Table 5.

Patients Treated With Multiple-Dose Oritavancin for Complicated Gram-Positive Infections

Age/ SexInfectionPathogen(s)Oritavancin DosingSite(s) of InfusionClinical OutcomeAdverse EventsNotes and Prior Therapy Outcomes
Osteomyelitis
46/MOsteomyelitisMSSA, S. pyogenes1200 mg × 6 every 6–8 dHOICCureNonePrior amoxicillin therapy failure
47/FOsteomyelitisMRSA1200 mg × 2 every 9 dPOICFailureNoneNo prior therapy; ORI failure with change to doxycycline; eventual amputation
70/FOsteomyelitis, chronicMRSA1200 mg × 10 every 7–8 dOP-HOUImprovementNoneNo prior therapy
70/MOsteomyelitis, due to traumatic woundS. pyogenes1200 mg × 2 every 6 dHOICCure NonePrior cephalexin failure, changed to DAL with AE necessitating change to ORI
55/FOsteomyelitisCulture-negative1200 mg × 3 every 14 d (with oral TMP/SMX)POICCureNonePrior cefazolin. daptomycin, linezolid, PTZ, and VAN failures
36/FOsteomyelitis, right ankleMSSA1200 mg × 2 every 14 dPOICCureNonePrior A/S, cefazolin, cephalexin, VAN, CFTX, and TMP/SMX failures
58/MOsteomyelitis, left footMRSA1200 mg × 1, then partial dose in 14 dPOICImprovementInfusion-related reaction; sent to EDPrior minocycline, VAN failure; change to linezolid following ORI AE
46/FOsteomyelitis, chronic; skullMRSA1200 mg × 6 every 7–14 dEDCureNonePrior VAN therapy with improvement; patient requested hospital discharge and OPAT
Other Bone and Joint Infections
43/FNative septic arthritis/synovitisCulture-negative1200 mg × 5 every 6–14 dOP-HOUImprovementNoneNo prior therapy
22/MSeptic arthritis/synovitisBacillus sp.1200 mg × 2 every 14 dIP, then EDCureNonePrior cefazolin failure followed by VAN improvement
78/MProsthetic jointNot cultured1200 mg × 2 every 14 dHOICCureNonePrior TMP/SMX with improvement
Skin and Soft Tissue Infections: Cellulitis
74/FCellulitis, nonpurulentMRSA1200 mg × 2 every 11 dPOICCureNonePrior doxycycline with improvement
86/FCellulitis, nonpurulentMSSA1200 mg × 2 every 14 dPOICImprovementNoneNo prior therapy
75/MCellulitis, nonpurulentNot cultured1200 mg × 2 every 14 dPOICCureNoneNo prior therapy
60/FCellulitis, purulent due to surgical woundCoagulase-negative Staphylococcus1200 mg × 4 every 7–17 dOP-HOUImprovementNonePrior cephalexin and VAN failures; VAN therapy with AE and change to ORI
67/FCellulitis, purulentS. pyogenes1200 mg × 6 every 7–8 dHOICCureNonePrior cefadroxil therapy failure
82/MCellulitis, nonpurulentNot cultured1200 mg × 2 every 13 dPOICImprovementNonePrior PTZ and VAN therapy failure
50/FCellulitis, nonpurulentNot cultured1200 mg × 2 every 14 dPOICCureNoneNo prior therapy
48/MCellulitis, nonpurulentNot cultured1200 mg × 2 every 14 dPOICCure NonePrior telavancin with improvement
86/FCellulitis, nonpurulentMRSA1200 mg × 2 every 14 dPOICCureNoneNo prior therapy
60/MCellulitis, nonpurulentNot cultured1200 mg × 2 every 10 dHOICImprovementNoneNo prior therapy
Skin and Soft Tissue Infections: Abscess, Wound, Burn
46/FAbscessMRSA1200 mg × 2 every 14 dHOICCureNonePrior tedizolid with improvement; early relapse necessitating ORI therapy
78/FAbscess, surgical woundMRSA1200 mg × 2 every 14 dPOICCureNonePrior VAN therapy with improvement
60/MSurgical woundE. faecalis1200 mg × 2 every 14 dHOICImprovementNonePrior amoxicillin and TMP/SMX failure
57/MSurgical woundCorynebacterium sp.1200 mg × 6 every 6–8 dOP-HOUImprovementNoneNo prior therapy
60/FSurgical woundNot cultured1200 mg × 2 every 11 dIP, then HHCure NoneNo prior therapy
