Prospective randomized trial of empiric therapy with trimethoprim-sulfamethoxazole or doxycycline for outpatient skin and soft tissue infections in an area of high prevalence of methicillin-resistant Staphylococcus aureus
- PMID: 17502411
- PMCID: PMC1913240
- DOI: 10.1128/AAC.00206-07
Prospective randomized trial of empiric therapy with trimethoprim-sulfamethoxazole or doxycycline for outpatient skin and soft tissue infections in an area of high prevalence of methicillin-resistant Staphylococcus aureus
Abstract
To evaluate empirical therapy with trimethoprim-sulfamethoxazole or doxycycline for outpatient skin and soft tissue infections in an area of high prevalence of methicillin-resistant Staphylococcus aureus, a randomized, prospective, open-label investigation was performed. The overall clinical failure rate was 9%, with all failures occurring in the trimethoprim-sulfamethoxazole group. However, there was no significant difference between the clinical failure rate of empirical trimethoprim-sulfamethoxazole therapy and that of doxycycline therapy.
Similar articles
-
Analysis of empiric antimicrobial strategies for cellulitis in the era of methicillin-resistant Staphylococcus aureus.Ann Pharmacother. 2007 Jan;41(1):13-20. doi: 10.1345/aph.1H452. Epub 2007 Jan 2. Ann Pharmacother. 2007. PMID: 17200425
-
High prevalence of methicillin-resistant Staphylococcus aureus in emergency department skin and soft tissue infections.Ann Emerg Med. 2005 Mar;45(3):311-20. doi: 10.1016/j.annemergmed.2004.10.011. Ann Emerg Med. 2005. PMID: 15726056
-
Effect of Cephalexin Plus Trimethoprim-Sulfamethoxazole vs Cephalexin Alone on Clinical Cure of Uncomplicated Cellulitis: A Randomized Clinical Trial.JAMA. 2017 May 23;317(20):2088-2096. doi: 10.1001/jama.2017.5653. JAMA. 2017. PMID: 28535235 Free PMC article. Clinical Trial.
-
Role of folate antagonists in the treatment of methicillin-resistant Staphylococcus aureus infection.Clin Infect Dis. 2008 Feb 15;46(4):584-93. doi: 10.1086/525536. Clin Infect Dis. 2008. PMID: 18197761 Review.
-
Epidemiology and treatment of community-associated methicillin-resistant Staphylococcus aureus in children.Expert Rev Anti Infect Ther. 2006 Feb;4(1):91-100. doi: 10.1586/14787210.4.1.91. Expert Rev Anti Infect Ther. 2006. PMID: 16441212 Review.
Cited by
-
RexAB is essential for the mutagenic repair of Staphylococcus aureus DNA damage caused by co-trimoxazole.Antimicrob Agents Chemother. 2019 Sep 9;63(12):e00944-19. doi: 10.1128/AAC.00944-19. Epub 2019 Oct 7. Antimicrob Agents Chemother. 2019. PMID: 31591116 Free PMC article.
-
Emergence of resistance among USA300 methicillin-resistant Staphylococcus aureus isolates causing invasive disease in the United States.Antimicrob Agents Chemother. 2010 Sep;54(9):3804-11. doi: 10.1128/AAC.00351-10. Epub 2010 Jun 28. Antimicrob Agents Chemother. 2010. PMID: 20585117 Free PMC article.
-
Molecular Epidemiology Clinical Manifestations, Decolonization Strategies, and Treatment Options of Methicillin-Resistant Staphylococcus aureus Infection in Neonates.Pathogens. 2025 Feb 5;14(2):155. doi: 10.3390/pathogens14020155. Pathogens. 2025. PMID: 40005530 Free PMC article. Review.
-
Antibiotic therapy for the treatment of methicillin-resistant Staphylococcus aureus (MRSA) in non surgical wounds.Cochrane Database Syst Rev. 2013 Nov 18;2013(11):CD010427. doi: 10.1002/14651858.CD010427.pub2. Cochrane Database Syst Rev. 2013. PMID: 24242704 Free PMC article.
-
Trimethoprim-sulfamethoxazole versus vancomycin for severe infections caused by meticillin resistant Staphylococcus aureus: randomised controlled trial.BMJ. 2015 May 14;350:h2219. doi: 10.1136/bmj.h2219. BMJ. 2015. PMID: 25977146 Free PMC article. Clinical Trial.
References
-
- Carter, M. K., V. A. Ebers, B. K. Younes, and M. K. Lacy. 2006. Doxycycline for community-associated methicillin-resistant Staphylococcus aureus skin and soft-tissue infections. Ann. Pharmacother. 401693-1695. - PubMed
-
- Gorwitz, R. J., D. B. Jernigan, J. H. Powers, J. A. Jernigan, and participants in the CDC Convened Experts’ Meeting on Management of MRSA in the Community. 2006. Strategies for clinical management of MRSA in the community: summary of an experts’ meeting convened by the Centers for Disease Control and Prevention. http://www.cdc.gov/ncidod/dhqp/ar_mrsa_ca.html.
-
- Grim, S. A., R. P. Rapp, C. A. Martin, and M. E. Evans. 2005. Trimethoprim-sulfamethoxazole as a viable treatment option for infections caused by methicillin-resistant Staphylococcus aureus. Pharmacotherapy 25253-264. - PubMed
-
- Kaplan, S. L. 2005. Treatment of community-associated methicillin-resistant Staphylococcus aureus infections. Pediatr. Infect. Dis. J. 24457-458. - PubMed
-
- Lee, M. C., A. M. Rios, M. F. Aten, A. Mejias, D. Cavuoti, G. H. McCracken, Jr., and R. D. Hardy. 2004. Management and outcome of children with skin and soft tissue abscesses caused by community-acquired methicillin-resistant Staphylococcus aureus. Pediatr. Infect. Dis. J. 23123-127. - PubMed
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical