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Antimicrobial Agents and Chemotherapy, November 2001, p. 3202-3204, Vol. 45, No. 11
0066-4804/01/$04.00+0   DOI: 10.1128/AAC.45.11.3202-3204.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Treatment of Vancomycin-Resistant Enterococcal Infections in the Immunocompromised Host: Quinupristin-Dalfopristin in Combination with Minocycline

Issam Raad,* Ray Hachem, Hend Hanna, Essam Girgawy, Kenneth Rolston, Estella Whimbey, Rola Husni, and Gerald Bodey

Section of Infectious Diseases, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030-4095

Received 5 June 2000/Returned for modification 27 January 2001/Accepted 30 July 2001

Between February 1994 and November 1998, 56 oncology patients infected with vancomycin-resistant enterococci (VRE) were treated with quinopristin-dalfopristin (Q-D) plus minocycline (MIN). Infections included bacteremia, urinary tract infection, pneumonia, and wound infection. The response rate was 68%, and the most frequent adverse event was arthralgia or myalgia (36%). Q-D-MIN is effective for VRE infection in cancer patients but is associated with a substantial frequency of arthralgia or myalgia.


* Corresponding author. Mailing address: The University of Texas M. D. Anderson Cancer Center, Department of Infectious Diseases, Infection Control and Employee Health (Box 402), 1515 Holcombe Blvd., Houston, TX 77030-4095. Phone: (713) 792-7943. Fax: (713) 792-8233. E-mail: iraad{at}mdanderson.org.


Antimicrobial Agents and Chemotherapy, November 2001, p. 3202-3204, Vol. 45, No. 11
0066-4804/01/$04.00+0   DOI: 10.1128/AAC.45.11.3202-3204.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.



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