31/MSurgical woundMSSA1200 mg × 2 every 14 dPOICCureNonePrior ceftazidime, MTZ, plus VAN therapy changed to ORI for MSSA culture result
67/MUnspecified woundsCoagulase-negative Staphylococcus1200 mg × 7 every 6–8 dOP-HOUCureNonePrior amoxicillin/clavulanate failure
66/MWound, unspecifiedMSSA1200 mg × 2 every 8 dOP-HOUCureNonePrior TMP/SMX failure
56/MTraumatic woundCorynebacterium striatum1200 mg × 3 every 14 dOP-HOUFailureNoneNo prior therapy
24/MSurgical wound, brain abscessMRSA, MSSA1200 mg × 9 every 6–7 dEDCureMild nauseaPrior CFTX, clinda, nafcillin, VAN failure
51/MInfected burnNot cultured1200 mg × 2 every 7 dHOICImprovement NonePrior cefepime plus VAN therapy improvement; limb amputation still required
Age/ SexInfectionPathogen(s)Oritavancin DosingSite(s) of InfusionClinical OutcomeAdverse EventsNotes and Prior Therapy Outcomes
Osteomyelitis
46/MOsteomyelitisMSSA, S. pyogenes1200 mg × 6 every 6–8 dHOICCureNonePrior amoxicillin therapy failure
47/FOsteomyelitisMRSA1200 mg × 2 every 9 dPOICFailureNoneNo prior therapy; ORI failure with change to doxycycline; eventual amputation
70/FOsteomyelitis, chronicMRSA1200 mg × 10 every 7–8 dOP-HOUImprovementNoneNo prior therapy
70/MOsteomyelitis, due to traumatic woundS. pyogenes1200 mg × 2 every 6 dHOICCure NonePrior cephalexin failure, changed to DAL with AE necessitating change to ORI
55/FOsteomyelitisCulture-negative1200 mg × 3 every 14 d (with oral TMP/SMX)POICCureNonePrior cefazolin. daptomycin, linezolid, PTZ, and VAN failures
36/FOsteomyelitis, right ankleMSSA1200 mg × 2 every 14 dPOICCureNonePrior A/S, cefazolin, cephalexin, VAN, CFTX, and TMP/SMX failures
58/MOsteomyelitis, left footMRSA1200 mg × 1, then partial dose in 14 dPOICImprovementInfusion-related reaction; sent to EDPrior minocycline, VAN failure; change to linezolid following ORI AE
46/FOsteomyelitis, chronic; skullMRSA1200 mg × 6 every 7–14 dEDCureNonePrior VAN therapy with improvement; patient requested hospital discharge and OPAT
Other Bone and Joint Infections
43/FNative septic arthritis/synovitisCulture-negative1200 mg × 5 every 6–14 dOP-HOUImprovementNoneNo prior therapy
22/MSeptic arthritis/synovitisBacillus sp.1200 mg × 2 every 14 dIP, then EDCureNonePrior cefazolin failure followed by VAN improvement
78/MProsthetic jointNot cultured1200 mg × 2 every 14 dHOICCureNonePrior TMP/SMX with improvement
Skin and Soft Tissue Infections: Cellulitis
74/FCellulitis, nonpurulentMRSA1200 mg × 2 every 11 dPOICCureNonePrior doxycycline with improvement
86/FCellulitis, nonpurulentMSSA1200 mg × 2 every 14 dPOICImprovementNoneNo prior therapy
75/MCellulitis, nonpurulentNot cultured1200 mg × 2 every 14 dPOICCureNoneNo prior therapy
60/FCellulitis, purulent due to surgical woundCoagulase-negative Staphylococcus1200 mg × 4 every 7–17 dOP-HOUImprovementNonePrior cephalexin and VAN failures; VAN therapy with AE and change to ORI
67/FCellulitis, purulentS. pyogenes1200 mg × 6 every 7–8 dHOICCureNonePrior cefadroxil therapy failure
82/MCellulitis, nonpurulentNot cultured1200 mg × 2 every 13 dPOICImprovementNonePrior PTZ and VAN therapy failure
50/FCellulitis, nonpurulentNot cultured1200 mg × 2 every 14 dPOICCureNoneNo prior therapy
48/MCellulitis, nonpurulentNot cultured1200 mg × 2 every 14 dPOICCure NonePrior telavancin with improvement
86/FCellulitis, nonpurulentMRSA1200 mg × 2 every 14 dPOICCureNoneNo prior therapy
60/MCellulitis, nonpurulentNot cultured1200 mg × 2 every 10 dHOICImprovementNoneNo prior therapy
Skin and Soft Tissue Infections: Abscess, Wound, Burn
