Evidence map›Paper›PMID 28919718›Full record

ArticleDrug design, development and therapy2017

Extended infusion versus intermittent infusion of imipenem in the treatment of ventilator-associated pneumonia.

Mohamed M Ibrahim, Tarek Fouad Tammam, Mohy El Deen Ebaed, Hatem A Sarhan, Gamal F Gad, Amal K Hussein

Open access · goldAbstract readComparative Study
In one paragraph

Article in Drug design, development and therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
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  4. 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

6 authors at 2 institutions in 1 country.

Mohamed M IbrahimDepartment of Clinical Pharmacy, Faculty of Pharmacy, Minia University, Minia, Egypt.
Tarek Fouad TammamDepartment of Anesthesia and Intensive Care, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Mohy El Deen EbaedDepartment of Biochemistry, Egyptian Ministry of Interior, Cairo, Egypt.
Hatem A SarhanDepartment of Pharmaceutics.
Gamal F GadDepartment of Microbiology and Immunology, Faculty of Pharmacy, Minia University, Minia, Egypt.
Amal K HusseinDepartment of Pharmaceutics.
Minia University · EGSuez Canal University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMechanical ventilation support can be the main source of ventilator-associated pneumonia (VAP). VAP is a serious infection that may be associated with dangerous gram-negative bacteria mainly, and it leads to an increase in the mortality in the intensive care unit (ICU). Imipenem is one of the strongest antibiotics now available for treating VAP which is associated with gram-negative and gram-positive bacteria, and it belongs to beta-lactam antibiotic group (carbapenem).

objectiveThis study tried to investigate the efficacy of imipenem against VAP when it was infused within 180 min versus the efficacy when it was infused within 30-60 min.

settingThis study was conducted in main ICU in general hospital which consists of surgical and medical beds within 2 years. One hundred and eighty-seven patients were enrolled on it.

methodThis study is a retrospective cohort which was conducted within 2 years. The efficacy of imipenem which was administered by intermittent infusion (30-60 min) within first year was compared with the efficacy of imipenem which was administered by extended infusion (180 min) within second year in the field of VAP curing and cost reduction. All data were collected retrospectively from patient medical files and were statistically analyzed by SPSS version 20. MAIN OUTCOME: The study was designed to measure clinical and cost reduction outcomes, mortality and hospital stay.

resultsThe results indicated that there is a significant decrease in mortality, number of recurrent infection, and ICU stay length, and the number of mechanical ventilator days was associated with extended imipenem infusion during the second year of the study.

conclusionThe use of imipenem with extended infusion over 3 hours enhances its clinical outcomes in the treatment of VAP.

Indexed as

Intensive Care UnitsAdultAgedAnti-Bacterial AgentsCohort StudiesDrug Administration ScheduleFemaleHumansImipenemInfusions, IntravenousLength of StayMaleMiddle AgedPneumonia, Ventilator-AssociatedRespiration, ArtificialRetrospective StudiesAnti-Bacterial AgentsImipenemcarbapenemextended infusionimipenemintermittent infusionVAP

Identifiers

PMID28919718
PMCPMC5593413
OpenAlexW2750794970

What OpenQuestion holds

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LicenceCC BY-NC
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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.