Evidence map›Paper›PMID 30680563›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2019

Outcomes of patients with a history of injecting drug use and receipt of outpatient antimicrobial therapy.

Kevin O'Callaghan, S Tapp, K Hajkowicz, A Legg, K L McCarthy

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Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 21 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

5 authors at 2 institutions in 1 country.

Kevin O'CallaghanInfectious Diseases Department, Royal Brisbane and Women's Hospital, Herston, QLD, 4029, Australia. ocallak@tcd.ie.ORCID http://orcid.org/0000-0002-4957-2718
S TappInfectious Diseases Department, Royal Brisbane and Women's Hospital, Herston, QLD, 4029, Australia.
K HajkowiczInfectious Diseases Department, Royal Brisbane and Women's Hospital, Herston, QLD, 4029, Australia.
A LeggInfectious Diseases Department, Royal Brisbane and Women's Hospital, Herston, QLD, 4029, Australia.
K L McCarthyInfectious Diseases Department, Royal Brisbane and Women's Hospital, Herston, QLD, 4029, Australia.
Royal Brisbane and Women's Hospital · AUThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

People who inject drugs (PWID) are susceptible to endovascular and deep-seated infections which require prolonged antibiotic therapy. There are concerns regarding this cohort's suitability for outpatient parenteral antimicrobial therapy (OPAT), but relatively little published data. Our aim is to publish our outcomes in this setting, to inform other clinicians' decisions regarding PWID in OPAT. We reviewed case records of all PWID in our OPAT service from July 2015 to December 2017. Successful completion of OPAT care was defined as completing the duration of parenteral therapy as planned at the outset, with expected clinical improvement. Data was collected on complications including hospital re-admission, new blood stream infections, patient non-compliance including ongoing non-prescribed intravenous drug use, and staff safety compromise. Twenty-eight of 38 (76.2%) episodes of OPAT care for PWID were completed successfully, with 724 bed days of care provided. The cohort was labour intensive to manage with high rates of re-admission, non-attendance and line-associated infections. There were no adverse events for staff safety, and no patient deaths on the programme. OPAT can be a viable option for PWID provided there is careful patient selection, good patient engagement and sufficient resources allocated for patient management.

Indexed as

AdultAgedAmbulatory CareAnti-Infective AgentsCohort StudiesFemaleHumansMaleMiddle AgedSubstance Abuse, IntravenousTreatment OutcomeYoung AdultAnti-Infective AgentsHITHIDUOPATPWID

Identifiers

PMID30680563
OpenAlexW2913244395

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.