In a randomized controlled trial, an early switch to oral antibiotic therapy was noninferior to standard intravenous therapy for selected patients with S. aureus bacteremia.
Switching to oral antibiotic therapy can be as effective as prolonged intravenous (IV) therapy for several infections, including bone and joint infections and endocarditis (NEJM JW Infect Dis Jan 30 2019 and N Engl J Med 2019; 380:425; NEJM JW Gen Med Apr 14 2020 and JAMA Intern Med 2020; 180:769). European investigators now report results of an open-label, controlled noninferiority trial comparing a switch to oral antibiotics or continued IV treatment after 5 to 7 days of IV therapy in individuals with low-risk Staphylococcus aureus bacteremia (e.g., clearance of bacteremia within 72 hours, no evidence of deep-seated focus). Total duration of therapy was 14 days; oral options were trimethoprim-sulfamethoxazole, clindamycin, or linezolid; I…