Evidence map›Paper›PMID 28598693›Full record

SynthesisExpert opinion on pharmacotherapy2017

Managing community acquired pneumonia in the elderly - the next generation of pharmacotherapy on the horizon.

B Amalakuhan, K L Echevarria, M I Restrepo

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Expert opinion on pharmacotherapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Community-acquired pneumonia in critically ill very old patients: a growing problem.European respiratory review : an official journal of the European Respiratory Society · 2020
    Review
  9. Review
  10. Article
  11. Article
  12. 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 at 1 institution in 1 country.

B Amalakuhana Department of Medicine, Division of Pulmonary and Critical Care Medicine , University of Texas Health Science Center San Antonio , San Antonio , TX , USA.
K L Echevarriaa Department of Medicine, Division of Pulmonary and Critical Care Medicine , University of Texas Health Science Center San Antonio , San Antonio , TX , USA.
M I Restrepoa Department of Medicine, Division of Pulmonary and Critical Care Medicine , University of Texas Health Science Center San Antonio , San Antonio , TX , USA.
South Texas Veterans Health Care System · US

Funding

Effect of macrolides as immunomodulators in patients with sepsis and pneumoniaK23HL096054 · NHLBI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI RESTREPO, MARCOS I. · 2010 to 2014
$689k
NHLBI NIH HHS K23 HL096054
6 · The paper itself

Abstract

introductionCommunity acquired pneumonia (CAP) is associated with high rates of morbidity and mortality, especially among the elderly. Antibiotic treatment for CAP in the elderly is particularly challenging for many reasons, including compliance issues, immunosuppression, polypharmacy and antimicrobial resistance. There are few available antibiotics that are able to address these concerns. Areas covered: After a systematic review of the current literature, we describe seven novel antibiotics that are currently in advanced stages of development (phase 3 and beyond) and show promise for the treatment of CAP in those over the age of 65. These antibiotics are: Solithromycin, Pristinamycin, Nemonaxacin, Lefamulin, Omadacycline, Ceftobiprole and Delafloxacin. Using a novel conceptual framework designed by the present authors, known as the 'San Antonio NIPS model', we evaluate their strengths and weaknesses based on their ability to address the unique challenges that face the elderly. Expert opinion: All seven antibiotics have potential value for effective utilization in the elderly, but to varying degrees based on their NIPS model score. The goal of this model is to reorganize a clinician's focus on antibiotic choices in the elderly and bring attention to a seldom discussed topic that may potentially become a health-care crisis in the next decade.

Indexed as

AgedAnti-Bacterial AgentsClinical Trials as TopicCommunity-Acquired InfectionsDrug Resistance, BacterialHumansMedication AdherencePneumonia, BacterialTreatment OutcomeAnti-Bacterial AgentsCAPCeftobiprolecommunity-acquired pneumoniaLefamulinNemonaxacinOmadacyclinepharmacotherapyPristinamycinSan Antonio NIPS ModelSolithromycin

Identifiers

PMID28598693
PMCPMC6092187
OpenAlexW2621952051

What OpenQuestion holds

Textmetadata
LicenceTDM
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.