16-05-2024 | Joint Infection | Brief Report
Dalbavancin as suppressive therapy for implant-related infections: a case series with therapeutic drug monitoring and review of the literature
Authors:
Barthelemy Lafon-Desmurs, Benoit Gachet, Benjamin Hennart, Benjamin Valentin, Gabrielle Roosen, Maxime Degrendel, Caroline Loiez, Eric Beltrand, Piervito D’Elia, Henri Migaud, Olivier Robineau, Eric Senneville
Published in:
European Journal of Clinical Microbiology & Infectious Diseases
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Issue 7/2024
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Abstract
Implant-related infections may need suppressive antibiotic therapy (SAT). We describe a SAT strategy using dalbavancin with therapeutic drug monitoring (TDM). This is a retrospective bicentric study of patients with implant-related infection who received dalbavancin SAT between January 2021 and September 2023. Fifteen patients were included. Median number of injections was 4 (IQR: 2–7). Median time between two reinjections was 57 days (IQR 28–82). Dalbavancin plasma concentrations were above 4 mg/L for 97.9% of dosages (93/95) and above 8 mg/L for 85% (81/95). These results support the use of dalbavancin SAT for implant-related infections.