Reviewing Treatment for Methicillin-Resistant Staphylococcus aureus Pneumonia

Authors

DOI:

https://doi.org/10.33448/rsd-v11i1.24338

Keywords:

Pneumonia, Methicillin, Linezolid resistant Staphylococcus aureus, Vancomycin.

Abstract

Introdução: O Staphylococcus aureus resistente à meticilina (MRSA) pode causar diversas infecções, tanto dermatológicas, quanto infecções invasivas, como pneumonia, empiema e sepse. Devido sua importância e patogenicidade, é considerado um problema de saúde pública mundial, o que implica em necessidade de pesquisar por esquemas terapêuticos mais eficientes. Especificamente para o tratamento de pneumonia por MRSA, à vancomicina e a linezolida são as principais drogas utilizadas. Objetivo: O objetivo principal deste estudo foi comparar os dois fármacos quanto a sua eficácia no tratamento da pneumonia por MRSA, por meio da revisão dos aspectos mais recentes da literatura. Metodologia: Por meio de revisão narrativa, foram averiguados os prós e contras de cada intervenção terapêutica, assim como os aspectos farmacológicos individuais e a fisiopatologia da infecção bacteriana em questão. Conclusão: Por fim, concluiu-se que a linezolida apresenta superioridade frente à vancomicina, com melhores taxas de redução de mortalidade e tempo de hospitalização, junto a menor risco de complicações e eventos adversos, além de maior flexibilidade terapêutica, melhor custo benefício e menores taxas de resistência.

Author Biography

  • Caroline Silva de Araujo Lima, Faculdade Dinâmica do Vale do Piranga

    Medical student at Faculdade Dinâmica Vale do Piranga. Founding member of the Academic Multidisciplinary League in Hospital Care - LAMCH (2020-current), research director of the Academic League of Urgency and Emergency - LAUE (2021-current) and member of the Academic League of Pediatrics - LAPEF (2019/2-current) . She works in the health area, with an emphasis on Medicine, Public Health and Early Mortality Indexes. Volunteer monitor of the discipline of Immunology (2020). E-mail: carolinearaujo689@gmail.com

References

Aguayo-Reyes, A. et al. Bases moleculares de la resistencia a meticilina en Staphylococcus aureus. Revista chilena de infectología, Santiago, 35(1):7–14, 2018.

Billups, K. et al. Risk of acute kidney injury in critically ill surgical patients with presumed pneumonia is not impacted by choice of methicillin-resistant staphylococcus aureus therapy. International Journal of Critical Illness and Injury Science, 8(1):22–27, 2018.

Bosso, J. B et al. Relationship between vancomycin trough concentrations and nephrotoxicity: a prospective multicenter trial. Antimicrobial Agents and Chemotherapy, 55(12): 5475–5479, dez. 2011.

Brasil. Ministério da Saúde. Guia de Vigilância em Saúde. -3 ed. - Brasília, 2019. https://bvsms.saude.gov.br/bvs/publicacoes/guia_vigilancia_saude_3ed.pdf.

Bruniera, F. R. et al. The use of vancomycin with its therapeutic and adverse effects: a review. European Review for Medical and Pharmacological Sciences, Santo André, 19(4): 694–700, 2015.

Burdette, S. D. & Trotman, R. Tedizolid: The First Once-Daily Oxazolidinone Class Antibiotic. Clinical Infectious Diseases, 61(8): 1315–1321, 2015.

Carballo, N. et al. Community-acquired pneumonia caused by methicillin-resistant Staphylococcus aureus in critically-ill patients: systematic review. Farmacia Hospitalaria: Organo Oficial De Expresion Cientifica De La Sociedad Espanola De Farmacia Hospitalaria, Barcelona, 41(2):187–203, 1 mar. 2017.

Chavanet, P. The ZEPHyR study: a randomized comparison of linezolid and vancomycin for MRSA pneumonia. Médecine et Maladies Infectieuses. França. 43(11):451-455, 2013.

Cheng, C.-N.; Lin, S.-W. & Wu, C.C. Early linezolid-associated lactic acidosis in a patient with Child’s class C liver cirrhosis and end stage renal disease. Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy, Taiwan, 24(10):841–844, 2018.

Collins, C.D. & Schwemm, A. K. Linezolid Versus Vancomycin in the Empiric Treatment of Nosocomial Pneumonia: A Cost-Utility Analysis Incorporating Results from the ZEPHyR Trial. Value in Health: The Journal of the International Society for Pharmacoeconomics and Outcomes Research, 18(5):614–621, 2015.

David, M. Z. & Daum, R. S. Treatment of Staphylococcus aureus Infections. Current Topics in Microbiology and Immunology, 40(9):325–383, 2017.

