Evidence map›Paper›PMID 30464429›Full record

SynthesisClinical interventions in aging2018

Antibacterial treatment of aspiration pneumonia in older people: a systematic review.

Timra J Bowerman, Jan Zhang, Louise M Waite

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Clinical interventions in aging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
6.8field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 42 citations in OpenAlex.

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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

3 authors at 3 institutions in 1 country.

Timra J BowermanDepartment of Aged Care, Psychogeriatrics and Rehabilitation, Bankstown-Lidcombe Hospital, Bankstown, NSW, Australia, timra.bowerman@health.nsw.gov.au.
Jan ZhangDepartment of Geriatric Medicine, Concord Repatriation General Hospital, Concord, NSW, Australia, timra.bowerman@health.nsw.gov.au.
Louise M WaiteCentre for Education and Research on Ageing, Concord Repatriation General Hospital, Concord, NSW, Australia.
Concord Repatriation General Hospital · AUNew South Wales Department of Health · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAspiration pneumonia is a common problem in older people with high mortality and increasing prevalence.

objectiveThe aims of this paper were to systematically review the literature on the antibacterial treatment of aspiration pneumonia in elderly patients and identify the microbiology of aspiration pneumonia. MATERIALS AND

methodsEMBASE, MEDLINE, and Cochrane databases were systematically searched for studies that examined the clinical efficacy of antibiotic treatment in elderly patients with aspiration pneumonia. Information on study design, antibiotic treatment, study population, participants, microbiology, clinical outcomes, adverse events, and mortality was recorded.

resultsThere were no definitive clinical trials, placebo-controlled trials, or meta-analyses. Of the eight studies selected for inclusion in the review, the majority utilized and/or compared broad-spectrum antibiotics. No specific antibacterial agent had evidence of superior efficacy. Broad-spectrum antibiotics resulted in the emergence of multiresistant organisms. Anaerobic bacteria were infrequently isolated, suggesting a less important role in the pathogenesis of aspiration pneumonia.

conclusionThere is limited evidence with regard to the use of antibiotics in older patients with aspiration pneumonia. Research providing an evidence base for the treatment of aspiration pneumonia in older people is required.

Indexed as

AgedAnti-Bacterial AgentsBacteriaBacterial InfectionsDrug Resistance, Multiple, BacterialHumansPneumonia, AspirationSurvival RateTreatment OutcomeAnti-Bacterial Agentsantibacterialantibioticsantimicrobialaspiration pneumoniaolder people

Identifiers

PMID30464429
PMCPMC6214417
OpenAlexW2899117820

What OpenQuestion holds

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LicenceCC BY-NC
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.