Evidence map›Paper›PMID 30305037›Full record

SynthesisBMC infectious diseases2018

Efficacy and safety of cefazolin versus antistaphylococcal penicillins for the treatment of methicillin-susceptible Staphylococcus aureus bacteremia: a systematic review and meta-analysis.

Changcheng Shi, Yubo Xiao, Qi Zhang, Qingyu Li, Fei Wang, Jing Wu, Nengming Lin

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Observational
  12. Article
  13. Epidemiology and impact of methicillin-sensitiveAntimicrobial agents and chemotherapy · 2023
    Article
  14. Review
  15. TargetingFrontiers in oncology · 2023
    Article
  16. Review
  17. Frontiers in medicine · 2022
    Article
  18. Antistaphylococcal penicillins vs. cefazolin in the treatment of methicillin-susceptible Staphylococcus aureus infective endocarditis: a quasi-experimental monocentre study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Observational
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Changcheng ShiDepartment of Clinical Pharmacy, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Yubo XiaoDepartment of Pharmacometrics, Mosim Co., Ltd, Shanghai, China.
Qi ZhangDepartment of Clinical Pharmacy, Hangzhou First People's Hospital, Nanjing Medical University, Hangzhou, China.
Qingyu LiDepartment of Clinical Pharmacy, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Fei WangDepartment of Clinical Pharmacy, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Jing WuDepartment of Pharmacy, Hangzhou Obstetrics & Gynecology Hospital, Hangzhou, China.
Nengming LinDepartment of Clinical Pharmacy, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. lnm1013@163.com.
Hangzhou First People's Hospital · CNZhejiang University · CNHangzhou Women’s Hospital · CN

Funding

Clinical Pharmacy of Hangzhou Medical Key Discipline 2017-68-7Clinical Pharmacy of Zhejiang Medical Key Discipline 2018-2-3Zhejiang Provincial Program for the Cultivation of High-level Innovative Health Talents 2010-190-4
6 · The paper itself

Abstract

backgroundAntistaphylococcal penicillins (ASPs) and cefazolin have become the most frequent choices for the treatment of methicillin-susceptible Staphylococcus aureus (MSSA) infections. However, the best therapeutic agent to treat MSSA bacteremia remains to be established.

methodsWe conducted a systematic review and meta-analysis to evaluate the efficacy and safety of these two regimens for the treatment of MSSA bacteremia. PubMed, EMBASE and the Cochrane Library from inception to February 2018 were searched. The primary outcome was mortality. The secondary outcomes included treatment failure, recurrence of bacteremia, adverse effects (AEs) and discontinuation due to AEs. Data were extracted and pooled odds ratios (ORs) and 95% confidence intervals (CIs) were calculated.

resultsA total of ten observational studies met the inclusion criteria. The results indicate that compared to ASPs, cefazolin was associated with significant reduction in mortality (OR, 0.69; 95% CI, 0.58 to 0.82; I

conclusionThe results of present study favor the application of cefazolin and should be regarded as important evidence to help make clinical decisions in choosing a treatment option for treating MSSA bacteremia.

Indexed as

Anti-Bacterial AgentsCefazolinPenicillinsStaphylococcal InfectionsHumansStaphylococcus aureusAnti-Bacterial AgentsCefazolinPenicillinsAntistaphylococcal penicillinsBacteremiaCefazolinMeta-analysisMethicillin-susceptible Staphylococcus aureus

Identifiers

PMID30305037
PMCPMC6180622
OpenAlexW2897230224

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.