Evidence map›Paper›PMID 31839519›Full record

ArticleThe American journal of emergency medicine2020

Finding the niche: An interprofessional approach to defining oritavancin use criteria in the emergency department.

Jared Baxa, Erin McCreary, Lucas Schulz, Michael Pulia

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in The American journal of emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 48% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
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

4 authors at 4 institutions in 1 country.

Jared BaxaUniversity of Utah, Health Department of Pharmacy Services, 50 North Medical Drive, Room A-050, Salt Lake City, UT 84132, USA. Electronic address: Jared.Baxa@utah.edu.
Erin McCrearyUniversity of Pittsburgh Medical Center, 875 N Hermitage Rd, Hermitage, PA 16148, USA. Electronic address: mccrearye3@upmc.edu.
Lucas SchulzDepartment of Pharmacy, University of Wisconsin Health, 600 Highland Ave., Madison, WI 53792, USA. Electronic address: lschulz2@uwhealth.org.
Michael PuliaBerbeeWalsh Department of Emergency Medicine, University of Wisconsin-Madison School of Medicine and Public Health, 800 University Bay Drive, Suite 310, Madison, WI 53705, USA. Electronic address: mspulia@medicine.wisc.edu.
Hermitage Museum · USUniversity of Utah · USUniversity of Wisconsin Health · USUniversity of Wisconsin–Madison · US

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
Improving Antibiotic Stewardship During The Treatment of Skin and Soft Tissue Infections in The Emergency Department: A Human Factors and Systems Engineering ApproachK08HS024342 · AHRQ · UNIVERSITY OF WISCONSIN-MADISON · PI PULIA, MICHAEL SANTINO · 2016 to 2020
$801k
AHRQ HHS K08 HS024342NCATS NIH HHS UL1 TR000427NCATS NIH HHS UL1 TR002373
6 · The paper itself

Abstract

introductionCellulitis is commonly treated in the emergency department (ED). Oritavancin is a novel, broad-spectrum antibiotic which provides an entire treatment course for cellulitis with one dose. However, optimal ED prescribing scenarios for oritavancin have not been well defined. The purpose of this study was to identify a population of ED patients with cellulitis who would be most appropriate to receive oritavancin.

methodsThis was a descriptive, retrospective study conducted at a Midwest healthcare system with two EDs. Over a 1 year period, all adult patients admitted from the ED to an inpatient ward with an ICD-10 diagnosis for cellulitis were reviewed using a priori defined criteria to identify potentially avoidable admissions (PAA). Potentially avoidable admissions were further characterized and compared to the non-avoidable admission population. Identified patient-specific criteria for PAAs were used to develop oritavancin inclusion/exclusion criteria and a case selection flowchart.

resultsEighty-six patients were identified during the study period. Nine patients (10.5%) were deemed a PAA. A majority of the PAA population had at least one risk factor for treatment failure (55% with diabetes mellitus) and this group was significantly younger than the non-PAA group (42.2 vs 58.6 years; P = 0.01). There were no differences between the PAA group and the non-PAA group in regard to non-age demographics, other risk factors for outpatient treatment failure, comorbidities, or length of stay.

conclusionOritavancin is an outpatient treatment alternative for cellulitis patients whose only justification for planned admission is the presence of one or more risk factors for treatment failure.

Indexed as

Administration, IntravenousAdultAnti-Bacterial AgentsCellulitisEmergency Service, HospitalFemaleHumansLipoglycopeptidesMaleMiddle AgedMidwestern United StatesPatient AdmissionRetrospective StudiesTreatment FailureVancomycinAnti-Bacterial AgentsLipoglycopeptidesoritavancinVancomycinAntibioticCellulitisEmergency departmentOritavancinSkin and soft tissue infectionVancomycin

Identifiers

PMID31839519
PMCPMC7094880
OpenAlexW2973189028

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.