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[Safety and efficacy of daptomycin therapy in older adults with pluripathology]
Jorge Parra-Ruiz1, José Hernández-Quero
1Unidad de Enfermedades Infecciosas, Unidad de Gestión Clínica de Medicina Interna y Enfermedades Infecciosas, Hospital Universitario San Cecilio, Granada, España.
Abstract:
Serious Gram-positive bacterial infections are a major cause of morbidity and mortality among older adults and can pose a significant challenge to clinicians. Although more than 50% of patients treated with daptomycin are > 65 years old, there are few data evaluating the efficacy and safety of daptomcyn in this population. Analysis of data from patients > 65 years old included in the Cubicin Outcomes Registry and Experience (CORE), a multicenter, retrospective registry designed to collect post-marketing clinical data on patients who received daptomycin, and in its European version, the EUCORE, showed similar rates of efficacy and safety in this population to those in younger patients, suggesting that daptomycin is also a valuable option in older patients with serious Gram-positive infections.
Insights
Daptomycin is effective and safe for older adults with serious Gram-positive bacterial infections. Data from the Cubicin Outcomes Registry and Experience (CORE) and EUCORE registries support its use in patients over 65.
Area of Science:
- Infectious Diseases
- Geriatrics
- Pharmacology
Context:
- Serious Gram-positive bacterial infections are a significant cause of illness and death in older adults.
- Daptomycin is frequently used in this demographic, but specific efficacy and safety data are limited.
- Older adults (>65 years) represent over 50% of daptomycin recipients.
Purpose:
- To evaluate the efficacy and safety of daptomycin in patients aged 65 years and older with serious Gram-positive bacterial infections.
- To analyze post-marketing clinical data from real-world daptomycin use in an elderly population.
Summary:
- Analysis of data from the Cubicin Outcomes Registry and Experience (CORE) and EUCORE registries included patients >65 years old treated with daptomycin.
- Efficacy and safety outcomes in older patients were comparable to those observed in younger patients.
- Daptomycin demonstrated similar rates of efficacy and safety in elderly patients.
Impact:
- Suggests daptomycin is a valuable therapeutic option for older patients facing serious Gram-positive infections.
- Provides evidence to support the use of daptomycin in geriatric populations.
- Addresses a gap in clinical data regarding daptomycin's use in older adults.
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