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SmithKline Beecham's Bactroban Nasal Now Available; First Intranasal Product Approved for the Eradication of MRSA, a Resistant Bacteria Linked to Infection Outbreaks.


PHILADELPHIA--(HealthWire)--April 29, 1996--SmithKline Beecham announced today that Bactroban(R) Nasal (mupirocin calcium ointment), 2%, which recently was cleared for marketing by the U.S. Food and Drug Administration (FDA FDA
abbr.
Food and Drug Administration


FDA,
n.pr See Food and Drug Administration.

FDA,
n.pr the abbreviation for the Food and Drug Administration.
), now is available nationwide. Bactroban Nasal is a new formulation of the company's topical antibiotic, Bactroban (mupirocin). Bactroban Nasal is the first intranasally administered topical agent shown to be effective in the eradication of nasal colonization with methicillin-resistant Staphylococcus aureus methicillin-resistant Staphylococcus aureus Methicillin-aminoglycoside resistant Staphylococcus aureus, MRSA An organism with multiple antibiotic resistances–eg, aminoglycosides, chloramphenicol, clindamycin, erythromycin, rifampin, tetracycline,  (MRSA MRSA Methicillin-resistant Staphylococcus aureus. See MARSA. ) in adult patients and health care workers as part of a comprehensive infection control program to reduce the risk of MRSA infection during institutional outbreaks of infections with this pathogen. A problem first confined to tertiary care centers and large teaching hospitals, MRSA outbreaks increasingly affect hospitals and other health care institutions of all sizes and, once established, have proven extremely difficult to eradicate.

According to an estimate from the Centers for Disease Control and Prevention Centers for Disease Control and Prevention (CDC), agency of the U.S. Public Health Service since 1973, with headquarters in Atlanta; it was established in 1946 as the Communicable Disease Center.  (CDC See Control Data, century date change and Back Orifice.

CDC - Control Data Corporation
), each year approximately two million patients in the U.S. contract hospital-acquired infections, at an estimated cost of $4.5 billion (1992 dollars). Further complicating this costly problem is antibiotic resistance, which hampers treatment of the infections. Indeed, severe infection with MRSA has been associated with longer hospital stays and increased risk of death compared to severe infection with methicillin-sensitive Staphylococcus aureus.

"By eliminating MRSA from the nostrils of patients and health care workers, Bactroban Nasal affords physicians the potential opportunity to reduce the incidence of serious and sometimes life-threatening infections during outbreak situations. This in turn may decrease the length of hospital stays and decrease hospital costs," said Jerry Karabelas, PhD, president, North America, SmithKline Beecham.

Analysis of six U.S. clinical trials designed to evaluate the effectiveness of Bactroban Nasal in eliminating S. aureus The aureus (pl. aurei) was a gold coin of ancient Rome valued at 25 silver denarii. The aureus was regularly issued from the 1st century BC to the beginning of the 4th century AD, when it was replaced by the solidus.  from the nostrils in health care workers showed that of the volunteers evaluated for efficacy, nasal carriage of S. aureus was eliminated in 91 percent (130/143) of volunteers receiving Bactroban Nasal but in only 6 percent (8/142) of volunteers receiving placebo. In addition, 74 percent (96/130) of the volunteers treated with Bactroban Nasal who were free of S. aureus at the end of therapy (five days) remained free of the bacteria four weeks after treatment compared with 12.5 percent (1/8) of the placebo volunteers. No serious side effects were reported. Only one of 339 participants withdrew from the study due to a side effect. The most frequently reported side effects associated with Bactroban Nasal were headache (9%), rhinitis Rhinitis Definition

Rhinitis is inflammation of the mucous lining of the nose.
Description

Rhinitis is a nonspecific term that covers infections, allergies, and other disorders whose common feature is the location of their symptoms.
 (6%), and respiratory disorder including upper respiratory tract congestion The condition of a network when there is not enough bandwidth to support the current traffic load.

congestion - When the offered load of a data communication path exceeds the capacity.
 (5).

The carriage of MRSA in the nostrils in patients and health care workers leads to increased rates of MRSA infection within the health care environment. Patients at high risk of MRSA infection may include those undergoing surgery and those being treated in intensive care units. For this reason, it is important to contain nasal carriage of MRSA.

Bactroban Nasal is the first product in the U.S. indicated for the elimination of MRSA from the nostrils, where these bacteria commonly are found. By eradicating MRSA from the nose, Bactroban Nasal interrupts the transmission of the bacteria to a potential site of infection.

"Many health care professionals and patients do not fully understand that carrying S. aureus in the nose can lead to infection in other parts of the body," said Richard P. Wenzel, MD, MSc, Professor and Chairman, Department of Internal Medicine, Medical College of Virginia History
The school was founded in 1838 as the Medical Department of Hampden-Sydney College. It received an independent charter from the General Assembly in 1854 and became the Medical College of Virginia, and shortly thereafter transferred all its property to the Commonwealth
, Virginia Commonwealth University Formed by a merger between the Richmond Professional Institute and the Medical College of Virginia in 1968, VCU has a medical school that is home to the nation's oldest organ transplant program. . "By eradicating methicillin-resistant S. aureus from the nose, you can stop the bacteria from being spread to other body sites (like intravenous access sites, or surgical wounds) causing infections."

Bactroban Nasal is available in a 1-gram single-use applicator ap·pli·ca·tor
n.
An instrument for applying something, such as a medication.


applicator,
n a device for applying medication; usually a slender rod of glass or wood, used with a pledget of cotton on the end.
 tube and is formulated specifically for intranasal in·tra·na·sal
adj.
Within the nose.
 use. The recommended course of therapy is twice daily application for 5 days.

SmithKline Beecham -- one of the world's leading healthcare companies -- discovers, develops, manufactures and markets pharmaceuticals, vaccines, over-the-counter medicines and health-related consumer products, and provides healthcare services including clinical laboratory testing, disease management and pharmaceutical benefit management. -0-

For more information, see brief summary of Prescribing Information.

CONTACT: SmithKline Beecham, Philadelphia

Sharyn Arnold - Media, 215/751-7074

Richard Williams - Investors, 215/751-7002
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Copyright 1996, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Date:Apr 29, 1996
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