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Linezolid (PNU-100766) versus vancomycin in the treatment of hospitalized patients with nosocomial pneumonia: A randomized, double-blind, multicenter study

  • E. Rubinstein
  • , S. K. Cammarata
  • , T. H. Oliphant
  • , R. G. Wunderink
  • , J. Labrooy
  • , J. L. Moran
  • , B. Richards
  • , D. Grimard
  • , S. J. Landis
  • , C. Rotstein
  • , E. Chavez
  • , R. Northland
  • , V. Triantafilo
  • , P. Vasquez
  • , V. Kolek
  • , M. Kucera
  • , P. Reiterer
  • , I. Weidenhoffer
  • , C. Andrews
  • , I. McLaren
  • M. Street, T. Ali-Malkkilä, J. Heikkinen, P. Kairi, M. Valtonen, B. Georges, L. Holzapfel, A. Leon, C. D. Martin, P. Maurette, J. F. Muir, M. Ossart, B. Veber, J. Lukacs, G. Nagy, Z. Rott, R. Raz, K. Riesenberg, A. Yinnon, M. Molinari, G. Castro, G. Fabian, M. Gaca, L. Krawczyk, J. Malolepszy, R. Szulc, L. Wolowicka, A. G. Chuchalin, T. Fedorova, I. M. Kakhnovskii, V. G. Novozhenov, A. I. Sinopalnikov, J. G. Kilian, W. L. Michell, A. W. Sturm, J. Viljoen, R. Wood, J. M. Pueyo, M. Soler-Obradors, I. M. Baird, M. C. Birmingham, H. S. Bjerke, M. A. Brown, S. J.D. Chow, R. K. Daniels, T. Dickey, A. El-Solh, D. R. Graham, L. R. Grier, J. Hall, M. S. Harrison, M. T. Herbert, R. C. Hyzy, R. J. Kaner, L. S. Larsen, I. Leviton, S. C. Matchett, M. H. Metzler, M. L. Morganroth, A. R. Murthy, P. E. Nolan, N. H. Olson, L. B. Palmer, R. G. Postier, D. P. Remy, G. J. Richmond, M. H. Rosenthal, G. Sanchez, R. B. Schechter, S. J. Simon, T. W. Smith, B. Thompson, B. J. White, B. Hafkin, W. M. Todd, J. Timm, K. Hempsall, L. Schuemann

Research output: Contribution to journalArticlepeer-review

456 Scopus citations

Abstract

Linezolid, the first oxazolidinone, is active against gram-positive bacteria, including multidrug-resistant strains. This multinational, randomized, double-blind, controlled trial compared the efficacy, safety, and tolerability of linezolid with vancomycin in the treatment of nosocomial pneumonia. A total of 203 patients received intravenous linezolid, 600 mg twice daily, plus aztreonam, and 193 patients received vancomycin, 1 g intravenously twice daily, plus aztreonam for 7-21 days. Clinical and microbiological outcomes were evaluated at test of cure 12-28 days after treatment. Clinical cure rates (71 [66.4%] of 107 for linezolid vs. 62 [68.1%] of 91 for vancomycin) and microbiological success rates (36 [67.9%] of 53 vs. 28 [71.8%] of 39, respectively) for evaluable patients were equivalent between treatment groups. Eradication rates of methicillin-resistant Staphylococcus aureus and safety evaluations were similar between treatment groups. Resistance to either treatment was not detected. Linezolid is a well-tolerated, effective treatment for adults with gram-positive nosocomial pneumonia.

Original languageEnglish
Pages (from-to)402-412
Number of pages11
JournalClinical Infectious Diseases
Volume32
Issue number3
DOIs
StatePublished - 1 Jan 2001
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

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