Evidence map›Paper›PMID 29052797›Full record

ArticleInfection2018

Suppressive antibiotic therapy with oral tetracyclines for prosthetic joint infections: a retrospective study of 78 patients.

M Pradier, O Robineau, A Boucher, M Titecat, N Blondiaux, M Valette, C Loïez, E Beltrand, S Nguyen, H Dézeque and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Infection, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

25 citing papers in PubMed, 45 citations in OpenAlex.

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  8. The Use of Long-term Antibiotics for Suppression of Bacterial Infections.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
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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

12 authors at 3 institutions in 1 country.

M PradierGustave Dron Hospital, 59200, Tourcoing, France.
O RobineauGustave Dron Hospital, 59200, Tourcoing, France.
A BoucherGustave Dron Hospital, 59200, Tourcoing, France.
M TitecatFaculty of Medicine of Lille University II, 59045, Lille Cedex, France.
N BlondiauxGustave Dron Hospital, 59200, Tourcoing, France.
M ValetteGustave Dron Hospital, 59200, Tourcoing, France.
C LoïezUniversity Hospital of Lille, 59037, Lille Cedex, France.
E BeltrandGustave Dron Hospital, 59200, Tourcoing, France.
S NguyenGeneral Hospital of Béthune, 62660, Beuvry, France.
H DézequeUniversity Hospital of Lille, 59037, Lille Cedex, France.
H MigaudFaculty of Medicine of Lille University II, 59045, Lille Cedex, France.
Eric SennevilleGustave Dron Hospital, 59200, Tourcoing, France. esenneville@ch-tourcoing.fr.ORCID http://orcid.org/0000-0002-5720-8908
Université de Lille · FRCentre Hospitalier de Tourcoing · FRCentre Hospitalier de Béthune · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed at describing the use of oral cyclines (i.e., doxycycline and minocycline) as suppressive antibiotic therapy (SAT) in patients with periprosthetic joint infections (PJIs).

methodsMedical charts of all patients with surgical revisions for PJIs who were given cycline-based SAT because of a high failure of various origins were reviewed. Data regarding tolerability and effectiveness of cycline-based SAT were analysed.

resultsSeventy-eight patients of mean age 64 ± 17 years received cycline-base SAT in the period from January 2006 to January 2014. PJIs involved the knee in 37 patients (47%), the hip in 35 (45%), the elbow in 4 (5%), and the shoulder in 2 (3%) and were qualified as early in 31 patients (39.7%). Staphylococcus spp. were the most common pathogens accounting for 72.1% of the total number of bacterial strains identified. All included patients had surgery which consisted in debridement and implant retention in 59 of them (75.6%). Doxycycline and minocycline were prescribed as SAT in 72 (92%) and 6 (8%) patients, respectively. Adverse events were reported in 14 patients (18%), leading to SAT discontinuation in 6 of them (8%). After a mean follow-up of 1020 ± 597 days, a total of 22 (28.2%) patients had failed including 3 cases (3.8%) with documented acquisition of tetracycline resistance in initial pathogen(s).

conclusionsOur results suggest that oral cyclines used as SAT in patients treated for PJI have an acceptable tolerability and effectiveness and appear to be a reasonable option in this setting.

Indexed as

Administration, OralAdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsDoxycyclineFemaleHumansJoint DiseasesMaleMiddle AgedMinocyclineProsthesis-Related InfectionsReoperationRetrospective StudiesAnti-Bacterial AgentsDoxycyclineMinocyclineBacterial resistanceDoxycyclineMinocyclinePalliative antibiotic therapyPeriprosthetic joint infectionSuppressive antibiotic therapy

Identifiers

PMID29052797
OpenAlexW2766601565

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.