Evidence map›Paper›PMID 31138577›Full record

Trial reportAntimicrobial agents and chemotherapy2019

Randomized Noninferiority Trial of Cefoperazone-Sulbactam versus Cefepime in the Treatment of Hospital-Acquired and Healthcare-Associated Pneumonia.

Jien-Wei Liu, Yen-Hsu Chen, Wen-Sen Lee, Jung-Chung Lin, Ching-Tai Huang, Hsi-Hsun Lin, Yung-Ching Liu, Yin-Ching Chuang, Hung-Jen Tang, Yao-Shen Chen and 3 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in Antimicrobial agents and chemotherapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Indian Society of Critical Care Medicine Guidelines on Evidence-based Recommendations for the Treatment of Carbapenem-resistant Enterobacterales, Carbapenem-resistantIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Cefoperazone sodium/sulbactam sodiumWorld journal of clinical cases · 2021
    Article
  14. Epidemiological Correlation of PulmonaryJournal of fungi (Basel, Switzerland) · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Be Careful with Adverse Events Caused by Cefoperazone-Sulbactam.Antimicrobial agents and chemotherapy · 2020
    Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 11 institutions in 1 country.

Jien-Wei LiuDivision of Infectious Diseases, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Yen-Hsu ChenDivision of Infectious Diseases, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Wen-Sen LeeDivision of Infectious Diseases, Department of Internal Medicine, Wan Fang Medical Center, Taipei, Taiwan.
Jung-Chung LinDivision of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Ching-Tai HuangChang Gung University College of Medicine, Taoyuan, Taiwan.
Hsi-Hsun LinDepartment of Internal Medicine, E-Da Hospital/I-Shou University, Kaohsiung, Taiwan.
Yung-Ching LiuDepartment of Internal Medicine, School of Medicine, Taipei Medical University, Taipei, Taiwan.
Yin-Ching ChuangDepartment of Internal Medicine, Chi Mei Hospital, Tainan, Taiwan.
Hung-Jen TangDepartment of Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Yao-Shen ChenSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Wen-Chien KoDepartment of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Min-Chi LuDivision of Infectious Diseases, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan.
Fu-Der WangSchool of Medicine, National Yang-Ming University, Taipei, Taiwan fdwang@vghtpe.gov.tw.
National Yang Ming Chiao Tung University · TWChang Gung University · TWChia Nan University of Pharmacy and Science · TWChi Mei Medical Center · TWChung Shan Medical University Hospital · TWE-Da Hospital · TWKaohsiung Chang Gung Memorial Hospital · TWNational Cheng Kung University Hospital · TWTaipei Medical University · TWTaipei Medical University-Shuang Ho Hospital · TWTri-Service General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cefoperazone, a third-generation cephamycin with broad-spectrum antibacterial activity and the ability to permeate bacterial cell membranes, is active against commonly encountered multidrug-resistant pathogens for hospital-acquired pneumonia (HAP) and health care-associated pneumonia (HCAP). To clarify the clinical effects of cefoperazone-sulbactam in the treatment of HAP and HCAP, we conducted an open-label, randomized, noninferiority trial that recruited patients aged ≥18 years suffering HAP/HCAP. Participants were randomly assigned to the cefoperazone-sulbactam (2 g of each per 12 h) or cefepime (2 g per 12 h) arm. Clinical and microbiological responses were evaluated at early posttherapy and test-of-cure visits. Recruited patients were allocated to subpopulations for intent-to-treat (

Indexed as

AgedAged, 80 and overAnti-Bacterial AgentsCefepimeCefoperazoneDrug Therapy, CombinationFemaleHaemophilus InfectionsHealthcare-Associated PneumoniaHumansMaleMiddle AgedPneumonia, BacterialPseudomonas InfectionsSulbactamTreatment OutcomeAnti-Bacterial AgentsCefepimeCefoperazoneSulbactamcefepimecefoperazone-sulbactamhealthcare-associated pneumoniahospital-acquired pneumonianoninferiority trial

Identifiers

PMID31138577
PMCPMC6658783
OpenAlexW2947397099

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.