Articles | Volume 10, issue 2
https://doi.org/10.5194/jbji-10-93-2025
https://doi.org/10.5194/jbji-10-93-2025
Original full-length article
 | 
31 Mar 2025
Original full-length article |  | 31 Mar 2025

Dalbavancin to facilitate early discharge in the treatment of complex musculoskeletal infections: a multi-centre real-life application

Tariq Azamgarhi, Simon Warren, Antonia Scobie, Natasha Karunaharan, Cristina Perez-Sanchez, Rebecca Houghton, Salma Hassan, Julie Lourtet-Hascoët, Hannah Kershaw, Parham Sendi, and Kordo Saeed

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Cited articles

Azamgarhi, T., Shah, A., and Warren, S.: Clinical Experience of Implementing Oral Versus Intravenous Antibiotics (OVIVA) in a Specialist Orthopedic Hospital, Clin. Infect. Dis., 73, e2582–e2588, https://doi.org/10.1093/cid/ciaa985, 2021. 
Buehrle, D. J., Shields, R. K., Shah, N., Shoff, C., and Sheridan, K.: Risk Factors Associated With Outpatient Parenteral Antibiotic Therapy Program Failure Among Intravenous Drug Users, Open Forum Infect. Dis., 23, ofx102, https://doi.org/10.1093/ofid/ofx102, 2017. 
Chapman, A. L. N., Patel, S., Horner, C., Green, H., Guleri, A., Hedderwick, S., Snape, S., Statham, J., Wilson, E., Gilchrist, M., and Seaton, R. A.: Updated good practice recommendations for outpatient parenteral antimicrobial therapy (OPAT) in adults and children in the UK, JAC Antimicrob. Resist., 26, dlz026, https://doi.org/10.1093/jacamr/dlz026, 2019. 
Dorr, M. B., Jabes, D., Cavaleri, M., Dowell, J., Mosconi, G., Malabarba, A., White, R. J., and Henkel, T. J.: Human pharmacokinetics and rationale for once-weekly dosing of dalbavancin, a semi-synthetic glycopeptide, J. Antimicrob. Chemother., 55, ii25–ii30, https://doi.org/10.1093/jac/dki008, 2005. 
Dunne, M. W., Puttagunta, S., Sprenger, C. R., Rubino, C., Van Wart, S., and Baldassarre, J.: Extended-Duration Dosing and Distribution of Dalbavancin into Bone and Articular Tissue, Antimicrob. Agents Chemother., 59, 1849–1855, https://doi.org/10.1128/AAC.04550-14, 2015. 
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Short summary
This study evaluates dalbavancin, an antibiotic with a long duration of action, in treating complex bone and joint infections. It does not require daily dosing, allowing patients to leave the hospital earlier and reducing costs. Dalbavancin is shown to be effective and safe, especially for patients unsuitable for oral antibiotics or outpatient therapy, achieving similar results to traditional treatments while cutting healthcare costs.
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