Evidence map›Paper›PMID 33735185›Full record

ArticlePloS one2021

Improved economic and clinical outcomes with oritavancin versus a comparator group for treatment of acute bacterial skin and skin structure infections in a community hospital.

Kimberly Saddler, Jason Zhang, Jennifer Sul, Pruthvi Patel, Miriams Castro-Lainez, Mark L Stevens, Sheryl Kosler, Emily Lowery, Miguel Sierra-Hoffman

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Oritavancin safety: a real-world pharmacovigilance study of the FAERS database.Frontiers in cellular and infection microbiology · 2026
    Article
  2. Article
  3. Review
  4. Kimyrsa and Orbactiv - A Tale of Two Formulations.Drug design, development and therapy · 2023
    Review
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

9 authors at 4 institutions in 2 countries.

Kimberly SaddlerDepartment of Pharmacy, DeTar Healthcare System, Victoria, Texas, United States of America.ORCID 0000-0001-9673-4241
Jason ZhangFeik School of Pharmacy, University of the Incarnate Word, San Antonio, Texas, United States of America.
Jennifer SulFeik School of Pharmacy, University of the Incarnate Word, San Antonio, Texas, United States of America.
Pruthvi PatelDeTar Family Medicine Residency Program, DeTar Healthcare System, Victoria, Texas, United States of America.
Miriams Castro-LainezFacultad de Ciencias Medicas, Hospital Escuela Universitario, Universidad Nacional Autonoma de Honduras, Boulevard Suyapa, Tegucigalpa, Honduras, United States of America.
Mark L StevensTexas A&M College of Medicine affiliated DeTar Family Medicine Residency, Victoria, Texas, United States of America.ORCID 0000-0002-1813-6403
Sheryl KoslerDeTar Healthcare System, Victoria, Texas, United States of America.
Emily LoweryUniversity of Texas at Austin, Austin, Texas, United States of America.
Miguel Sierra-HoffmanTexas A&M College of Medicine affiliated DeTar Family Medicine Residency, Victoria, Texas, United States of America.
University of the Incarnate Word · USNational Autonomous University of Honduras · HNThe University of Texas at Austin · USVA North Texas Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOritavancin is a lipoglycopeptide antibiotic with in vitro bactericidal activity against gram-positive pathogens indicated for use in adults with acute bacterial skin and skin structure infections (ABSSSI). Its concentration-dependent activity and prolonged half-life provide a convenient single-dose alternative to multi-dose daily therapies for ABSSSI. This retrospective cohort study was conducted to quantify the clinical and economic advantages of using oritavancin compared to other antibiotic agents that have been historically effective for ABSSSI.

methodsSeventy-nine patients received oritavancin who had failed previous outpatient antibiotic therapy (OPAT) for cellulitis or abscess and were subsequently readmitted to the hospital as an inpatient between 2016 and 2018. These patients were compared to a cohort of 28 patients receiving other antibiotics following OPAT failure and subsequent hospitalization for these two infection types. The primary clinical end point was average length of stay (aLOS) and secondary endpoints included readmission rates for the same indication at 30 and 90 days after discharge and the average hospital cost (aHC).

resultsA total of 107 patients were hospitalized for treatment of cellulitis or abscess. Demographic characteristics of both the oritavancin and comparator groups were similar except for the presence of diabetes. The primary clinical endpoint showed a non-significant decrease in aLOS between the oritavancin group versus comparator (2.12 days versus 2.59 days; p = 0.097). The secondary endpoints revealed lower readmission rates associated with oritavancin treatment at 30 and 90 days; the average hospital cost was 5.9% lower for patients that received oritavancin.

conclusionThe results of this study demonstrate that oritavancin provides not only a single-dose alternative to multi-day therapies for skin and skin structure infections, but also a clinical and economic advantage compared to other antibiotic agents.

Indexed as

AbscessAdultAgedAged, 80 and overAnti-Bacterial AgentsCellulitisFemaleHumansLipoglycopeptidesMaleMiddle AgedPatient ReadmissionRetrospective StudiesSkin Diseases, BacterialTreatment OutcomeVancomycinAnti-Bacterial AgentsLipoglycopeptidesoritavancinVancomycin

Identifiers

PMID33735185
PMCPMC7971560
OpenAlexW3136665521

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.