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Cited by 260

The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.

Vancomycin Therapy for Methicillin-Resistant Staphylococcus aureus

SORRELL, TANIA C., PACKHAM, DONALD R., SHANKER, SIVARAJ, FOLDES, MARY, MUNRO, ROSEMARY·1982·Annals of Internal Medicine

Abstract

Ten patients with bacteremia due to methicillin-resistant Staphylococcus aureus were treated with vancomycin. These patients were compared with matched controls, nine bacteremic patients with methicillin-sensitive S. aureus, and one patient with penicillin-sensitive S. aureus. Controls were treated with a penicillin. There were no significant differences in time to defervescence, metastatic infections, relapse, mortality, need for surgical drainage, or duration of therapy. Fifteen of 19 episodes of serious methicillin-resistant S. aureus infection responded to vancomycin. Severe toxic effects included tinnitus, neutropenia, rash, and possible nephrotoxicity. Tolerance (a minimal bactericidal concentration to minimal inhibitory concentration ratio of at least 32), but not a minimal bactericidal concentration of at least 32 mg/L, correlated with therapeutic failure (respectively, p = 0.04 and p = 0.11, Fisher's exact test). Bacteremic infections due to methicillin-resistant and methicillin-sensitive S. aureus cause similar morbidity and mortality. Vancomycin is effective but potentially toxic therapy for most serious infections due to methicillin-resistant S. aureus. In-vitro tests may not predict therapeutic efficacy.

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Metadata

Authors
SORRELL, T. C., PACKHAM, D. R., SHANKER, S., FOLDES, M., & MUNRO, R.
Venue
Annals of Internal Medicine
Published
1982-09-01
Volume
97
Issue
3
Pages
344-350
ISSN
  • 0003-4819 (ISSN-L)
  • 1539-3704
OpenAlex
W2062001308
Cited by
260
References
28
FWCI
13.17
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Vancomycin Therapy for Methicillin-Resistant Staphylococcus aureus. https://app.cochat.ai/papers/10.7326/0003-4819-97-3-344
The paper
SORRELL, T. C., PACKHAM, D. R., SHANKER, S., FOLDES, M., & MUNRO, R. (1982). Vancomycin Therapy for Methicillin-Resistant Staphylococcus aureus. Annals of Internal Medicine. https://doi.org/10.7326/0003-4819-97-3-344

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