• A J Brink, D Bizos, K D Boffard, C Feldman, D C Grolman, J Pretorius, G A Richards, M Senekal, E Steyn, N Welkovic, Association of Surgeons of South Africa, Critical Care Society of Southern Africa, Federation of Infectious Diseases Societies of Southern Africa, South African Thoracic Society, and Trauma Society of South Africa.
• Ampath National Laboratory Services. brinka@ampath.co.za
• S. Afr. Med. J. 2010 Jun 1; 100 (6 Pt 2): 388-94.

IntroductionTigecycline, the first of a new class of antibiotics, the glycylcyclines, was licensed in South Africa for the parenteral treatment of adult patients with complicated intra-abdominal infections (cIAIs) and complicated skin and soft-tissue infections (cSSTIs).MethodsA multidisciplinary meeting representative of the Association of Surgeons of South Africa, the Critical Care Society of Southern Africa, the Federation of Infectious Diseases Societies of Southern Africa, the South African Thoracic Society and the Trauma Society of South Africa was held to draw up a national guideline for the appropriate use of tigecycline. Background information reviewed included randomised controlled trials, other relevant publications and local antibiotic susceptibility patterns. The initial document was drafted at the meeting. Subsequent drafts were circulated to members of the working group for modification.OutputThe guideline addresses several important aspects of the new agent, summarising key clinical data and highlighting important considerations with the use of the drug. The recommendations in this guideline are based on currently available scientific evidence together with the consensus opinion of the authors.ConclusionThis statement was written out of concern regarding the widespread misuse of antibiotics. Its primary intention is to facilitate heterogeneous use of antibiotics as a component of antibiotic stewardship and to highlight the appropriate use of tigecycline in particular.

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