Evidence map›Paper›PMID 25339797›Full record

ReviewWorld journal of gastroenterology2014

Multi-resistant bacteria in spontaneous bacterial peritonitis: a new step in management?

Angelo Alves de Mattos, Ane Micheli Costabeber, Livia Caprara Lionço, Cristiane Valle Tovo

Open access · hybridAbstract readEditorialReview
In one paragraph

Review in World journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

27 citing papers in PubMed, 54 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Angelo Alves de MattosAngelo Alves de Mattos, Ane Micheli Costabeber, Livia Caprara Lionço, Cristiane Valle Tovo, Department of Gastroenterology, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre 90430-080, Brasil.
Ane Micheli CostabeberAngelo Alves de Mattos, Ane Micheli Costabeber, Livia Caprara Lionço, Cristiane Valle Tovo, Department of Gastroenterology, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre 90430-080, Brasil.
Livia Caprara LionçoAngelo Alves de Mattos, Ane Micheli Costabeber, Livia Caprara Lionço, Cristiane Valle Tovo, Department of Gastroenterology, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre 90430-080, Brasil.
Cristiane Valle TovoAngelo Alves de Mattos, Ane Micheli Costabeber, Livia Caprara Lionço, Cristiane Valle Tovo, Department of Gastroenterology, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre 90430-080, Brasil.
Universidade Federal de Ciências da Saúde de Porto Alegre · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spontaneous bacterial peritonitis (SBP) is the most typical infection observed in cirrhosis patients. SBP is responsible for an in-hospital mortality rate of approximately 32%. Recently, pattern changes in the bacterial flora of cirrhosis patients have been observed, and an increase in the prevalence of infections caused by multi-resistant bacteria has been noted. The wide-scale use of quinolones in the prophylaxis of SBP has promoted flora modifications and resulted in the development of bacterial resistance. The efficacy of traditionally recommended therapy has been low in nosocomial infections (up to 40%), and multi-resistance has been observed in up to 22% of isolated germs in nosocomial SBP. For this reason, the use of a broad empirical spectrum antibiotic has been suggested in these situations. The distinction between community-acquired infectious episodes, healthcare-associated infections, or nosocomial infections, and the identification of risk factors for multi-resistant germs can aid in the decision-making process regarding the empirical choice of antibiotic therapy. Broad-spectrum antimicrobial agents, such as carbapenems with or without glycopeptides or piperacillin-tazobactam, should be considered for the initial treatment not only of nosocomial infections but also of healthcare-associated infections when the risk factors or severity signs for multi-resistant bacteria are apparent. The use of cephalosporins should be restricted to community-acquired infections.

Indexed as

Drug Resistance, Multiple, BacterialAnti-Bacterial AgentsBacterial InfectionsCommunity-Acquired InfectionsCross InfectionHumansLiver CirrhosisPeritonitisPrognosisRisk FactorsAnti-Bacterial AgentsAscitesCirrhosisInfectionMulti-resistant bacteriaSpontaneous peritonitis

Identifiers

PMID25339797
PMCPMC4202339
OpenAlexW2012008920

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.