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Updated: Aug 19, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
Efficacy of intravenous clindamycin and methicillin in gram-positive soft tissue infections
Abstract:
In a comparative study on a general surgical service, intravenous clindamycin phosphate or methicillin was used to treat a variety of soft tissue infections due to gram-positive organisms, chiefly staphylococci. The infections were rated according to severity, responsible organisms, and site of the infection. Excellent or good clinical and bacteriologic responses were obtained with both clindamycin and methicillin as adjuncts to basic surgical therapy in these soft tissue infections. The adverse effects of each drug were detailed, and were comparable. Clindamycin phosphate is a satisfactory substitute for methicillin in soft tissue infections secondary to gram-positive organisms.
Insights
Clindamycin phosphate and methicillin effectively treated soft tissue infections caused by gram-positive bacteria. Both antibiotics showed comparable efficacy and adverse effects, making clindamycin a viable alternative to methicillin.
Area of Science:
- Infectious Diseases
- Pharmacology
- Surgical Infections
Background:
- Soft tissue infections caused by gram-positive organisms, particularly staphylococci, are common in general surgery.
- Effective antibiotic therapy is crucial as an adjunct to surgical management.
Purpose of the Study:
- To compare the efficacy and safety of intravenous clindamycin phosphate versus methicillin in treating soft tissue infections.
- To evaluate clindamycin phosphate as a potential substitute for methicillin.
Main Methods:
- A comparative study was conducted on a general surgical service.
- Patients received either intravenous clindamycin phosphate or methicillin.
- Infections were classified by severity, causative organisms (gram-positive, chiefly staphylococci), and site.
Main Results:
- Both clindamycin and methicillin demonstrated excellent or good clinical and bacteriologic responses.
- Adverse effects for both drugs were comparable.
- Clindamycin phosphate proved effective as an adjunct to surgical therapy.
Conclusions:
- Clindamycin phosphate is a satisfactory alternative to methicillin for treating soft tissue infections.
- The study supports the use of clindamycin phosphate in managing gram-positive soft tissue infections.
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