Peer-Reviewed Publication
Antimicrob Agents Chemother2026;e0176525.September 11, 2026Journal Article

Effectiveness and safety of cefazolin vs antistaphylococcal penicillins for methicillin-susceptible Staphylococcus aureus bacteremia: a multicenter real-world evaluation using the international TriNetX database.

Natesan Ramsamy1, Maïa Simon2,3, Isabelle Adam2, Gema Hernandez4, Sarah Williford4, Olivier Denquin4, Céline Pulcini3,5, Nathalie Thilly2,3, Benjamin Lefèvre1,3
1CHRU-Nancy, Service des Maladies Infectieuses et Tropicales, Université de Lorraine, Nancy, France.
2Département Méthodologie Promotion Investigation, Université de Lorraine, CHRU-Nancy, Nancy, France.
3Université de Lorraine, INSERM, INSPIIRE, Nancy, France.
4TriNetX LLC, Cambridge, Massachusetts, USA.
5CHRU-Nancy, Centre Régional en Antibiothérapie du Grand Est AntibioEst, Université de Lorraine, Nancy, France.

Abstract

This study aimed to evaluate the effectiveness and safety of cefazolin vs antistaphylococcal penicillins (ASPs) in the treatment of methicillin-susceptible Staphylococcus aureus (MSSA) bacteremia. This phase IV, retrospective, comparative-effectiveness, multicenter study used data extracted from the international TriNetX analytics platform. Eligible patients developed monomicrobial MSSA bacteremia…

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