Evidence map›Paper›PMID 22431854›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2012

Unmet needs and prospects for oritavancin in the management of vancomycin-resistant enterococcal infections.

Cesar A Arias, Rodrigo E Mendes, Matthew G Stilwell, Ronald N Jones, Barbara E Murray

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.5field-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

18 citing papers in PubMed, 61 citations in OpenAlex.

  1. Article
  2. Article
  3. Multi-drug-resistantJMM case reports · 2019
    Article
  4. Review
  5. Time Is of the Essence: The Impact of Delayed Antibiotic Therapy on Patient Outcomes in Hospital-Onset Enterococcal Bloodstream Infections.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    Observational
  6. Article
  7. Article
  8. Evolving resistance among Gram-positive pathogens.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2015
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. μHall chip for sensitive detection of bacteria.Advanced healthcare materials · 2013
    Article
  17. Endocarditis caused by resistant enterococcus: an overview.Current infectious disease reports · 2013
    Article
  18. Susceptibility rates in Latin American nations: report from a regional resistance surveillance program (2011).The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    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

5 authors at 3 institutions in 2 countries.

Cesar A AriasDepartment of Internal Medicine, Division of Infectious Diseases, University of Texas Medical School, 6431 Fannin St, Houston, TX 77030, USA.
Rodrigo E Mendes
Matthew G Stilwell
Ronald N Jones
Barbara E Murray
JMI Laboratories · USOffice of Infectious Diseases · USTufts University · US

Funding

Molecular Mechanisms Of Daptomycin Resistance In EnterococciR01AI093749 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI ARIAS, CESAR AUGUSTO · 2011 to 2015
$1.9M
NIAID NIH HHS R01 AI093749
6 · The paper itself

Abstract

The treatment of infections caused by vancomycin-resistant enterococci (VRE) has become an important clinical challenge and compromises the care of critically ill patients. A striking increase in the frequency of nosocomial isolation of multidrug-resistant Enterococcus faecium has dramatically reduced the therapeutic alternatives because the majority of E. faecium isolates are resistant to ampicillin and vancomycin. Only 2 agents have US Food and Drug Administration approval for the treatment of VRE (E. faecium) infections, namely, linezolid and quinupristin/dalfopristin (Q/D). However, the use of these compounds in severe VRE infections is hampered by the lack of in vivo bactericidal activity, reports of therapeutic failures with monotherapy, a requirement for central venous access for administration (Q/D), and adverse-effect profile. The lipopeptide antimicrobial daptomycin has in vitro bactericidal activity against VRE; however, clinical use of this compound for VRE has not been well studied, and the reports of resistance emerging during therapy at the approved doses are worrisome. Tigecycline has in vitro bacteriostatic activity against VRE, but its clinical use for serious enterococcal infections is unclear due to low serum levels and static effect. Thus, current reliable therapies for VRE appear to be limited, and clinical data that use the above compounds are certainly scant. Oritavancin is an investigational semisynthetic glycopeptide with potent in vitro activity against VRE (both VanA and VanB phenotypes). Although review of the available preclinical data indicates that this compound used as a single agent is likely to have important limitations for the treatment of a severe VRE infection (ie, endocarditis), combination of oritavancin with other agents such as aminoglycosides may offer promise and deserves further investigation, as does use of oritavancin for less serious infections as monotherapy for vancomycin-susceptible and multidrug-resistant enterococci.

Indexed as

Drug Resistance, Multiple, BacterialVancomycin ResistanceAnimalsAnti-Bacterial AgentsColony Count, MicrobialDisease Models, AnimalDrug Therapy, CombinationEnterococcusGlycopeptidesGram-Positive Bacterial InfectionsHumansLipoglycopeptidesMicrobial Sensitivity TestsRabbitsRatsVancomycinAnti-Bacterial AgentsGlycopeptidesLipoglycopeptidesoritavancinVancomycin

Identifiers

PMID22431854
PMCPMC6279151
OpenAlexW2135475671

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.