Potential savings through single-dose intravenous Dalbavancin in long-term MRSA infection treatment - a health economic analysis using German DRG data
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Updated: Jan 3, 2026

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Published on: September 9, 2015
Michael Wilke1, Kerstin Worf1, Birgit Preisendörfer1
1inspiring-health GmbH, Munich, Germany.
Abstract:
Complicated infections such as osteomyelitis, skin and soft tissue infections or endocarditis often require antibiotic therapies that can last up to several weeks. The prolonged hospital length of stay (LOS) leads to a dramatic increase in costs. Single-dose intravenous Dalbavancin is a novel antimicrobial agent for the treatment of acute bacterial skin, skin structure and soft tissue infections (ABSSSI) that allows an earlier discharge of patients, resulting in potential savings. Joint, bone and prostheses infections (JBPI) are also related with long LOS. The aim of this study is to determine the economic effects of single-dose intravenous Dalbavancin in suitable patients with Methicillin-resistant Staphylococcus aureus infections in Germany. For this purpose, an analysis with real-world patient treatment data was performed, which was subsequently validated in a large German hospital. In total, ABSSSI patients with MRSA infections could stay 6.45 days shorter and 2,865 € could be saved while JBPI patients could be discharged eventually 10.6 days earlier and 3,909 € could be saved. Single-dose intravenous Dalbavancin is thus an option for patients with ABSSSI and JBPI who are eligible for discharge.
Insights
Single-dose Dalbavancin effectively treats complicated skin and bone infections caused by MRSA, reducing hospital stays and costs. This approach allows for earlier patient discharge, offering significant economic benefits in Germany.
Area of Science:
- Infectious Diseases
- Pharmacoeconomics
- Antimicrobial Therapy
Background:
- Complicated infections like osteomyelitis, skin, and soft tissue infections (ABSSSI) and joint, bone, and prostheses infections (JBPI) necessitate prolonged antibiotic treatment.
- Extended hospital length of stay (LOS) associated with these infections significantly increases healthcare costs.
- Methicillin-resistant Staphylococcus aureus (MRSA) is a common pathogen in these complicated infections.
Purpose of the Study:
- To evaluate the economic impact of single-dose intravenous Dalbavancin for treating MRSA infections in Germany.
- To assess the potential for cost savings and reduced LOS associated with Dalbavancin therapy in specific patient groups.
Main Methods:
- Analysis of real-world patient treatment data in Germany.
- Validation of findings in a large German hospital setting.
- Focus on patients with acute bacterial skin, skin structure and soft tissue infections (ABSSSI) and joint, bone, and prostheses infections (JBPI) caused by MRSA.
Main Results:
- Patients with MRSA-related ABSSSI treated with single-dose Dalbavancin experienced a 6.45-day shorter LOS, saving €2,865 per patient.
- Patients with MRSA-related JBPI treated with single-dose Dalbavancin had an average earlier discharge of 10.6 days, saving €3,909 per patient.
- Single-dose Dalbavancin facilitates earlier patient discharge, demonstrating significant cost-effectiveness.
Conclusions:
- Single-dose intravenous Dalbavancin is an economically viable treatment option for eligible patients with MRSA-related ABSSSI and JBPI in Germany.
- The use of Dalbavancin can lead to substantial reductions in hospital LOS and associated healthcare expenditures.
- This therapeutic approach supports earlier discharge, optimizing resource utilization in managing complex infections.
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