Articles | Volume 10, issue 2
https://doi.org/10.5194/jbji-10-93-2025
© Author(s) 2025. This work is distributed under
the Creative Commons Attribution 4.0 License.
the Creative Commons Attribution 4.0 License.
https://doi.org/10.5194/jbji-10-93-2025
© Author(s) 2025. This work is distributed under
the Creative Commons Attribution 4.0 License.
the Creative Commons Attribution 4.0 License.
Dalbavancin to facilitate early discharge in the treatment of complex musculoskeletal infections: a multi-centre real-life application
Tariq Azamgarhi
CORRESPONDING AUTHOR
Pharmacy Department, Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, HA7 4LP, United Kingdom
Simon Warren
Bone Infection Unit, Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, HA7 4LP, United Kingdom
Antonia Scobie
Bone Infection Unit, Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, HA7 4LP, United Kingdom
Natasha Karunaharan
Bone Infection Unit, Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, HA7 4LP, United Kingdom
Cristina Perez-Sanchez
Pharmacy Department, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
Rebecca Houghton
Department of Microbiology, Hampshire Hospitals NHS Foundation Trust, Hampshire, Basingstoke, United Kingdom
Salma Hassan
Department of Microbiology, Hampshire Hospitals NHS Foundation Trust, Hampshire, Basingstoke, United Kingdom
Julie Lourtet-Hascoët
Infectious Diseases and Microbiology Department, Hôpital Joseph Ducuing, Toulouse, France
Clinical Microbiology Department, Hôpital Saint Joseph, Paris, France
Hannah Kershaw
Pharmacy Department, Royal Free Hospital NHS Foundation Trust, London, United Kingdom
Parham Sendi
Institute for Infectious Diseases, University of Bern, Bern, Switzerland
Kordo Saeed
Department of Infection, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
Clinical and Experimental Sciences, University of Southampton, Southampton, United Kingdom
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J. Bone Joint Infect., 10, 33–39, https://doi.org/10.5194/jbji-10-33-2025, https://doi.org/10.5194/jbji-10-33-2025, 2025
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We explore optimising antibiotic use to prevent infections in endoprosthetic replacement for bone tumours. We found 26 % of infections were linked to initial surgery, with most due to secondary factors like wound complications. The main bacteria are Staphylococcus aureus and coagulase-negative staphylococci. Our findings suggest targeting these bacteria with prophylactic antibiotics and applying measures to prevent secondary infections to improve infection control in orthopaedic oncology.
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J. Bone Joint Infect., 10, 33–39, https://doi.org/10.5194/jbji-10-33-2025, https://doi.org/10.5194/jbji-10-33-2025, 2025
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Tariq Azamgarhi and Simon Warren
J. Bone Joint Infect., 6, 47–50, https://doi.org/10.5194/jbji-6-47-2020, https://doi.org/10.5194/jbji-6-47-2020, 2020
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We present the first reported case of prosthetic joint infection caused by Trueperella pyogenes. This animal pathogen rarely causes human infection. Our patient was successfully treated with single-stage exchange and 12 weeks of rifampicin and moxifloxacin.
Cited articles
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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.
This study evaluates dalbavancin, an antibiotic with a long duration of action, in treating...