Evidence map›Paper›PMID 33138045›Full record

ArticleMedicina (Kaunas, Lithuania)2020

Effectiveness of Streptococcus Pneumoniae Urinary Antigen Testing in Decreasing Mortality of COVID-19 Co-Infected Patients: A Clinical Investigation.

Antonio Desai, Orazio Giuseppe Santonocito, Giuseppe Caltagirone, Maria Kogan, Federica Ghetti, Ilaria Donadoni, Francesca Porro, Victor Savevski, Dario Poretti, Michele Ciccarelli and 2 more

Open access · goldAbstract read
In one paragraph

Article in Medicina (Kaunas, Lithuania), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Accelerated progression of pulmonary tuberculosis in a COVID-19 patient after corticosteroid treatment.Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi · 2022
    Article
  4. Article
  5. Article
  6. Article
  7. 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

12 authors at 2 institutions in 1 country.

Antonio DesaiEmergency Department, Humanitas Clinical and Research Center, IRCCS, 20089 Milan, Italy.ORCID 0000-0003-4674-4905
Orazio Giuseppe SantonocitoDepartment of Diagnostic and Interventional Radiology, Humanitas Clinical and Research Center IRCCS, Rozzano, 20089 Milan, Italy.
Giuseppe CaltagironeEmergency Department, Humanitas Clinical and Research Center, IRCCS, 20089 Milan, Italy.
Maria KoganEmergency Department, Humanitas Clinical and Research Center, IRCCS, 20089 Milan, Italy.
Federica GhettiEmergency Department, Humanitas Clinical and Research Center, IRCCS, 20089 Milan, Italy.
Ilaria DonadoniEmergency Department, Humanitas Clinical and Research Center, IRCCS, 20089 Milan, Italy.
Francesca PorroEmergency Department, Humanitas Clinical and Research Center, IRCCS, 20089 Milan, Italy.
Victor SavevskiArtificial Intelligence Center, Humanitas Clinical and Research Center, IRCCS, 20089 Milan, Italy.
Dario PorettiDepartment of Diagnostic and Interventional Radiology, Humanitas Clinical and Research Center IRCCS, Rozzano, 20089 Milan, Italy.
Michele CiccarelliPneumology Department, Humanitas Clinical and Research Center, IRCCS, 20089 Milan, Italy.
Filippo Martinelli BoneschiDino Ferrari Centre, Neuroscience Section, Department of Pathophysiology and Transplantation (DEPT), University of Milan, 20122 Milan, Italy.
Antonio VozaEmergency Department, Humanitas Clinical and Research Center, IRCCS, 20089 Milan, Italy.
Humanitas University · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesMATERIALS AND

methodsCharts, protocols, mortality, and hospitalization data of a consecutive series of COVID-19 patients admitted to a tertiary hospital in northern Italy during COVID-19 outbreak were retrospectively reviewed. All patients underwent

resultsOut of 575 patients with documented pneumonia, 13% screened positive for the u-Ag test. All u-Ag+ patients underwent treatment with Ceftriaxone and Azithromycin or Levofloxacin. Lopinavir/Ritonavir or Darunavir/Cobicistat were added in 44 patients, and hydroxychloroquine and low-molecular-weight heparin (LMWH) in 47 and 33 patients, respectively. All u-Ag+ patients were hospitalized. Mortality was 15.4% and 25.9% in u-Ag+ and u-Ag- patients, respectively (

conclusionsThe routine use of Streptococcus pneumoniae u-Ag testing helped to better target antibiotic therapy with a final trend of reduction in mortality of u-Ag+ COVID-19 patients having a concomitant pneumococcal infection. Randomized trials on larger cohorts are necessary in order to draw definitive conclusion.

Indexed as

Hospital MortalityAdultAgedAged, 80 and overAnti-Bacterial AgentsAnticoagulantsAntigens, BacterialAntiviral AgentsAzithromycinBetacoronavirusCeftriaxoneCobicistatCoinfectionCoronavirus InfectionsCOVID-19COVID-19 Drug TreatmentAnti-Bacterial AgentsAnticoagulantsAntigens, BacterialAntiviral AgentsAzithromycinCeftriaxoneCobicistatDarunavirDrug CombinationsHeparin, Low-Molecular-WeightHydroxychloroquineLevofloxacinLopinavirlopinavir-ritonavir drug combinationRitonavirantibodiesbacterial infection 2COVID-19SARS-CoV-2Streptococcus pneumoniae

Identifiers

PMID33138045
PMCPMC7693839
OpenAlexW3095602261

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.