Evidence map›Paper›PMID 22354306›Full record

Trial reportAntimicrobial agents and chemotherapy2012

Microbiological analysis of a prospective, randomized, double-blind trial comparing moxifloxacin and clindamycin in the treatment of odontogenic infiltrates and abscesses.

Ingo Sobottka, Karl Wegscheider, Ludwig Balzer, Rainer H Böger, Olaf Hallier, Ina Giersdorf, Thomas Streichert, Munif Haddad, Ursula Platzer, Georg Cachovan

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Antimicrobial agents and chemotherapy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05027893 (Efficacy of the Application of Moxifloxacin and Cefixime in Reduction of Inflammatory Sequelae and Complications After Mandibular Third Molar Surgery), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 6% 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.

NCT05027893 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Efficacy of the Application of Moxifloxacin and Cefixime in Reduction of Inflammatory Sequelae and Complications After Mandibular Third Molar Surgery

TypeinterventionalSponsorUniversity of Novi SadRan2019 to 2023Enrolled157ConditionsPostoperative Complications, Antibiotic Reaction, Antibiotic Side Effect, Antibiotic Resistant InfectionArmsMoxifloxacin 400 mg Oral Tablet, Cefixime 400 mg Oral Tablet, Placebo
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  4. Review
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  7. Review
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  15. Review
  16. Antibiotic sensitivity and resistance of bacteria from odontogenic maxillofacial abscesses.Journal of the Korean Association of Oral and Maxillofacial Surgeons · 2019
    Article
  17. Article
  18. Review
  19. Efficacy of oral moxifloxacin for aerobic vaginitis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2016
    Article
  20. 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

10 authors at 3 institutions in 1 country.

Ingo SobottkaDepartment of Medical Microbiology, Virology, and Hygiene, Diagnostic Center, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Karl Wegscheider
Ludwig Balzer
Rainer H Böger
Olaf Hallier
Ina Giersdorf
Thomas Streichert
Munif Haddad
Ursula Platzer
Georg Cachovan
Universität Hamburg · DEUniversity Medical Center Hamburg-Eppendorf · DEAgaplesion Diakonieklinikum Rotenburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this study was to identify the oral pathogens found in odontogenic infections, to determine their susceptibilities to amoxicillin-clavulanic acid (AMC), clindamycin (CLI), doxycycline (DOX), levofloxacin (LVX), moxifloxacin (MXF), and penicillin (PEN), and to search for associations between specific pathogens and types of infection. Swabs from patients enrolled in a randomized, double-blind phase II trial comparing MXF with CLI for the treatment of odontogenic abscesses or inflammatory infiltrates were cultured on media for aerobes and anaerobes. All bacterial isolates were identified at the species level. Overall, 205 isolates were cultured from 71 patients: 77 viridans group streptococci, 56 Prevotella spp., 19 Neisseria spp., 17 Streptococcus anginosus group isolates and hemolytic streptococci, 15 other anaerobes, and 21 other bacteria. Ninety-eight percent of pathogens were susceptible to MXF, 96% to AMC, 85% to LVX, 67% to PEN, 60% to CLI, and 50% to DOX. S. anginosus group and hemolytic streptococci were found significantly more frequently (P = 0.04) in patients with abscesses (12/95) than in patients with infiltrates (5/110). In four patients with infiltrates who failed to respond to CLI therapy, three isolates of the Streptococcus mitis group and four Neisseria spp. resistant to CLI were found. In this study, S. anginosus group and hemolytic streptococci were clearly associated with odontogenic abscesses. Our analysis suggests that viridans group streptococci and Neisseria spp. play a decisive role in the etiology of odontogenic infiltrates. The high in vitro activity of MXF against odontogenic bacteria corresponds well to its clinical results in the treatment of odontogenic abscesses and infiltrates.

Indexed as

Amoxicillin-Potassium Clavulanate CombinationAnti-Bacterial AgentsAza CompoundsBacteria, AerobicBacteria, AnaerobicBacterial InfectionsClindamycinCulture MediaDouble-Blind MethodFemaleFluoroquinolonesGermanyHumansMaleMicrobial Sensitivity TestsMoxifloxacinAmoxicillin-Potassium Clavulanate CombinationAnti-Bacterial AgentsAza CompoundsClindamycinCulture MediaFluoroquinolonesMoxifloxacinPenicillinsQuinolines

Identifiers

PMID22354306
PMCPMC3346634
OpenAlexW1964062756

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.