Evidence map›Paper›PMID 34566417›Full record

ArticleInfection and drug resistance2021

High-Dose versus Standard-Dose Tigecycline Treatment of Secondary Bloodstream Infections Caused by Extensively Drug-Resistant

Hui Han, Weidong Qin, Yue Zheng, Dongming Cao, Haining Lu, Lu Zhang, Yi Cui, Yuanyuan Hu, Wei Li, Haipeng Guo and 4 more

Open access · goldAbstract read
In one paragraph

Article in Infection and drug resistance, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 36% 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

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

  1. Pooled it
  2. Article
  3. Multidrug-ResistantAntibiotics (Basel, Switzerland) · 2025
    Review
  4. Article
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  6. The challenges of difficult-to-treatClinical microbiology reviews · 2024
    Review
  7. Article
  8. Article
  9. Laboratory Surveillance ofTropical medicine and infectious disease · 2023
    Article
  10. Article
  11. 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

14 authors at 5 institutions in 2 countries.

Hui Han *Department of Critical Care Medicine, Qilu Hospital of Shandong University, Jinan, People's Republic of China.
Weidong Qin *Department of Critical Care Medicine, Qilu Hospital of Shandong University, Jinan, People's Republic of China.
Yue ZhengShandong Provincial Clinical Research Center for Emergency and Critical Care Medicine, Institute of Emergency and Critical Care Medicine of Shandong University, Chest Pain Center, Qilu Hospital of Shandong University, Jinan, People's Republic of China.ORCID 0000-0001-6482-1025
Dongming CaoDepartment of Critical Care Medicine, Liaocheng People's Hospital Affiliated with Shandong First Medical University, Liaocheng, People's Republic of China.
Haining LuDepartment of Critical Care Medicine, Qilu Hospital of Shandong University (Qingdao), Qingdao, People's Republic of China.
Lu ZhangDepartment of Critical Care Medicine, The Second Hospital of Shandong University, Jinan, People's Republic of China.
Yi CuiDepartment of Critical Care Medicine, Qilu Hospital of Shandong University, Jinan, People's Republic of China.
Yuanyuan HuDepartment of Critical Care Medicine, Qilu Hospital of Shandong University, Jinan, People's Republic of China.
Wei LiDepartment of Clinical Laboratory, Qilu Hospital of Shandong University, Jinan, People's Republic of China.ORCID 0000-0002-8057-2652
Haipeng GuoDepartment of Critical Care Medicine, Qilu Hospital of Shandong University, Jinan, People's Republic of China.
Dawei WuDepartment of Critical Care Medicine, Qilu Hospital of Shandong University (Qingdao), Qingdao, People's Republic of China.
Chen LiDepartment of Critical Care Medicine, Qilu Hospital of Shandong University, Jinan, People's Republic of China.
Hao WangDepartment of Critical Care Medicine, Qilu Hospital of Shandong University, Jinan, People's Republic of China.ORCID 0000-0003-4493-3147
Yuguo ChenShandong Provincial Clinical Research Center for Emergency and Critical Care Medicine, Institute of Emergency and Critical Care Medicine of Shandong University, Chest Pain Center, Qilu Hospital of Shandong University, Jinan, People's Republic of China.
Qilu Hospital of Shandong University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNLiaocheng People's Hospital · CNSecond Hospital of Shandong University · CNShandong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtensively drug-resistant

methodsAn observational cohort study was conducted at four university affiliated hospitals in mainland China. Adult inpatients who were confirmed as having secondary BSI caused by XDR-AB and received definitive tigecycline treatment were consecutively included. Patients who were treated with 50 mg every 12 h were defined as the SD group, and a twice dose was defined as the HD group.

resultsOf the enrolled patients, 63 received SD and 88 received HD tigecycline treatment. Patients in the two groups had similar with regard to baseline clinical conditions. The 30-day survival was affected by the source of the primary infection. Survival was significantly better in patients with non-pulmonary-infection-related BSI than in patients with pulmonary-infection-related BSI. Multivariate Cox regression confirmed that HD had a protective effect only observed in patients with non-pneumonia-related BSI.

conclusionA tigecycline dose that is twice its standard dose is better for the treatment of XDR-AB infection only in BSI associated with non-pulmonary infection.

Indexed as

Acinetobacter baumanniibloodstream infectionextensively drug-resistanthigh-dosetigecycline

Identifiers

PMID34566417
PMCPMC8457649
OpenAlexW3200230707

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.