Evidence map›Paper›PMID 35036466›Full record

ArticleOpen forum infectious diseases2022

Fosfomycin vs Ertapenem for Outpatient Treatment of Complicated Urinary Tract Infections: A Multicenter, Retrospective Cohort Study.

Noah Wald-Dickler, Todd C Lee, Soodtida Tangpraphaphorn, Susan M Butler-Wu, Nina Wang, Tyler Degener, Carolyn Kan, Matthew C Phillips, Edward Cho, Catherine Canamar and 2 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
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  5. Review
  6. 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 2 countries.

Noah Wald-DicklerLos Angeles County - University of Southern California Medical Center (LAC-USC Medical Center), Los Angeles, California, USA.ORCID https://orcid.org/0000-0001-8782-5395
Todd C LeeClinical Practice Assessment Unit, McGill University, Montreal, Quebec, Canada.
Soodtida TangpraphaphornLos Angeles County - University of Southern California Medical Center (LAC-USC Medical Center), Los Angeles, California, USA.
Susan M Butler-WuLos Angeles County - University of Southern California Medical Center (LAC-USC Medical Center), Los Angeles, California, USA.
Nina WangLos Angeles County - University of Southern California Medical Center (LAC-USC Medical Center), Los Angeles, California, USA.
Tyler DegenerLos Angeles County - University of Southern California Medical Center (LAC-USC Medical Center), Los Angeles, California, USA.
Carolyn KanLos Angeles County - University of Southern California Medical Center (LAC-USC Medical Center), Los Angeles, California, USA.
Matthew C PhillipsLos Angeles County - University of Southern California Medical Center (LAC-USC Medical Center), Los Angeles, California, USA.
Edward ChoLos Angeles County - University of Southern California Medical Center (LAC-USC Medical Center), Los Angeles, California, USA.
Catherine CanamarLos Angeles County - University of Southern California Medical Center (LAC-USC Medical Center), Los Angeles, California, USA.
Paul HoltomLos Angeles County - University of Southern California Medical Center (LAC-USC Medical Center), Los Angeles, California, USA.
Brad SpellbergLos Angeles County - University of Southern California Medical Center (LAC-USC Medical Center), Los Angeles, California, USA.
University of Southern California · USMcGill University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe sought to determine the comparative efficacy of fosfomycin vs ertapenem for outpatient treatment of complicated urinary tract infections (cUTIs).

methodsWe conducted a multicenter, retrospective cohort study involving patients with cUTI treated with outpatient oral fosfomycin vs intravenous ertapenem at 3 public hospitals in Los Angeles County between January 2018 and September 2020. The primary outcome was resolution of clinical symptoms 30 days after diagnosis.

resultsWe identified 322 patients with cUTI treated with fosfomycin (n = 110) or ertapenem (n = 212) meeting study criteria. The study arms had similar demographics, although patients treated with ertapenem more frequently had pyelonephritis or bacteremia while fosfomycin-treated patients had more retained catheters, nephrolithiasis, or urinary obstruction. Most infections were due to extended-spectrum β-lactamase-producing

conclusionsThese results would support the conduct of a randomized controlled trial to verify efficacy. In the meantime, they suggest that fosfomycin may be a reasonable stepdown from IV antibiotics for cUTI.

Indexed as

complicated urinary tract infectionsertapenemfosfomycin

Identifiers

PMID35036466
PMCPMC8754378
OpenAlexW4200128545

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.