Evidence map›Paper›PMID 31938716›Full record

ArticleOpen forum infectious diseases2020

Multicenter Cohort of Patients With Methicillin-Resistant

Erin K McCreary, Ravina Kullar, Matthew Geriak, Evan J Zasowski, Khulood Rizvi, Lucas T Schulz, Krista Ouellette, Logan Vasina, Fadi Haddad, Michael J Rybak and 3 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 3 pooled it
5.2field-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

59 citing papers in PubMed, 3 syntheses or guidelines pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Methicillin-resistant Staphylococcus aureus.Nature reviews. Disease primers · 2026
    Review
  5. Review
  6. Observational
  7. Review
  8. Article
  9. Treatment of Methicillin-ResistantMedicines (Basel, Switzerland) · 2026
    Review
  10. ASP-COMPLEX: redefining antimicrobial stewardship to improve outcomes in high-risk patients with severe infections.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Methicillin-resistantThe Lancet regional health. Western Pacific · 2025
    Review
  16. Review
  17. Review
  18. Article
  19. β-Lactam Adjunctive Therapy Compared to Vancomycin or Daptomycin Monotherapy in Adult Patients With Methicillin-ResistantThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Article
  20. 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

13 authors at 8 institutions in 1 country.

Erin K McCrearyDepartment of Pharmacy, University of Wisconsin Health, Madison, Wisconsin, USA.
Ravina KullarExpert Stewardship, Newport Beach, California, USA.
Matthew GeriakPharmacy Department, Sharp Memorial Hospital, San Diego, California, USA.
Evan J ZasowskiInfectious Disease, Sharp Healthcare, San Diego, California, USA.
Khulood RizviWayne State University School of Medicine, Detroit, Michigan, USA.
Lucas T SchulzDepartment of Pharmacy, University of Wisconsin Health, Madison, Wisconsin, USA.
Krista OuellettePharmacy Department, Sharp Memorial Hospital, San Diego, California, USA.
Logan VasinaPharmacy Department, Sharp Memorial Hospital, San Diego, California, USA.
Fadi HaddadInfectious Disease, Sharp Healthcare, San Diego, California, USA.
Michael J RybakAnti-Infective Research Laboratory, Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan, USA.
Marcus J ZervosWayne State University School of Medicine, Detroit, Michigan, USA.
George SakoulasInfectious Disease, Sharp Healthcare, San Diego, California, USA.
Warren E RoseDepartment of Pharmacy, University of Wisconsin Health, Madison, Wisconsin, USA.ORCID 0000-0001-5012-5993
Sharp Memorial Hospital · USSharp HealthCare Foundation · USUniversity of Wisconsin Health · USEugene Applebaum College of Pharmacy and Health Sciences · USHenry Ford Health System · USUniversity of California San Diego · USUniversity of Wisconsin–Madison · USWayne State University · US

Funding

Mechanisms and use of penicillin-binding protein inhibition to optimize cationic peptide anti-MRSA treatmentR01AI132627 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI ROSE, WARREN E · 2017 to 2021
$2.1M
NIAID NIH HHS R01 AI132627
6 · The paper itself

Abstract

backgroundDaptomycin and ceftaroline (DAP-CPT) have been used for persistent methicillin-resistant

methodsThis is a retrospective, matched cohort study MRSAB patients at 4 hospitals in the United States. Patients receiving DAP-CPT for ≥72 hours at any point in therapy were matched 2:1 when possible, 1:1 otherwise, to SOC, first by infection source, then age and renal function. SOC was empiric treatment with vancomycin or daptomycin and any subsequent combination antibiotic(s), except for DAP-CPT.

resultsFifty-eight patients received DAP-CPT with 113 matched SOC. Ninety-six percent of SOC received vancomycin, and 56% (63/113) escalated therapy at least once in the treatment course. Twenty-four patients received DAP-CPT within 72 hours of index culture; 2 (8.3%) died within 30 days vs 14.2% (16/113) with SOC (P > .05). Subgroup analysis identified numerically lower mortality in DAP-CPT patients with a Charlson comorbidity index ≥3, endovascular source, and receipt of DAP-CPT within 72 hours of index culture. The median MRSAB duration was 9.3 vs 4.8 days for DAP-CPT and SOC, respectively. DAP-CPT was initiated on day 6 on average; after receipt of DAP-CPT, MRSAB duration was 3.3 days.

conclusionsDAP-CPT treatment is often delayed in MRSAB. Combination therapy may be more beneficial if initiated earlier, particularly in patients at higher risk for mortality. Blinded, randomized, prospective studies are needed to eliminate selection bias inherent in retrospective analyses when examining DAP-CPT vs SOC.

Indexed as

antimicrobial resistancecombinationgram-positivesalvage therapyvancomycin

Identifiers

PMID31938716
PMCPMC6951465
OpenAlexW2998250624

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.