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Vankomycinresistent Staphylococcus epidermidis gav protesinfektion. Linezolid och rifampicin läkte den komplicerade infektionen
Engelsk titel: Vancomycin resistant Staphylococcus epidermidis caused prosthesis infection. Linezolid and rifampicin healed the complicated infection Läs online Författare: Håkanson, Anders ; Fröding, Inga ; Ottosson, Carin Språk: Swe Antal referenser: 11 Dokumenttyp: Fallbeskrivning UI-nummer: 14037677

Tidskrift

Läkartidningen 2014;111(9-10)396-8 ISSN 0023-7205 E-ISSN 1652-7518 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Coagulase-negative Staphylococci, including Staphylococcus epidermidis, are common pathogens in orthopedic prosthesis infections. Operation and prolonged treatment with rifampicin in combination with another antibiotic is often required. Coagulase-negative Staph­ylococci are frequently multi-resistant, but resistance to vancomycin is rare in Sweden. Linezolid is an alternative, however it is only recommended for up to 4 weeks treatment due to risk of hematological side effects. We have successfully used prolonged treatment with linezolid and rifampicin in a patient suffering from a complicated prosthetic joint infection caused by a vancomycin resistant Staphyloccous epidermidis strain.