Evidence map›Paper›PMID 35203786›Full record

ReviewAntibiotics (Basel, Switzerland)2022

Oral Vancomycin Prophylaxis for Primary and Secondary Prevention of

Alberto Enrico Maraolo, Maria Mazzitelli, Emanuela Zappulo, Riccardo Scotto, Guido Granata, Roberto Andini, Emanuele Durante-Mangoni, Nicola Petrosillo, Ivan Gentile

3 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Antibiotics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 5% 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.

NCT06979609 phase2 / phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Secondary Prophylaxis of Recurrent Clostridioides Difficile Infections During Systemic Antibiotics With Vancomycin: A Randomized Controlled Trial

TypeinterventionalSponsorMcGill University Health Centre/Research Institute of the McGill University Health CentreRan2025 to 2029Enrolled300ConditionsClostridioides Difficile Infection, Clostridioides Difficile Infection Recurrence, Clostridoides Difficile Associated DiseaseArmsOral Vancomycin Prophylaxis, Placebo
NCT07221370 phase2 / phase3recruitingnot on this mapstarted 2024, after this paper: background citation

Enteral Vancomycin as Primary Prophylaxis Against Clostridioides Difficile Infection in Critically Ill Patients

TypeinterventionalSponsorRiverside University Health System Medical CenterRan2024 to 2026Enrolled176ConditionsClostridium Difficile Infection, Vancomycin Resistant Enterococci InfectionArmsVancomycin 125mg, Placebo
NCT07221708 phase2 / phase3withdrawnnot on this mapstarted 2027, after this paper: background citation

Primary Prophylaxis of Clostridioides Difficile Infection With Oral Vancomycin in Patients Treated With Systemic Antibiotic Therapy in a Community Hospital

TypeinterventionalSponsorUniversity of Maryland, BaltimoreRan2027 to 2027Enrolled0ConditionsClostridioides Difficile, Vancomycin Resistance Enterococcus FaeciumArmsVancomycin (POC)
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Clinical management ofEClinicalMedicine · 2025
    Article
  7. Navigating recurrentAntimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Article
  8. Article
  9. Use of primary oral vancomycin prophylaxis to stem an outbreak ofAntimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Article
  10. Therapeutics involved in managing initial and recurrentWorld journal of gastrointestinal pharmacology and therapeutics · 2024
    Review
  11. Clinical microbiology reviews · 2024
    Review
  12. TreatingACG case reports journal · 2024
    Article
  13. Use of electronic health record data to identify hospital-associatedmedRxiv : the preprint server for health sciences · 2024
    Article
  14. The management ofMedicine and pharmacy reports · 2024
    Review
  15. Review
  16. Strategies to preventInfection control and hospital epidemiology · 2023
    Article
  17. Review
  18. Comparison of the Risk of RecurrentOpen forum infectious diseases · 2022
    Article
  19. Article
  20. Primary Prophylaxis for Clostridioides difficile Infection in Lung Transplant Recipients: A Retrospective Study.Transplant infectious disease : an official journal of the Transplantation Society
    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

9 authors at 6 institutions in 1 country.

Alberto Enrico MaraoloFirst Division of Infectious Diseases, Cotugno Hospital, AORN Ospedali dei Colli, 80131 Naples, Italy.ORCID 0000-0002-7218-7762
Maria MazzitelliInfectious and Tropical Diseases Unit, Department of Medical and Surgical Sciences, Magna Graecia University, 88100 Catanzaro, Italy.ORCID 0000-0003-0263-0703
Emanuela ZappuloSection of Infectious Diseases, Department of Clinical Medicine and Surgery, University of Naples "Federico II", 80131 Naples, Italy.
Riccardo ScottoSection of Infectious Diseases, Department of Clinical Medicine and Surgery, University of Naples "Federico II", 80131 Naples, Italy.ORCID 0000-0002-0178-2986
Guido GranataClinical and Research Department for Infectious Diseases, National Institute for Infectious Diseases L. Spallanzani, IRCCS, 00149 Rome, Italy.ORCID 0000-0001-5796-0545
Roberto AndiniDepartment of Precision Medicine, University of Campania 'L. Vanvitelli', 80138 Naples, Italy.
Emanuele Durante-MangoniDepartment of Precision Medicine, University of Campania 'L. Vanvitelli', 80138 Naples, Italy.ORCID 0000-0002-5381-3537
Nicola PetrosilloInfectious Diseases Service, Saint Camillus International University of Health Science, UniCamillus, 00131 Rome, Italy.
Ivan GentileSection of Infectious Diseases, Department of Clinical Medicine and Surgery, University of Naples "Federico II", 80131 Naples, Italy.ORCID 0000-0002-5199-8451
University of Naples Federico II · ITUniversity of Campania "Luigi Vanvitelli" · ITIstituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITOspedale D. Cotugno · ITSaint Camillus International University of Health and Medical Sciences · ITUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background

methodsA systematic review with meta-analysis and trial sequential analysis (TSA) of studies assessing the efficacy and the safety of OVP to prevent primary CDI and rCDI in persons undergoing SAT was carried out. PubMed and EMBASE were searched until 30 September 2021. The protocol was pre-registered on PROSPERO (CRD42019145543).

resultsEleven studies met the inclusion criteria, only one being a randomized controlled trial (RCT). Overall, 929 subjects received OVP and 2011 represented the comparator group (no active prophylaxis). OVP exerted a strong protective effect for CDI occurrence: odds ratio 0.14, 95% confidence interval 0.04-0.38. Moderate heterogeneity was observed: I

conclusionsOVP appears to be an efficacious option for prevention of CDI in high-risk subjects undergoing SAT. Nevertheless, additional data from RCTs are needed to establish OVP as good clinical practice and define optimal dosage and duration.

Indexed as

antibioticClostridioides difficilemeta-analysisoral vancomycinpreventionprophylaxistrial sequential analysis

Identifiers

PMID35203786
PMCPMC8868369
OpenAlexW4210462446

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.