Evidence map›Paper›PMID 23385795›Full record

Trial reportInvestigative ophthalmology & visual science2013

Moxifloxacin susceptibility mediates the relationship between causative organism and clinical outcome in bacterial keratitis.

Catherine E Oldenburg, Prajna Lalitha, Muthiah Srinivasan, Palanisamy Manikandan, M Jayahar Bharathi, Revathi Rajaraman, Meenakshi Ravindran, Jeena Mascarenhas, Natalie Nardone, Kathryn J Ray and 3 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Investigative ophthalmology & visual science, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00324168 (Steroids for Corneal Ulcers Trial), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 10% 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.

NCT00324168 phase4completednot on this map

Steroids for Corneal Ulcers Trial

TypeinterventionalSponsorThomas M. LietmanRan2006 to 2012Enrolled500ConditionsCorneal Ulcer, Eye Infections, BacterialArmsAntibiotics, Topical corticosteroid, Placebo
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Topical corticosteroids as adjunctive therapy for bacterial keratitis.The Cochrane database of systematic reviews · 2014
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Staphylococcal Enterotoxins Promote Virulence in Bacterial Keratitis.Investigative ophthalmology & visual science · 2023
    Article
  7. Article
  8. Article
  9. Treatment-Resistant Bacterial Keratitis: Challenges and Solutions.Clinical ophthalmology (Auckland, N.Z.) · 2020
    Review
  10. Article
  11. Review
  12. Article
  13. Role of steroids in the treatment of bacterial keratitis.Clinical ophthalmology (Auckland, N.Z.) · 2016
    Review
  14. Review
  15. Anti-inflammatory effect of emodin on lipopolysaccharide-induced keratitis in Wistar rats.International journal of clinical and experimental medicine · 2015
    Article
  16. Article
  17. 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

13 authors at 4 institutions in 2 countries.

Catherine E OldenburgFrancis I. Proctor Foundation, University of California–San Francisco, 513 Parnassus Avenue, Room S309, San Francisco, CA 94117, USA.
Prajna Lalitha
Muthiah Srinivasan
Palanisamy Manikandan
M Jayahar Bharathi
Revathi Rajaraman
Meenakshi Ravindran
Jeena Mascarenhas
Natalie Nardone
Kathryn J Ray
David V Glidden
Nisha R Acharya
Thomas M Lietman
Aravind Eye Hospital · INSan Francisco Foundation · USUniversity of California, San Francisco · USCancer Research And Biostatistics · US

Funding

Rapid-Prototyping and Design CoreP30EY002162 · NEI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ULLIAN, ERIK M · 1985 to 2024
$16.8M
Epidemiology of Infectious Diseases and BiodefenseT32AI007535 · NIAID · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI GRAD, YONATAN H, MURRAY, MEGAN B · 1998 to 2025
$4.8M
The Steroids for Cornea Ulcers TrialU10EY015114 · NEI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LIETMAN, THOMAS M · 2005 to 2009
$2.4M
Predicting and Improving Clinical Outcomes for Bacterial KeratitisK23EY017897 · NEI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ACHARYA, NISHA · 2007 to 2011
$1.1M
NEI NIH HHS EY02162NEI NIH HHS K23 EY017897NEI NIH HHS K23EY017897NEI NIH HHS P30 EY002162NEI NIH HHS U10 EY015114NIAID NIH HHS T32 AI007535NIAID NIH HHS T32AI007535
6 · The paper itself

Abstract

purposeBacterial keratitis is a sight-threatening infection of the cornea that is one of the leading causes of blindness globally. In this report, we analyze the role of moxifloxacin susceptibility in the relationship between causative organisms and clinical outcome in bacteria keratitis.

methodsA mediation analysis is used to assess the role of moxifloxacin susceptibility in the relationship between causative organisms and clinical outcome in bacterial keratitis using data collected in a randomized, controlled trial.

resultsIn the Steroids for Corneal Ulcers Trial (SCUT), 500 corneal infections were treated with topical moxifloxacin. The outcome of 3-week best spectacle-corrected visual acuity was significantly associated with an organism (Streptococcus pneumoniae, Pseudomonas aeruginosa, etc., P = 0.008). An indirect effects mediation model suggests that MIC accounted for approximately 13% (95% confidence interval, 3%-24%, P = 0.015) of the effect of the organism on 3-week visual acuity.

conclusionsMoxifloxacin mediates the relationship between causative organisms and clinical outcome in bacterial keratitis, and is likely on the causal pathway between the organism and outcome. (ClinicalTrials.gov number, NCT00324168.).

Indexed as

Administration, TopicalAnti-Infective AgentsAza CompoundsBacteriaCorneal UlcerDisease SusceptibilityDouble-Blind MethodEye Infections, BacterialFluoroquinolonesHumansMicrobial Sensitivity TestsMoxifloxacinOphthalmic SolutionsPrednisoloneQuinolinesTreatment OutcomeAnti-Infective AgentsAza CompoundsFluoroquinolonesMoxifloxacinOphthalmic SolutionsPrednisoloneQuinolines

Identifiers

PMID23385795
PMCPMC4136376
OpenAlexW2032188844

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.