbavancinABSSSIprosthetic joint infectionsosteomyelitis
spellingShingle Lucia Brescini
Filippo Della Martera
Gianluca Morroni
Sara Mazzanti
Maria Di Pietrantonio
Paolo Mantini
Bianca Candelaresi
Francesco Pallotta
Silvia Olivieri
Valentina Iencinella
Sefora Castelletti
Emanuele Cocci
Rosaria G. Polo
Salvatore Veccia
Oscar Cirioni
Marcello Tavio
Andrea Giacometti
Use of Dalbavancin in Skin, Bone and Joint Infections: A Real-Life Experience in an Italian Center
Antibiotics
dalbavancin
ABSSSI
prosthetic joint infections
osteomyelitis
title Use of Dalbavancin in Skin, Bone and Joint Infections: A Real-Life Experience in an Italian Center
title_full Use of Dalbavancin in Skin, Bone and Joint Infections: A Real-Life Experience in an Italian Center
title_fullStr Use of Dalbavancin in Skin, Bone and Joint Infections: A Real-Life Experience in an Italian Center
title_full_unstemmed Use of Dalbavancin in Skin, Bone and Joint Infections: A Real-Life Experience in an Italian Center
title_short Use of Dalbavancin in Skin, Bone and Joint Infections: A Real-Life Experience in an Italian Center
title_sort use of dalbavancin in skin bone and joint infections a real life experience in an italian center
topic dalbavancin
ABSSSI
prosthetic joint infections
osteomyelitis
url https://www.mdpi.com/2079-6382/10/9/1129
work_keys_str_mv AT luciabrescini useofdalbavancininskinboneandjointinfectionsareallifeexperienceinanitaliancenter
AT filippodellamartera useofdalbavancininskinboneandjointinfectionsareallifeexperienceinanitaliancenter
AT gianlucamorroni useofdalbavancininskinboneandjointinfectionsareallifeexperienceinanitaliancenter
AT saramazzanti useofdalbavancininskinboneandjointinfectionsareallifeexperienceinanitaliancenter
AT mariadipietrantonio useofdalbavancininskinboneandjointinfectionsareallifeexperienceinanitaliancenter
AT paolomantini useofdalbavancininskinboneandjointinfectionsareallifeexperienceinanitaliancenter
AT biancacandelaresi useofdalbavancininskinboneandjointinfectionsareallifeexperienceinanitaliancenter
AT francescopallotta useofdalbavancininskinboneandjointinfectionsareallifeexperienceinanitaliancenter
AT silviaolivieri useofdalbavancininskinboneandjointinfectionsareallifeexperienceinanitaliancenter
AT valentinaiencinella useofdalbavancininskinboneandjointinfectionsareallifeexperienceinanitaliancenter
AT seforacastelletti useofdalbavancininskinboneandjointinfectionsareallifeexperienceinanitaliancenter
AT emanuelecocci useofdalbavancininskinboneandjointinfectionsareallifeexperienceinanitaliancenter
AT rosariagpolo useofdalbavancininskinboneandjointinfectionsareallifeexperienceinanitaliancenter
AT salvatoreveccia useofdalbavancininskinboneandjointinfectionsareallifeexperienceinanitaliancenter
AT oscarcirioni useofdalbavancininskinboneandjointinfectionsareallifeexperienceinanitaliancenter
AT marcellotavio useofdalbavancininskinboneandjointinfectionsareallifeexperienceinanitaliancenter
AT andreagiacometti useofdalbavancininskinboneandjointinfectionsareallifeexperienceinanitaliancenter