46/FAbscessMRSA1200 mg × 2 every 14 dHOICCureNonePrior tedizolid with improvement; early relapse necessitating ORI therapy
78/FAbscess, surgical woundMRSA1200 mg × 2 every 14 dPOICCureNonePrior VAN therapy with improvement
60/MSurgical woundE. faecalis1200 mg × 2 every 14 dHOICImprovementNonePrior amoxicillin and TMP/SMX failure
57/MSurgical woundCorynebacterium sp.1200 mg × 6 every 6–8 dOP-HOUImprovementNoneNo prior therapy
60/FSurgical woundNot cultured1200 mg × 2 every 11 dIP, then HHCure NoneNo prior therapy
31/MSurgical woundMSSA1200 mg × 2 every 14 dPOICCureNonePrior ceftazidime, MTZ, plus VAN therapy changed to ORI for MSSA culture result
67/MUnspecified woundsCoagulase-negative Staphylococcus1200 mg × 7 every 6–8 dOP-HOUCureNonePrior amoxicillin/clavulanate failure
66/MWound, unspecifiedMSSA1200 mg × 2 every 8 dOP-HOUCureNonePrior TMP/SMX failure
56/MTraumatic woundCorynebacterium striatum1200 mg × 3 every 14 dOP-HOUFailureNoneNo prior therapy
24/MSurgical wound, brain abscessMRSA, MSSA1200 mg × 9 every 6–7 dEDCureMild nauseaPrior CFTX, clinda, nafcillin, VAN failure
51/MInfected burnNot cultured1200 mg × 2 every 7 dHOICImprovement NonePrior cefepime plus VAN therapy improvement; limb amputation still required

Abbreviations: A/S, ampicillin-sulbactam; AE, adverse event; CFTX, ceftriaxone; DAL, dalbavancin; ED, emergency department; HH, home health; HOIC, hospital-owned infusion center; IP, inpatient; MRSA, methicillin-resistant S. aureus; MSSA, methicillin-susceptible S. aureus; MTZ, metronidazole; OP-HOU, outpatient hospital observation unit; ORI, oritavancin; POIC, physician-owned infusion center; PTZ, piperacillin-tazobactam; TMP/SMX, trimethoprim-sulfamethoxazole; VAN, vancomycin.

Table 5.

Patients Treated With Multiple-Dose Oritavancin for Complicated Gram-Positive Infections

Age/ SexInfectionPathogen(s)Oritavancin DosingSite(s) of InfusionClinical OutcomeAdverse EventsNotes and Prior Therapy Outcomes
Osteomyelitis
46/MOsteomyelitisMSSA, S. pyogenes1200 mg × 6 every 6–8 dHOICCureNonePrior amoxicillin therapy failure
47/FOsteomyelitisMRSA1200 mg × 2 every 9 dPOICFailureNoneNo prior therapy; ORI failure with change to doxycycline; eventual amputation
70/FOsteomyelitis, chronicMRSA1200 mg × 10 every 7–8 dOP-HOUImprovementNoneNo prior therapy
70/MOsteomyelitis, due to traumatic woundS. pyogenes1200 mg × 2 every 6 dHOICCure NonePrior cephalexin failure, changed to DAL with AE necessitating change to ORI
55/FOsteomyelitisCulture-negative1200 mg × 3 every 14 d (with oral TMP/SMX)POICCureNonePrior cefazolin. daptomycin, linezolid, PTZ, and VAN failures
36/FOsteomyelitis, right ankleMSSA1200 mg × 2 every 14 dPOICCureNonePrior A/S, cefazolin, cephalexin, VAN, CFTX, and TMP/SMX failures
58/MOsteomyelitis, left footMRSA1200 mg × 1, then partial dose in 14 dPOICImprovementInfusion-related reaction; sent to EDPrior minocycline, VAN failure; change to linezolid following ORI AE
46/FOsteomyelitis, chronic; skullMRSA1200 mg × 6 every 7–14 dEDCureNonePrior VAN therapy with improvement; patient requested hospital discharge and OPAT
Other Bone and Joint Infections
43/FNative septic arthritis/synovitisCulture-negative1200 mg × 5 every 6–14 dOP-HOUImprovementNoneNo prior therapy
22/MSeptic arthritis/synovitisBacillus sp.1200 mg × 2 every 14 dIP, then EDCureNonePrior cefazolin failure followed by VAN improvement
78/MProsthetic jointNot cultured1200 mg × 2 every 14 dHOICCureNonePrior TMP/SMX with improvement
Skin and Soft Tissue Infections: Cellulitis
