The role of dalbavancin in the treatment of acute bacterial skin and skin structure infections (ABSSSIs)

Expert Rev Anti Infect Ther. 2020 May;18(5):415-422. doi: 10.1080/14787210.2020.1746643. Epub 2020 Mar 29.

Abstract

Introduction: Acute bacterial skin and skin-structure infections (ABSSSI) are a subgroup of skin and soft tissue infections and are a common source of morbidity in both the community and the hospital setting. The most common cause of ABSSSI is Staphylococcus aureus, which also includes methicillin-resistant S. aureus (MRSA), together with beta-hemolytic streptococci, enterococci, and Gram-negative bacteria. Since the emergence of MRSA, the management of ABSSSI has become more challenging. Novel therapies alternative to teicoplanin and vancomycin, intravenous agents commonly used against MRSA and employed in hospitalized patients, and to other antibiotics which are used as standard of care for MRSA infection, with a higher efficacy and safer profile are worth evaluating.Areas covered: This review presents and discusses current evidence on the use of dalbavancin in the treatment of ABSSSI.Expert opinion: Dalbavancin represents a promising therapeutic choice in patients with ABSSSI, thanks to its favorable pharmacokinetic profile, valuable antimicrobial spectrum, and good safety profile.

Keywords: ABSSSI; MRSA; Skin infection; antibiotic therapy; dalbavancin.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Acute Disease
  • Animals
  • Anti-Bacterial Agents / administration & dosage*
  • Anti-Bacterial Agents / adverse effects
  • Anti-Bacterial Agents / pharmacokinetics
  • Humans
  • Methicillin-Resistant Staphylococcus aureus / isolation & purification
  • Skin Diseases, Bacterial / drug therapy*
  • Skin Diseases, Bacterial / microbiology
  • Staphylococcal Infections / drug therapy
  • Staphylococcal Infections / microbiology
  • Teicoplanin / administration & dosage
  • Teicoplanin / adverse effects
  • Teicoplanin / analogs & derivatives*
  • Teicoplanin / pharmacokinetics

Substances

  • Anti-Bacterial Agents
  • Teicoplanin
  • dalbavancin