Evidence map›Paper›PMID 10858333›Full record

Trial reportAntimicrobial agents and chemotherapy2000

Clinical efficacy of intravenous followed by oral azithromycin monotherapy in hospitalized patients with community-acquired pneumonia. The Azithromycin Intravenous Clinical Trials Group.

J Plouffe, D B Schwartz, A Kolokathis, B W Sherman, P M Arnow, J A Gezon, B Suh, A Anzuetto, R N Greenberg, M Niederman and 4 more

Open access · greenAbstract readClinical TrialClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Antimicrobial agents and chemotherapy, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

  1. Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2007
    Guideline
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Review
  7. Antimicrobial therapy of community-acquired pneumonia.Infectious disease clinics of North America · 2004
    Review
  8. Review
  9. Macrolides: A Canadian Infectious Disease Society position paper.The Canadian journal of infectious diseases = Journal canadien des maladies infectieuses · 2001
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 12 institutions in 1 country.

J PlouffeOhio State University, Columbus, Cleveland, Ohio, USA.
D B Schwartz
A Kolokathis
B W Sherman
P M Arnow
J A Gezon
B Suh
A Anzuetto
R N Greenberg
M Niederman
J A Paladino
J A Ramirez
J Inverso
C A Knirsch
Pfizer (United States) · USAlbany Medical Center Hospital · USMillard Fillmore Suburban Hospital · USMount Sinai Hospital · USSalt Lake Community College · USTemple University · USThe Ohio State University · USThe University of Texas at San Antonio · USUniversity of Chicago · USUniversity of Kentucky · USUniversity of Louisville · USWinthrop-University Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study was to evaluate intravenous (i.v.) azithromycin followed by oral azithromycin as a monotherapeutic regimen for community-acquired pneumonia (CAP). Two trials of i.v. azithromycin used as initial monotherapy in hospitalized CAP patients are summarized. Clinical efficacy is reported from an open-label randomized trial of azithromycin compared to cefuroxime with or without erythromycin. Bacteriologic and clinical efficacy results are also presented from a noncomparative trial of i.v. azithromycin that was designed to give additional clinical experience with a larger number of pathogens. Azithromycin was administered to 414 patients: 202 and 212 in the comparative and noncomparative trials, respectively. The comparator regimen was used as treatment for 201 patients; 105 were treated with cefuroxime alone and 96 were given cefuroxime plus erythromycin. In the comparative trial, clinical outcome data were available for 268 evaluable patients with confirmed CAP at the 10- to 14-day visit, with 106 (77%) of the azithromycin patients cured or improved and 97 (74%) of the comparator patients cured or improved. Mean i.v. treatment duration and mean total treatment duration (i.v. and oral) for the clinically evaluable patients were significantly (P < 0.05) shorter for the azithromycin group (3.6 days for the i.v. group and 8.6 days for the i.v. and oral group) than for the evaluable patients given cefuroxime plus erythromycin (4.0 days for the i.v. group and 10.3 days for the i.v. and oral group). The present comparative study demonstrates that initial therapy with i.v. azithromycin for hospitalized patients with CAP is associated with fewer side effects and is equal in efficacy to a 1993 American Thoracic Society-suggested regimen of cefuroxime plus erythromycin when the erythromycin is deemed necessary by clinicians.

Indexed as

Administration, OralAdolescentAdultAgedAnti-Bacterial AgentsAzithromycinCommunity-Acquired InfectionsFemaleHospitalizationHumansInfusions, IntravenousMaleMicrobial Sensitivity TestsMiddle AgedPenicillin ResistancePneumoniaAnti-Bacterial AgentsAzithromycin

Identifiers

PMID10858333
PMCPMC89964
OpenAlexW2124704584

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.