74/FCellulitis, nonpurulentMRSA1200 mg × 2 every 11 dPOICCureNonePrior doxycycline with improvement
86/FCellulitis, nonpurulentMSSA1200 mg × 2 every 14 dPOICImprovementNoneNo prior therapy
75/MCellulitis, nonpurulentNot cultured1200 mg × 2 every 14 dPOICCureNoneNo prior therapy
60/FCellulitis, purulent due to surgical woundCoagulase-negative Staphylococcus1200 mg × 4 every 7–17 dOP-HOUImprovementNonePrior cephalexin and VAN failures; VAN therapy with AE and change to ORI
67/FCellulitis, purulentS. pyogenes1200 mg × 6 every 7–8 dHOICCureNonePrior cefadroxil therapy failure
82/MCellulitis, nonpurulentNot cultured1200 mg × 2 every 13 dPOICImprovementNonePrior PTZ and VAN therapy failure
50/FCellulitis, nonpurulentNot cultured1200 mg × 2 every 14 dPOICCureNoneNo prior therapy
48/MCellulitis, nonpurulentNot cultured1200 mg × 2 every 14 dPOICCure NonePrior telavancin with improvement
86/FCellulitis, nonpurulentMRSA1200 mg × 2 every 14 dPOICCureNoneNo prior therapy
60/MCellulitis, nonpurulentNot cultured1200 mg × 2 every 10 dHOICImprovementNoneNo prior therapy
Skin and Soft Tissue Infections: Abscess, Wound, Burn
46/FAbscessMRSA1200 mg × 2 every 14 dHOICCureNonePrior tedizolid with improvement; early relapse necessitating ORI therapy
78/FAbscess, surgical woundMRSA1200 mg × 2 every 14 dPOICCureNonePrior VAN therapy with improvement
60/MSurgical woundE. faecalis1200 mg × 2 every 14 dHOICImprovementNonePrior amoxicillin and TMP/SMX failure
57/MSurgical woundCorynebacterium sp.1200 mg × 6 every 6–8 dOP-HOUImprovementNoneNo prior therapy
60/FSurgical woundNot cultured1200 mg × 2 every 11 dIP, then HHCure NoneNo prior therapy
31/MSurgical woundMSSA1200 mg × 2 every 14 dPOICCureNonePrior ceftazidime, MTZ, plus VAN therapy changed to ORI for MSSA culture result
67/MUnspecified woundsCoagulase-negative Staphylococcus1200 mg × 7 every 6–8 dOP-HOUCureNonePrior amoxicillin/clavulanate failure
66/MWound, unspecifiedMSSA1200 mg × 2 every 8 dOP-HOUCureNonePrior TMP/SMX failure
56/MTraumatic woundCorynebacterium striatum1200 mg × 3 every 14 dOP-HOUFailureNoneNo prior therapy
24/MSurgical wound, brain abscessMRSA, MSSA1200 mg × 9 every 6–7 dEDCureMild nauseaPrior CFTX, clinda, nafcillin, VAN failure
51/MInfected burnNot cultured1200 mg × 2 every 7 dHOICImprovement NonePrior cefepime plus VAN therapy improvement; limb amputation still required
Age/ SexInfectionPathogen(s)Oritavancin DosingSite(s) of InfusionClinical OutcomeAdverse EventsNotes and Prior Therapy Outcomes
Osteomyelitis
46/MOsteomyelitisMSSA, S. pyogenes1200 mg × 6 every 6–8 dHOICCureNonePrior amoxicillin therapy failure
47/FOsteomyelitisMRSA1200 mg × 2 every 9 dPOICFailureNoneNo prior therapy; ORI failure with change to doxycycline; eventual amputation
70/FOsteomyelitis, chronicMRSA1200 mg × 10 every 7–8 dOP-HOUImprovementNoneNo prior therapy
70/MOsteomyelitis, due to traumatic woundS. pyogenes1200 mg × 2 every 6 dHOICCure NonePrior cephalexin failure, changed to DAL with AE necessitating change to ORI
55/FOsteomyelitisCulture-negative1200 mg × 3 every 14 d (with oral TMP/SMX)POICCureNonePrior cefazolin. daptomycin, linezolid, PTZ, and VAN failures
36/FOsteomyelitis, right ankleMSSA1200 mg × 2 every 14 dPOICCureNonePrior A/S, cefazolin, cephalexin, VAN, CFTX, and TMP/SMX failures
58/MOsteomyelitis, left footMRSA1200 mg × 1, then partial dose in 14 dPOICImprovementInfusion-related reaction; sent to EDPrior minocycline, VAN failure; change to linezolid following ORI AE
