Evidence map›Paper›PMID 28421633›Full record

Trial reportJournal of veterinary internal medicine2017

Efficacy of Tulathromycin for the Treatment of Foals with Mild to Moderate Bronchopneumonia.

D Rutenberg, M Venner, S Giguère

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of veterinary internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Tulathromycin and Diclazuril Lack Efficacy againstPathogens (Basel, Switzerland) · 2023
    Article
  5. Article
  6. Less Typical Courses ofVeterinary sciences · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Current Trends in Understanding and Managing Equine Rhodococcosis.Animals : an open access journal from MDPI · 2020
    Review
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

3 authors.

D RutenbergEquine Clinic, School of Veterinary Medicine, Hanover, Germany.
M VennerVeterinary Clinic, Destedt, Germany.
S GiguèreVeterinary Medical Center, University of Georgia, Athens, GA.ORCID 0000-0001-8182-7146

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is conflicting data regarding the efficacy of tulathromycin for the treatment of foals with bronchopneumonia. HYPOTHESES: Tulathromycin is effective for the treatment of bronchopneumonia in foals and noninferior to the combination of azithromycin and rifampin. ANIMALS: A total of 240 foals on a farm endemic for infections caused by Rhodococcus equi.

methodsIn a controlled, randomized, and double-blinded clinical trial, foals with ultrasonographic pulmonary lesions (abscess score 10-15 cm) were allocated to 3 groups: 1-tulathromycin IM q 7 days (n = 80); 2-azithromycin-rifampin, orally q24h (n = 80); or 3-untreated controls (n = 80). Physical examination and thoracic ultrasonography were performed by individuals unaware of treatment group assignment. Foals that worsened were considered treatment failures and removed from the study.

resultsThe proportion of foals that recovered was significantly higher for foals treated with tulathromycin (70 of 79) or azithromycin-rifampin (76 of 80) compared to that of control foals (22 of 80). The difference in the percentage of efficacy of azithromycin-rifampin versus tulathromycin was 6.4% (90% CI = -0.72-13.5%). Given that the confidence interval crossed the predetermined noninferiority limit of 10%, the null hypothesis that the response rate in the azithromycin-rifampin group is superior to that of the tulathromycin group could not be rejected. Resolution of ultrasonographic lesions occurred faster in foals treated with azithromycin-rifampin than in foals treated with tulathromycin. CONCLUSION AND CLINICAL IMPORTANCE: Tulathromycin was effective for the treatment of bronchopneumonia in foals at this farm but not as effective as the combination of azithromycin-rifampin.

Indexed as

Actinomycetales InfectionsAnimalsAnti-Bacterial AgentsAzithromycinBronchopneumoniaDisaccharidesDouble-Blind MethodDrug Therapy, CombinationFemaleHeterocyclic CompoundsHorse DiseasesHorsesMacrolidesMaleRhodococcus equiRifampinAnti-Bacterial AgentsAzithromycinDisaccharidesHeterocyclic CompoundsMacrolidesRifampintulathromycinMacrolidePneumoniaRhodococcus equi

Identifiers

PMID28421633
PMCPMC5435035

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.