PMID- 18635341 OWN - NLM STAT- MEDLINE DCOM- 20081027 LR - 20151119 IS - 0924-8579 (Print) IS - 0924-8579 (Linking) VI - 32 IP - 3 DP - 2008 Sep TI - Linezolid for the treatment of infections caused by Gram-positive pathogens in China. PG - 241-9 LID - 10.1016/j.ijantimicag.2008.04.004 [doi] AB - In this randomised, double-blind, comparator-controlled, multicentre study conducted in China, 142 hospitalised patients aged 18-75 years with pneumonia (n=80) or complicated skin and soft-tissue infection (cSSTI) (n=62) due to suspected or known Gram-positive pathogens were randomised (1:1) to receive either linezolid 600mg (n=71) or vancomycin 1g in patients aged < or =60 years or 0.75g in patients aged >60 years (n=71) intravenously every 12h. The duration of treatment was 10-21 days for patients with pneumonia and 7-21 days for patients with cSSTI. Clinical outcomes were assessed at end-of-treatment (EOT) visit and follow-up (FU) visit 7-28 days post therapy. Staphylococcus aureus was the most common pathogen at baseline and most of these isolates were resistant to meticillin. All isolates were susceptible to linezolid and vancomycin. For the evaluable patients, the effective treatment rate for linezolid was higher than that for vancomycin at EOT (86.9% (53/61) vs. 61.7% (37/60)) and at FU (83.1% (49/59) vs. 64.9% (37/57)). Pathogen eradication rates for the microbiologically evaluable patients at FU were 79.2% (42/53) for linezolid and 61.5% (32/52) for vancomycin. The incidence of drug-related adverse events (AEs) was 25.4% (18/71) for linezolid and 16.9% (12/71) for vancomycin. Four (5.6%) linezolid-treated and eight (11.3%) vancomycin-treated patients discontinued the study drug because of an AE. Linezolid was well tolerated and effective for the treatment of infections caused by Gram-positive pathogens, including meticillin-resistant S. aureus. FAU - Lin, Dong-Fang AU - Lin DF AD - Institute of Antibiotics, Huashan Hospital, Fudan University, 12 Wulumuqi Zhong Road, Shanghai 200040, China. FAU - Zhang, Ying-Yuan AU - Zhang YY FAU - Wu, Ju-Fang AU - Wu JF FAU - Wang, Fu AU - Wang F FAU - Zheng, Jing-Chuan AU - Zheng JC FAU - Miao, Jing-Zhi AU - Miao JZ FAU - Zheng, Li-Ye AU - Zheng LY FAU - Sheng, Rui-Yuan AU - Sheng RY FAU - Zhou, Xin AU - Zhou X FAU - Shen, Hua-Hao AU - Shen HH FAU - Ijzerman, Margaret Marian AU - Ijzerman MM FAU - Croos-Dabrera, Rodney Victor AU - Croos-Dabrera RV FAU - Sheng, Wei AU - Sheng W LA - eng PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20080716 PL - Netherlands TA - Int J Antimicrob Agents JT - International journal of antimicrobial agents JID - 9111860 RN - 0 (Acetamides) RN - 0 (Anti-Bacterial Agents) RN - 0 (Oxazolidinones) RN - 6Q205EH1VU (Vancomycin) RN - ISQ9I6J12J (Linezolid) SB - IM MH - *Acetamides/administration & dosage/adverse effects/therapeutic use MH - Adolescent MH - Adult MH - Aged MH - *Anti-Bacterial Agents/administration & dosage/adverse effects/therapeutic use MH - China MH - Cross Infection/drug therapy/microbiology MH - Double-Blind Method MH - Female MH - Gram-Positive Bacterial Infections/*drug therapy/microbiology MH - Gram-Positive Cocci/*drug effects MH - Humans MH - Linezolid MH - Male MH - Middle Aged MH - *Oxazolidinones/administration & dosage/adverse effects/therapeutic use MH - Pneumonia, Bacterial/drug therapy/microbiology MH - Skin Diseases, Bacterial/drug therapy/microbiology MH - Soft Tissue Infections/drug therapy/microbiology MH - Treatment Outcome MH - Vancomycin/administration & dosage/adverse effects/therapeutic use EDAT- 2008/07/19 09:00 MHDA- 2008/10/28 09:00 CRDT- 2008/07/19 09:00 PHST- 2008/02/01 00:00 [received] PHST- 2008/03/19 00:00 [revised] PHST- 2008/04/06 00:00 [accepted] PHST- 2008/07/19 09:00 [pubmed] PHST- 2008/10/28 09:00 [medline] PHST- 2008/07/19 09:00 [entrez] AID - S0924-8579(08)00161-1 [pii] AID - 10.1016/j.ijantimicag.2008.04.004 [doi] PST - ppublish SO - Int J Antimicrob Agents. 2008 Sep;32(3):241-9. doi: 10.1016/j.ijantimicag.2008.04.004. Epub 2008 Jul 16.