Long-Acting Lipoglycopeptides for Gram-Positive Bacteremia at the End of Life to Facilitate Hospice Care: A Report of 3 Cases

Open Forum Infect Dis. 2018 Jan 27;5(1):ofx277. doi: 10.1093/ofid/ofx277. eCollection 2018 Jan.

Abstract

Administering and monitoring intravenous antimicrobials may cause discomfort in patients at the end of life and delay transition to hospice. We describe 3 patients with terminal cancer with methicillin-resistant Staphylococcus aureus, Streptococcus gallolyticus, and Granulicatella adiacens bacteremia who were managed with the long-acting lipoglycopeptide oritavancin to facilitate discharge to hospice.

Keywords: antimicrobials; end-of-life; palliative care.

Publication types

  • Case Reports