Evidence map›Paper›PMID 29018986›Full record

Observational studyEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2018

Hypokalemia during antibiotic treatment for bone and joint infections.

Carmen Falcone, Leonida Compostella, Antonella Camardo, Li Van Stella Truong, Francesco Centofanti

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2018. 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
0.6field-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, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Antimicrobial Agents-induced Hypokalemia: A Possible Causality Association.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2019
    Article
  4. 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.

Carmen FalconeDepartment of Orthopaedics-Osteomyelitis, Istituto Codivilla-Putti, Cortina d'Ampezzo, BL, Italy.
Leonida CompostellaPreventive Cardiology and Rehabilitation, Istituto Codivilla-Putti, Via Codivilla, 1, 32043, Cortina d'Ampezzo, BL, Italy. L.compostella@alice.it.ORCID http://orcid.org/0000-0001-5612-6030
Antonella CamardoDepartment of Orthopaedics-Osteomyelitis, Istituto Codivilla-Putti, Cortina d'Ampezzo, BL, Italy.
Li Van Stella TruongPreventive Cardiology and Rehabilitation, Istituto Codivilla-Putti, Via Codivilla, 1, 32043, Cortina d'Ampezzo, BL, Italy.
Francesco CentofantiDepartment of Orthopaedics-Osteomyelitis, Istituto Codivilla-Putti, Cortina d'Ampezzo, BL, Italy.
Institute of Nanostructured Materials · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDuring treatment of bone and joint infections (BJIs) with multiple antibiotic therapy, hypokalemia has been reported as a rare side effect. The aim of this study was to evaluate incidence and risk factors for hypokalemia in a cohort of patients treated with multidrug therapy for BJIs, in a single center.

methodsWe retrospectively reviewed 331 clinical files of 150 consecutive patients (65% males; median age 59 years, 95% CI 55-62) admitted repeatedly to our Osteomyelitis Department for treatment of chronic BJIs. Besides surgical debridement, patients received a combination of oral and intravenous antibiotics. Routine laboratory tests were performed at admittance and repeated at least weekly. Possible hypokalemia risk factors were recorded and analyzed.

resultsProgressive kalemia reduction occurred in > 39% of patients during hospitalization; prevalence of marked hypokalemia (K

conclusionsAppearance of severe hypokalemia is a frequent event among patients treated for BJIs with multiple antibiotic therapy, when this is prescribed in older age patients and associated with simultaneous use of diuretics. Due to possible increase in mortality risk in the short term, particular caution should be paid during intensive antibiotic treatment in these groups of patients.

Indexed as

Administration, OralAgedAnti-Bacterial AgentsArthritis, InfectiousBone Diseases, InfectiousDiscitisDiureticsDrug InteractionsDrug Therapy, CombinationFemaleHospitalizationHumansHypokalemiaInfusions, IntravenousMaleMiddle AgedAnti-Bacterial AgentsDiureticsAntibioticsDiureticHypokalemiaJoint infectionsOsteomyelitisSpondylodiscitisVancomycin

Identifiers

PMID29018986
OpenAlexW2761697632

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.