46/FOsteomyelitis, chronic; skullMRSA1200 mg × 6 every 7–14 dEDCureNonePrior VAN therapy with improvement; patient requested hospital discharge and OPAT
Other Bone and Joint Infections
43/FNative septic arthritis/synovitisCulture-negative1200 mg × 5 every 6–14 dOP-HOUImprovementNoneNo prior therapy
22/MSeptic arthritis/synovitisBacillus sp.1200 mg × 2 every 14 dIP, then EDCureNonePrior cefazolin failure followed by VAN improvement
78/MProsthetic jointNot cultured1200 mg × 2 every 14 dHOICCureNonePrior TMP/SMX with improvement
Skin and Soft Tissue Infections: Cellulitis
74/FCellulitis, nonpurulentMRSA1200 mg × 2 every 11 dPOICCureNonePrior doxycycline with improvement
86/FCellulitis, nonpurulentMSSA1200 mg × 2 every 14 dPOICImprovementNoneNo prior therapy
75/MCellulitis, nonpurulentNot cultured1200 mg × 2 every 14 dPOICCureNoneNo prior therapy
60/FCellulitis, purulent due to surgical woundCoagulase-negative Staphylococcus1200 mg × 4 every 7–17 dOP-HOUImprovementNonePrior cephalexin and VAN failures; VAN therapy with AE and change to ORI
67/FCellulitis, purulentS. pyogenes1200 mg × 6 every 7–8 dHOICCureNonePrior cefadroxil therapy failure
82/MCellulitis, nonpurulentNot cultured1200 mg × 2 every 13 dPOICImprovementNonePrior PTZ and VAN therapy failure
50/FCellulitis, nonpurulentNot cultured1200 mg × 2 every 14 dPOICCureNoneNo prior therapy
48/MCellulitis, nonpurulentNot cultured1200 mg × 2 every 14 dPOICCure NonePrior telavancin with improvement
86/FCellulitis, nonpurulentMRSA1200 mg × 2 every 14 dPOICCureNoneNo prior therapy
60/MCellulitis, nonpurulentNot cultured1200 mg × 2 every 10 dHOICImprovementNoneNo prior therapy
Skin and Soft Tissue Infections: Abscess, Wound, Burn
46/FAbscessMRSA1200 mg × 2 every 14 dHOICCureNonePrior tedizolid with improvement; early relapse necessitating ORI therapy
78/FAbscess, surgical woundMRSA1200 mg × 2 every 14 dPOICCureNonePrior VAN therapy with improvement
60/MSurgical woundE. faecalis1200 mg × 2 every 14 dHOICImprovementNonePrior amoxicillin and TMP/SMX failure
57/MSurgical woundCorynebacterium sp.1200 mg × 6 every 6–8 dOP-HOUImprovementNoneNo prior therapy
60/FSurgical woundNot cultured1200 mg × 2 every 11 dIP, then HHCure NoneNo prior therapy
31/MSurgical woundMSSA1200 mg × 2 every 14 dPOICCureNonePrior ceftazidime, MTZ, plus VAN therapy changed to ORI for MSSA culture result
67/MUnspecified woundsCoagulase-negative Staphylococcus1200 mg × 7 every 6–8 dOP-HOUCureNonePrior amoxicillin/clavulanate failure
66/MWound, unspecifiedMSSA1200 mg × 2 every 8 dOP-HOUCureNonePrior TMP/SMX failure
56/MTraumatic woundCorynebacterium striatum1200 mg × 3 every 14 dOP-HOUFailureNoneNo prior therapy
24/MSurgical wound, brain abscessMRSA, MSSA1200 mg × 9 every 6–7 dEDCureMild nauseaPrior CFTX, clinda, nafcillin, VAN failure
51/MInfected burnNot cultured1200 mg × 2 every 7 dHOICImprovement NonePrior cefepime plus VAN therapy improvement; limb amputation still required

Abbreviations: A/S, ampicillin-sulbactam; AE, adverse event; CFTX, ceftriaxone; DAL, dalbavancin; ED, emergency department; HH, home health; HOIC, hospital-owned infusion center; IP, inpatient; MRSA, methicillin-resistant S. aureus; MSSA, methicillin-susceptible S. aureus; MTZ, metronidazole; OP-HOU, outpatient hospital observation unit; ORI, oritavancin; POIC, physician-owned infusion center; PTZ, piperacillin-tazobactam; TMP/SMX, trimethoprim-sulfamethoxazole; VAN, vancomycin.

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