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Dealing with complicated skin and skin-structure infections has become more challenging because of the emergence of antibiotic-resistant bacterial strains (particularly methicillin- resistant Staphylococcus aureus [MRSA]). Ceftobiprole, a new cephalosporin with a high affinity for penicillin-binding protein 2a, may provide another option for treating such infections. Its MIC90 for MRSA is 2 µg/mL and for Enterobacteriaceae is 4 µg/mL.
In a recent industry-sponsored, multinational, randomized, double-blind trial involving 828 patients with various complicated skin and soft-tissue infections, researchers compared intravenous ceftobiprole (500 mg every 8 hours for 7–14 days) to vancomycin (1000 mg every 12 hours) plus ceftazidime (1000 mg every…