Effectiveness of oritavancin for management of skin and soft tissue infections in the emergency department: A case series

Am J Emerg Med. 2021 May:43:77-80. doi: 10.1016/j.ajem.2021.01.050. Epub 2021 Jan 26.

Abstract

Skin and soft tissue infections, such as cellulitis, are commonly diagnosed in the emergency department and these patients are often admitted to the hospital for intravenous antibiotic therapy. Oritavancin is a novel antibiotic approved for the treatment of skin and soft tissue infections that is administered as a one-time infusion. While oritavancin has demonstrated comparable efficacy with multi-dose parenteral antibiotics in clinical trials and has been proposed as an alternative to admission for emergency department patients, there is a paucity of available real world effectiveness data. In this case series, we describe the characteristics and outcomes of ten patients with high-risk skin and soft tissue infections who received oritavancin and were discharged from the emergency department.

Keywords: Antibiotic; Cellulitis; Emergency department; Oritavancin; Skin and soft tissue infection; Vancomycin.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / administration & dosage*
  • Cellulitis / drug therapy*
  • Emergency Service, Hospital
  • Female
  • Humans
  • Infusions, Intravenous
  • Lipoglycopeptides / administration & dosage*
  • Male
  • Middle Aged
  • Retrospective Studies
  • Soft Tissue Infections / drug therapy*

Substances

  • Anti-Bacterial Agents
  • Lipoglycopeptides
  • oritavancin