Review Article

Intravenous Fosfomycin: An Assessment of Its Potential for Use in the Treatment of Systemic Infections in Canada

Table 4

Comparative clinical studies describing outcomes for patients receiving intravenous fosfomycin in combination with a second antimicrobial agent.

Trial design (reference)
Infection type ()
Treatment regimens and outcomesPathogens

Open label nonrandomized [55]
Septicemia (32), osteoarthritis (1), meningitis (1), and pulmonary infection (1)
Group 1: 17 patients fosfomycin (237.1 mg/kg daily IV)/penicillin
Cure: 16/17 (94.1%)
Group 2: 18 patients gentamicin/penicillin
Cure: 14/18 (77.7%)
MSSA

Prospective randomized [56]
Ventilator-associated pneumonia (22) and pneumonia (10)
Group 1: 17 patients fosfomycin (12 g daily IV)/ampicillin
Cure: 10/17 (58.8%); improvement: 6/17 (35.2%)
Group 2: 15 patients gentamicin/ampicillin
Cure: 7/15 (46.6%); improvement: 5/15 (33.3%)
E. coli, coagulase-positive staphylococci, P. aeruginosa, and Klebsiella