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Persistent Methicillin-Resistant Staphylococcus aureus Bacteremia: Host, Pathogen, and Treatment

Antibiotics, vol. 12, pp. 455

Abstract

(MRSA) is a devastating pathogen responsible for a variety of life-threatening infections. A distinctive characteristic of this pathogen is its ability to persist in the bloodstream for several days despite seemingly appropriate antibiotics. Persistent MRSA bacteremia is common and is associated with poor clinical outcomes. The etiology of persistent MRSA bacteremia is a result of the complex interplay between the host, the pathogen, and the antibiotic used to treat the infection. In this review, we explore the factors related to each component of the host-pathogen interaction and discuss the clinical relevance of each element. Next, we discuss the treatment options and diagnostic approaches for the management of persistent MRSA bacteremia.

Authors 4

  1. University of North Carolina at Chapel Hill · Duke University · Duke Medical Center

    Affiliation as printed

    Department of Medicine, Division of Infectious Disease, Duke University Medical Center, Durham, NC 27710, USA

    Department of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA

  2. Duke University · Leiden University Medical Center · Duke Medical Center

    Affiliation as printed

    Department of Infectious Diseases, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands

    Department of Medicine, Division of Infectious Disease, Duke University Medical Center, Durham, NC 27710, USA

  3. University of North Carolina at Chapel Hill

    Affiliation as printed

    Department of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA

  4. Vance G. Fowler corresponding

    Duke University · Duke Medical Center

    Affiliation as printed

    Department of Medicine, Division of Infectious Disease, Duke University Medical Center, Durham, NC 27710, USA

    Duke Clinical Research Institute, Durham, NC 27710, USA

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References 166