Equils, O. et al. The effect of diabetes mellitus on outcomes of patients with nosocomial pneumonia caused by methicillin-resistant Staphylococcus aureus: data from a prospective double-blind clinical trial comparing treatment with linezolid versus vancomycin. BMC Infectious Diseases, 16(1): 470-476, 2016.

Filippone, E. J.; Kraft, W. K. & Farber, J. L. The Nephrotoxicity of Vancomycin. Clinical Pharmacology and Therapeutics, 102(3):459–469, 2017.

Grief, S. N. & Loza, J. K. Guidelines for the Evaluation and Treatment of Pneumonia. Primary Care, 45(3):485–503, 2018.

Guery, B.; Galperine, T. & Barbut, F. Clostridioides difficile: diagnosis and treatments. BMJ, 366(1), 2019.

Hasani, R.; Sarma, J. & Kansal, S. Serotonin syndrome induced by combined use of sertraline and linezolid. Anesthesia, essays and researches, 13(1):188, 2019.

Hashemian, S. M. R.; Farhadi, T. & Ganjparvar, M. Linezolid: a review of its properties, function, and use in critical care. Drug Design, Development and Therapy, 12(1):1759–1767, 2018.

Henig, O. & Kaye, K. S. Bacterial Pneumonia in Older Adults. Infectious Disease Clinics of North America, 31(4): 689–713, 2017.

Jeffres, M. N. The Whole Price of Vancomycin: Toxicities, Troughs, and Time. Drugs, 77(11):1143–1154, 2017.

Karkow, D. C.; Kauer, J. F. & Ernst, E. J. Incidence of Serotonin Syndrome With Combined Use of Linezolid and Serotonin Reuptake Inhibitors Compared With Linezolid Monotherapy. Journal of Clinical Psychopharmacology, 37(5):518–523, 2017.

Kerneis, S. & Lucet, J.-C. Controlling the Diffusion of Multidrug-Resistant Organisms in Intensive Care Units. Seminars in Respiratory and Critical Care Medicine, 40(4):558–568, 2019.

Khan, A.; Wilson, B. & Gould, I. M. Current and future treatment options for community-associated MRSA infection. Expert Opinion on Pharmacotherapy, 19(5):457–470, 2018.

Kolditz, M. & Ewig, S. Community-Acquired Pneumonia in Adults. Deutsches Ärzteblatt International, 114(49):838–848, 2017.

Kumar, M. Multidrug-Resistant Staphylococcus aureus, India, 2013–2015. Emerging Infectious Diseases, 22(9):1666–1667, 2016.

Legendre, D. P. et al. Antibiotic Hypersensitivity Reactions and Approaches to Desensitization. Clinical Infectious Diseases, 58(8):1140–1148, 2014.

Lewis, P. O. et al. Treatment strategies for persistent methicillin-resistant Staphylococcus aureus bacteraemia. Journal of Clinical Pharmacy and Therapeutics, 43(5):614–625, 2018.

Li, J. et al. Linezolid vs. vancomycin in treatment of methicillin-resistant staphylococcus aureus infections: a meta-analysis. European Review for Medical and Pharmacological Sciences, 21(17):3974–3979, 2017.

Li, Y. & Xu, W. Efficacy and safety of linezolid compared with other treatments for skin and soft tissue infections: a meta-analysis. Bioscience Reports, 38(1):25-28, 2018.

Liu, P. et al. Clinical outcomes of linezolid and vancomycin in patients with nosocomial pneumonia caused by methicillin-resistant Staphylococcus aureus stratified by baseline renal function: a retrospective, cohort analysis. BMC nephrology, 18(1):168, 2017.

Mcguinness, W. A.; Malachowa, N. & Deleo, F. R. Vancomycin Resistance in Staphylococcus aureus. The Yale Journal of Biology and Medicine, 90(2):269–281, 2017.

Metersky, M. L. & Kalil, A. C. New guidelines for nosocomial pneumonia. Current Opinion in Pulmonary Medicine, 23(3):211–217, 2017.

Mimica, M. J. & Berezin, E. N. Staphylococcus aureus resistente à vancomicina: um problema emergente. Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa São Paulo, São Paulo, 51(1):52-56, 2006.

Minhas, J. S. et al. Immune-mediated reactions to vancomycin: A systematic case review and analysis. Annals of Allergy, Asthma & Immunology: Official Publication of the American College of Allergy, Asthma, & Immunology, 116(6):544–553, 2016.

Monaco, M. et al. Worldwide Epidemiology and Antibiotic Resistance of Staphylococcus aureus. Current Topics in Microbiology and Immunology, 409(1):21–56, 2017.

Monegro, A. F.; Muppidi, V. & Regunath, H. Hospital Acquired Infections. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2020.

Nicolaou, E. V.& Bartlett, A. H. Necrotizing Pneumonia. Pediatric Annals, 46(2):65–68, 2017.

