Evidence map›Paper›PMID 24871500›Full record

Observational studyIntensive care medicine2014

Tigecycline use in critically ill patients: a multicentre prospective observational study in the intensive care setting.

Philippe Montravers, Hervé Dupont, Jean-Pierre Bedos, Philippe Bret, Tigecycline Group

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Intensive care medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  12. Tigecycline Therapy for Multi-drug-ResistantSN comprehensive clinical medicine · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Philippe MontraversDepartment of Anesthesiology and Surgical Intensive Care, Bichat-Claude Bernard University Hospital Center, Paris Diderot University, Sorbonne Paris-Cité and AP-HP, 46 Rue Henri-Huchard, 75018, Paris, France, philippe.montravers@bch.aphp.fr.
Hervé Dupont
Jean-Pierre Bedos
Philippe Bret
Tigecycline Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis prospective observational study aimed at describing prescription patterns of tigecycline and patient outcomes in 26 French intensive care units (ICU).

methodsData of consecutive cases of adult patients treated with tigecycline were collected from the initiation until 7 days after the end of treatment. Response to treatment was classified as success, failure or undetermined and analyses were presented according to severity (SOFA score <7 or ≥7). Survival was recorded at 28 days.

resultsA total of 156 patients were included (64% male, age 60 ± 15 years). At inclusion, 53% had a SOFA score ≥7; 93% had received prior anti-infective agents. Tigecycline was given as first-line treatment in 47% of patients, mostly in combination (67%), for intra-abdominal (IAI 56%), skin and soft tissue (SSTI 19%) or other infections. A total of 76% of the treated infections were hospital-acquired. Bacteraemia was reported in 12% of patients. Median treatment duration was 9 days. Tigecycline was prematurely stopped in 42% patients. The global success rate was 60% at the end of treatment, and significantly higher with treatment duration more than 9 days (76 vs. 47%, P < 0.001). Success rate was 65% for patients alive at the end of treatment. Success rates tended to decrease with illness severity, immunosuppression, bacteraemia and obesity. Survival rate at day 28 was 85% in the whole cohort and significantly higher in the less severely ill patients (P < 0.001).

conclusionsTigecycline success rates appear comparable to those reported in clinical studies in ICU with severe infections. Tigecycline could be an alternative in ICU patients.

Indexed as

Critical IllnessHospital MortalityAdultAgedAged, 80 and overAnti-Bacterial AgentsBacteremiaCross InfectionDrug Therapy, CombinationFemaleFranceHumansImmunocompromised HostInfectionsIntensive Care UnitsMaleAnti-Bacterial AgentsMinocyclineTigecycline

Identifiers

PMID24871500
PMCPMC4061476

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Registered trials

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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.