Evidence map›Paper›PMID 31054088›Full record

ArticleInfectious diseases and therapy2019

Dalbavancin Use in Vulnerable Patients Receiving Outpatient Parenteral Antibiotic Therapy for Invasive Gram-Positive Infections.

Jacqueline T Bork, Emily L Heil, Shanna Berry, Eurides Lopes, Rohini Davé, Bruce L Gilliam, Anthony Amoroso

Open access · goldAbstract read
In one paragraph

Article in Infectious diseases and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
7.7field-weighted citation impact, top 2% 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

50 citing papers in PubMed, 98 citations in OpenAlex.

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  12. Common Bacterial Infections in Persons Who Inject Drugs.Medicines (Basel, Switzerland) · 2025
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  13. Use of Dalbavancin in Treatment of Acute Bacterial Skin and Skin Structure Infections: Case Series from a Canadian Perspective.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2025
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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

7 authors at 2 institutions in 1 country.

Jacqueline T BorkDivision of Infectious Disease, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA. jabork@som.umaryland.edu.
Emily L HeilUniversity of Maryland School of Pharmacy, Baltimore, MD, USA.
Shanna BerryDivision of Infectious Disease, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
Eurides LopesDivision of Infectious Disease, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
Rohini DavéDepartment of Pharmacy, VA Maryland Health Care System, Baltimore, MD, USA.
Bruce L GilliamDivision of Infectious Disease, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
Anthony AmorosoDivision of Infectious Disease, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
University of Maryland, Baltimore · USVA Maryland Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDalbavancin is approved for acute bacterial skin and skin structure infections (ABSSSIs) but offers a potential treatment option for complicated invasive gram-positive infections. Importantly, dalbavancin's real benefits may be in treating complicated infections in vulnerable patient populations, such as persons who inject drugs (PWID).

methodsA multicenter retrospective analysis was performed from March 2014 to April 2017 to assess 30- and 90-day clinical cure and adverse drug events (ADEs) in adult patients who received ≥ 1 dose of dalbavancin for a non-ABSSSI indication.

resultsDuring the study period, 45 patients received dalbavancin, 28 for a non-ABSSSI indication. The predominant infections treated included osteomyelitis (46%), endovascular infection (25%) and uncomplicated bacteremia (14%). Half of the patients had positive Staphylococcus aureus in cultures, 29% methicillin resistant and 21% methicillin susceptible. Most patients were prescribed dalbavancin as sequential treatment with a median of 13.5 days of prior antibiotic therapy. The most common reason for choosing dalbavancin over standard therapy use was PWID (54%). Seven patients were lost to follow-up at day 30. Of the remaining evaluable patients, 30-day clinical cure was achieved in 15/21 (71%) patients. The most common reason for failure was lack of source control (4/6, 67%). At day 90, relapse occurred in two patients. Three patients had a potential dalbavancin-associated ADE: two patients with renal dysfunction and one patient with pruritus.

conclusionsThis study demonstrates a possible role for dalbavancin in the treatment of non-ABSSSI invasive gram-positive infections in select vulnerable OPAT patients.

Indexed as

DalbavancinOutpatient parenteral antibiotic therapySubstance use disorder

Identifiers

PMID31054088
PMCPMC6522607
OpenAlexW2942688024

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.