Evidence map›Paper›PMID 35203801›Full record

ArticleAntibiotics (Basel, Switzerland)2022

Efficacy and Safety of Oral Fosfomycin-Trometamol in Male Urinary Tract Infections with Multidrug-Resistant Enterobacterales.

Kévin Bouiller, Souheil Zayet, Paul-Emile Lalloz, Anaïs Potron, Vincent Gendrin, Catherine Chirouze, Timothée Klopfenstein

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 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
2.5field-weighted citation impact, top 11% 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, 17 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Kévin BouillerDepartment of Infectious and Tropical Diseases, CHRU, 25000 Besançon, France.ORCID 0000-0002-2177-4318
Souheil ZayetTropical and Infectious Diseases Department, Hospital Nord Franche-Comté, 90400 Trévenans, France.ORCID 0000-0003-3177-9806
Paul-Emile LallozDepartment of Infectious and Tropical Diseases, CHRU, 25000 Besançon, France.
Anaïs PotronBacteriology Laboratory, CHRU, 25000 Besançon, France.
Vincent GendrinTropical and Infectious Diseases Department, Hospital Nord Franche-Comté, 90400 Trévenans, France.ORCID 0000-0002-9220-9359
Catherine ChirouzeDepartment of Infectious and Tropical Diseases, CHRU, 25000 Besançon, France.
Timothée KlopfensteinTropical and Infectious Diseases Department, Hospital Nord Franche-Comté, 90400 Trévenans, France.ORCID 0000-0003-4334-9889
Centre Hospitalier Universitaire de Besançon · FRCentre National de la Recherche Scientifique · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntimicrobial drugs to treat male urinary tract infection (UTI) with multidrug-resistant Enterobacterales are limited. We studied oral fosfomycin-trometamol (FT) in this situation. The objective was to assess the clinical cure rate in patients presenting UTIs treated with oral FT.

methodsWe conducted a single-center observational retrospective study from January 2017 to August 2018. The primary endpoint was clinical cure; and the secondary endpoints were incidence of recurrences, oral FT safety, and microbiological cure.

resultsSixteen male patients were included, presenting 21 UTI episodes. Fourteen patients (88%) have at least one underlying urologic disorder. We described 4 episodes of acute UTI and 17 episodes of chronic bacterial prostatitis (CBP). Sixteen out of twenty-one Enterobacterales were extended spectrum beta-lactamase (ESBL)-producers and all the patients presented a resistance to fluoroquinolones and trimethoprim/sulfamethoxazole. In acute UTI, the regimen was a daily dose of oral FT for a mean duration of 2.5 weeks (+/-7.0 days). Clinical and microbiological recovery was achieved in all patients, with no recurrence after 5.3 months follow-up on average (+/-10.4 days). In CBP, the regimen was one oral dose of fosfomycin every 24-48 h, for a mean duration of 5.5 weeks/UTI episodes (+/-15.3 days). Clinical and microbiological recovery was found in 16/17 cases. Seven of the twelve patients with CBP had relapsed and 3/12 had had a new episode of infection after an average follow-up of 5.8 months. Only 6/21 of patients presented minor or moderate adverse effects, such as digestive disorders.

conclusionsFT could be an alternative option to carbapenems in the treatment of multidrug-resistant Enterobacterales infections for male UTIs.

Indexed as

efficacyEnterobacteralesfosfomycinmale urinary tract infectionsprostatitissafety

Identifiers

PMID35203801
PMCPMC8868337
OpenAlexW4210730658

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.