Evidence map›Paper›PMID 32839223›Full record

ArticleAntimicrobial agents and chemotherapy2020

Fluoroquinolone versus Beta-Lactam Oral Step-Down Therapy for Uncomplicated Streptococcal Bloodstream Infections.

Kellie Arensman, Maureen Shields, Maya Beganovic, Jessica L Miller, Erik LaChance, Morgan Anderson, Jennifer Dela-Pena

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.2field-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, 34 citations in OpenAlex.

  1. Article
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  4. Article
  5. Short versus long treatment duration for streptococcal bloodstream infection.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Article
  6. Microbial Epidemiology and Antimicrobial Resistance of Bloodstream Infections in Hospitalized Patients During 2019-2023 in Xiangyang, China.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Article
  7. Oral antibiotic stepdown therapy for uncomplicated streptococcal bloodstream infections.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Article
  8. Article
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  10. Review
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  15. Article
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  18. Antimicrobial Resistance among Beta-HemolyticAntibiotics (Basel, Switzerland) · 2021
    Review
  19. 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

7 authors at 4 institutions in 1 country.

Kellie ArensmanDepartment of Pharmacy, Advocate Lutheran General Hospital, Park Ridge, Illinois, USA.
Maureen ShieldsRussell Center for Research and Innovation, Park Ridge, Illinois, USA.
Maya BeganovicDepartment of Pharmacy, Advocate Lutheran General Hospital, Park Ridge, Illinois, USA.
Jessica L MillerDepartment of Pharmacy, Advocate South Suburban Hospital, Hazel Crest, Illinois, USA.
Erik LaChanceDepartment of Pharmacy, Advocate Illinois Masonic Medical Center, Chicago, Illinois, USA.
Morgan AndersonDepartment of Pharmacy, Advocate Condell Medical Center, Libertyville, Illinois, USA.
Jennifer Dela-PenaDepartment of Pharmacy, Advocate Lutheran General Hospital, Park Ridge, Illinois, USA jennifer.delapena@aah.org.ORCID 0000-0002-9390-0475
Advocate Lutheran General Hospital · USAdvocate Good Samaritan Hospital · USAdvocate Illinois Masonic Medical Center · USAdvocate Trinity Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fluoroquinolones (FQs) are often preferred as oral step-down therapy for bloodstream infections (BSIs) due to favorable pharmacokinetic parameters; however, they are also associated with serious adverse events. The objective of this study was to compare clinical outcomes for patients who received an oral FQ versus an oral beta-lactam (BL) as step-down therapy for uncomplicated streptococcal BSIs. This multicenter, retrospective cohort study analyzed adult patients who completed therapy with an oral FQ or BL with at least one blood culture positive for a

Indexed as

BacteremiaSepsisAdultAnti-Bacterial Agentsbeta-LactamsFluoroquinolonesHumansRetrospective StudiesStreptococcusAnti-Bacterial Agentsbeta-LactamsFluoroquinolonesbloodstream infectionoral step-downStreptococcus

Identifiers

PMID32839223
PMCPMC7577143
OpenAlexW3198816212

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.