Evidence map›Paper›PMID 34552691›Full record

ReviewWorld journal of hepatology2021

Antibiotic prophylaxis in patients with cirrhosis: Current evidence for clinical practice.

Alberto Ferrarese, Nicola Passigato, Caterina Cusumano, Stefano Gemini, Angelo Tonon, Elton Dajti, Giovanni Marasco, Federico Ravaioli, Antonio Colecchia

Open access · diamondAbstract readReview
In one paragraph

Review in World journal of hepatology, 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
0.6field-weighted citation impact, top 33% 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, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. 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.

Alberto FerrareseDepartment of Gastroenterology, Verona University Hospital, Verona 37124, Italy. alberto.ferrarese@aovr.veneto.it.
Nicola PassigatoDepartment of Gastroenterology, Verona University Hospital, Verona 37124, Italy.
Caterina CusumanoDepartment of Gastroenterology, Verona University Hospital, Verona 37124, Italy.
Stefano GeminiDepartment of Gastroenterology, Verona University Hospital, Verona 37124, Italy.
Angelo TononDepartment of Gastroenterology, Verona University Hospital, Verona 37124, Italy.
Elton DajtiDepartment of Medical and Surgical Sciences, University of Bologna, Bologna 40138, Italy.
Giovanni MarascoDepartment of Medical and Surgical Sciences, University of Bologna, Bologna 40138, Italy.
Federico RavaioliDepartment of Medical and Surgical Sciences, University of Bologna, Bologna 40138, Italy.
Antonio ColecchiaDepartment of Gastroenterology, Verona University Hospital, Verona 37124, Italy.
Creative Research Enterprises (United States) · USUniversity of Verona · ITJackson and Tull (United States) · USUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with cirrhosis show an increased susceptibility to infection due to disease-related immune-dysfunction. Bacterial infection therefore represents a common, often detrimental event in patients with advanced liver disease, since it can worsen portal hypertension and impair the function of hepatic and extra-hepatic organs. Among pharmacological strategies to prevent infection, antibiotic prophylaxis remains the first-choice, especially in high-risk groups, such as patients with acute variceal bleeding, low ascitic fluid proteins, and prior episodes of spontaneous bacterial peritonitis. Nevertheless, antibiotic prophylaxis has to deal with the changing bacterial epidemiology in cirrhosis, with increased rates of gram-positive bacteria and multidrug resistant rods, warnings about quinolones-related side effects, and low prescription adherence. Short-term antibiotic prophylaxis is applied in many other settings during hospitalization, such as before interventional or surgical procedures, but often without knowledge of local bacterial epidemiology and without strict adherence to antimicrobial stewardship. This paper offers a detailed overview on the application of antibiotic prophylaxis in cirrhosis, according to the current evidence.

Indexed as

CirrhosisLiver transplantationQuinolonesSpontaneous bacterial peritonitisTrans-jugular intrahepatic portosystemic shuntVariceal bleeding

Identifiers

PMID34552691
PMCPMC8422913
OpenAlexW3194968864

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.