Evidence map›Paper›PMID 28702469›Full record

ArticleOpen forum infectious diseases2017

Comparison Between Carbapenems and β-Lactam/β-Lactamase Inhibitors in the Treatment for Bloodstream Infections Caused by Extended-Spectrum β-Lactamase-Producing

Maged Muhammed, Myrto Eleni Flokas, Marios Detsis, Michail Alevizakos, Eleftherios Mylonakis

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.1field-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

19 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
  2. A NovelAntibiotics (Basel, Switzerland) · 2024
    Article
  3. Observational
  4. Article
  5. Review
  6. Article
  7. Carbapenem-ResistantInfection and drug resistance · 2022
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Point-counterpoint: The MERINO trial and what it should imply for future treatment of ESBL bacteremia.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2019
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Clinical Outcomes of Extended-Spectrum Beta-Lactamase-ProducingThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2018
    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

5 authors at 1 institution in 1 country.

Maged MuhammedInfectious Diseases Division, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence.
Myrto Eleni FlokasInfectious Diseases Division, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence.
Marios DetsisInfectious Diseases Division, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence.
Michail AlevizakosInfectious Diseases Division, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence.
Eleftherios MylonakisInfectious Diseases Division, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence.
Rhode Island Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarbapenems are widely used for the management of bloodstream infections (BSIs) caused by extended-spectrum β-lactamase-producing

methodsWe searched the PubMed and Scopus databases (last search date was on June 1, 2016) looking for studies that reported mortality in adult patients with ESBL-PE BSIs that were treated with carbapenems or β-lactam/β-lactamase inhibitors (BL/BLIs).

resultsFourteen studies reported mortality data in adult patients with ESBL-PE BSI that were treated with carbapenems or BL/BLIs. Among them, 13 studies reported extractable data on empiric therapy, with no statistically significant difference in mortality of patients with ESBL-PE BSI that were treated empirically with carbapenems (22.1%; 121 of 547), compared with those that received empiric BL/BLIs (20.5%; 109 of 531; relative risk [RR], 1.05; 95% confidence interval [CI], 0.83-1.37; I

conclusionsThese data do not support the wide use of carbapenems as empiric therapy, and BL/BLIs might be effective agents for initial/empiric therapy for patients with BSI caused by likely ESBL-PE, and especially ESBL

Indexed as

bloodstream infection (BSI)carbapenemsextended-spectrum β-lactamase (ESBL).β-lactam/β-lactamase inhibitor (BL/BLIs)

Identifiers

PMID28702469
PMCPMC5499850
OpenAlexW2614212733

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.