Ortwine, J. K. & Bhavan, K. Morbidity, mortality, and management of methicillin-resistant S. aureus bacteremia in the USA: update on antibacterial choices and understanding. Hospital Practice (1995), 46(2):64–72, 2018.

Pereira, A. S. et al. (2018). Metodologia da pesquisa científica. Biblioteca Central da UFSM. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_C

omputacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1

Pham, J.; Asif, T.& Hamarshi, M. S. Community-acquired Pneumonia with Methicillin-resistant Staphylococcus Aureus in a Patient Admitted to the Intensive Care Unit: A Therapeutic Challenge. Cureus, 10(1), 2018.

Purrello, S. M. et al. Methicillin-resistant Staphylococcus aureus infections: A review of the currently available treatment options. Journal of Global Antimicrobial Resistance, 7:178–186, 2016.

Quinton, L. J.; Walkey, A. J. & Mizgerd, J. P. Integrative Physiology of Pneumonia. Physiological Reviews, 98(3):1417–1464, 2018.

Ray, A. S. et al. Vancomycin and the Risk of AKI: A Systematic Review and Meta-Analysis. Clinical journal of the American Society of Nephrology: CJASN, 11(12):2132–2140, 2016.

Rodvold, K.A. & Mcconeghy, K.W. Methicillin-resistant Staphylococcus aureus therapy: past, present, and future. Clin Infect Dis. 58(1):20-27, 2014.

Rossato, A. M.; Reiter, K. C. & D’azevedo, P. A. Coexistence of virulence genes in methicillin-resistant Staphylococcus aureus clinical isolates. Revista da Sociedade Brasileira de Medicina Tropical, Minas Gerais, 51(3):361–363, 2018.

Sattar, S. B. A. & Sharma, S. Bacterial Pneumonia. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2020.

Self, W. H. et al. Staphylococcus aureus Community-acquired Pneumonia: Prevalence, Clinical Characteristics, and Outcomes. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 63(3):300–309, 2016.

Siddiqui, A. H. & Koirala, J. Methicillin Resistant Staphylococcus Aureus (MRSA). In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2020.

Talaie, H. et al. High sensitivity versus low level of vancomycin needs to be concerned for another alternative anti- Staphylococcus aureus as the first- line antibiotic. Acta Bio-Medica: Atenei Parmensis, 90(4):498–503, 2019.

Van Hal, S. J.; Paterson, D. L. & Lodise, T. P. Systematic review and meta-analysis of vancomycin-induced nephrotoxicity associated with dosing schedules that maintain troughs between 15 and 20 milligrams per liter. Antimicrobial Agents and Chemotherapy, 57(2):734–744, 2013.

Vaneperen, A. S. & Segreti, J. Empirical therapy in Methicillin-resistant Staphylococcus Aureus infections: An Up-To-Date approach. Journal of Infection and Chemotherapy, 22(6):351–359, 2016.

Villa, G. et al. Effects of continuous renal replacement therapy on linezolid pharmacokinetic/pharmacodynamics: a systematic review. Critical Care, 20(1):374, 2016.

Walkey, A. J.; O’donnell, M. R. & Wiener, R. S. Linezolid vs glycopeptide antibiotics for the treatment of suspected methicillin-resistant Staphylococcus aureus nosocomial pneumonia: a meta-analysis of randomized controlled trials. Chest, 139(5):1148–1155, 2011.

Wan, Y. et al. Economic evaluation among Chinese patients with nosocomial pneumonia caused by methicillin-resistant Staphylococcus aureus and treated with linezolid or vancomycin: a secondary, post-hoc analysis based on a Phase 4 clinical trial study. Journal of Medical Economics, 19(1):53–62, 2016.

Watkins, R. R.; Holubar, M. & David, M. Z. Antimicrobial resistance in methicillin-resistant Staphylococcus aureus to newer antimicrobial agents. Antimicrobial Agents and Chemotherapy, 62(1):2, 2019.

Ye, X. et al. Linezolid Inhibited Synthesis of ATP in Mitochondria: Based on GC-MS Metabolomics and HPLC Method. BioMed Research International, 2018:1-9, 2018.

Zahedi, A. B. et al. Linezolid: a promising option in the treatment of Gram-positives. The Journal of Antimicrobial Chemotherap, 72(2):354–364, 2017.

Zhao, M. et al. Similar efficacy and safety of daptomycin versus linezolid for treatment of vancomycin-resistant enterococcal bloodstream infections: a meta-analysis. International Journal of Antimicrobial Agents, 48(3):231–238, 2016.

Published

2022-01-02

Issue

Section

Review Article

How to Cite

Reviewing Treatment for Methicillin-Resistant Staphylococcus aureus Pneumonia. Research, Society and Development, [S. l.], v. 11, n. 1, p. e8411124338, 2022. DOI: 10.33448/rsd-v11i1.24338. Disponível em: https://rsdjournal.org/rsd/article/view/24338. Acesso em: 5 dec. 2025.