Evidence map›Paper›PMID 33389709›Full record

ArticleInfection2021

Use of rifampicin and graft removal are associated with better outcomes in prosthetic vascular graft infection.

Anne Coste, Mélanie Poinot, Sophie Panaget, Bénédicte Albert, Adrien Kaladji, Hervé Le Bars, Nasr Bahaa, Badra Ali, Caroline Piau, Vincent Cattoir and 3 more

Abstract read
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In one paragraph

Article in Infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

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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 5 institutions in 1 country.

Anne CosteService de Médecine Interne, Vasculaire et Pneumologie, Hôpital La Cavale Blanche, CHRU Brest, Brest, France.
Mélanie PoinotInfectious Diseases and Intensive Care Unit, CHU Rennes, Rennes, France.
Sophie PanagetService de Médecine Interne, Vasculaire et Pneumologie, Hôpital La Cavale Blanche, CHRU Brest, Brest, France.
Bénédicte AlbertService de Chirurgie Cardiaque Thoracique et Vasculaire, CHRU Brest, Brest, France.
Adrien KaladjiCentre of Cardiovascular and Vascular Surgery, CHU Rennes, Rennes, France.
Hervé Le BarsDépartement de Bactériologie-Virologie, Hygiène et Parasitologie-Mycologie, CHRU Brest, Brest, France.
Nasr BahaaService de Chirurgie Cardiaque Thoracique et Vasculaire, CHRU Brest, Brest, France.
Badra AliService de Chirurgie Cardiaque Thoracique et Vasculaire, CHRU Brest, Brest, France.
Caroline PiauDepartment of Bacteriology, CHU Rennes, Rennes, France.
Vincent CattoirDepartment of Bacteriology, CHU Rennes, Rennes, France.
Claire de MoreuilService de Médecine Interne, Vasculaire et Pneumologie, Hôpital La Cavale Blanche, CHRU Brest, Brest, France.
Matthieu RevestInfectious Diseases and Intensive Care Unit, CHU Rennes, Rennes, France. matthieu.revest@chu-rennes.fr.
Rozenn Le BerreService de Médecine Interne, Vasculaire et Pneumologie, Hôpital La Cavale Blanche, CHRU Brest, Brest, France. rozenn.leberre@chu-brest.fr.
Centre Hospitalier Régional Universitaire de Brest · FRCentre Hospitalier Universitaire de Rennes · FRInserm · FRUniversité de Rennes · FRHôpital Maison Blanche · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesProsthetic vascular graft infection (PVGI) is a very severe disease. We aimed to determine the factors associated with treatment failure.

methodsPatients admitted to two University Hospitals with PVGI were included in this retrospective study. PVGI was classified as possible, probable or proven according to an original set of diagnostic criteria. We defined treatment failure if one of the following events occurred within the first year after PVGI diagnosis: death and infection recurrence due to the same or another pathogen.

resultsOne hundred and twelve patients were diagnosed with possible (n = 26), probable (n = 22) and proven (n = 64) PVGI. Bacterial documentation was obtained for 81% of patients. The most frequently identified pathogen was Staphylococcus aureus (n = 39). Surgery was performed in 96 patients (86%). Antibiotics were administered for more than 6 weeks in 41% of patients. Treatment failure occurred in 30 patients (27.5%). The factors associated with a lower probability of treatment failure were total removal of the infected graft (OR = 0.2, 95% CI [0.1-0.6]), rifampicin administration (OR = 0.3 [0.1-0.9]) and possible PVGI according to the GRIP criteria (OR = 0.3 [0.1-0.9]).

conclusionsTreatment failure occurred in 27.5% of patients with PVGI. Total removal of the infected graft and rifampicin administration were associated with better outcomes.

Indexed as

Device RemovalProsthesis-Related InfectionsAgedAnti-Bacterial AgentsBlood Vessel ProsthesisFemaleHumansMaleMiddle AgedRetrospective StudiesRifampinTreatment OutcomeAnti-Bacterial AgentsRifampinRifampicinStaphylococcus aureusVascular prosthesis infection

Identifiers

PMID33389709
OpenAlexW3118991193

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.