Evidence map›Paper›PMID 35237755›Full record

ArticleJAC-antimicrobial resistance2022

Clindamycin adjunctive therapy for severe

A J Campbell, R Dotel, M Braddick, P N Britton, D P Eisen, J R Francis, S Lynar, B McMullan, N Meagher, J Nelson and 7 more

Open access · goldAbstract read
In one paragraph

Article in JAC-antimicrobial resistance, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. The Complex Intracellular Lifecycle ofInternational journal of molecular sciences · 2024
    Review
  6. Review
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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

17 authors at 9 institutions in 1 country.

A J CampbellDepartment of Infectious Diseases, Perth Children's Hospital, Perth, Australia.
R DotelDepartment of Infectious Diseases, Blacktown Hospital, Sydney, Australia.
M BraddickDepartment of Infectious Diseases, Townsville University Hospital, Townsville, Queensland, Australia.
P N BrittonDepartment of Infectious Diseases and Microbiology, Children's Hospital Westmead, Sydney, Australia.
D P EisenCollege of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia.
J R FrancisGlobal and Tropical Health Division, Menzies School of Health Research, Darwin, Australia.
S LynarGlobal and Tropical Health Division, Menzies School of Health Research, Darwin, Australia.
B McMullanDepartment of Immunology and Infectious Diseases, Sydney Children's Hospital, Randwick, Sydney, Australia.
N MeagherDepartment of Infectious Diseases, Doherty Institute for Infection & Immunity, The University of Melbourne & Royal Melbourne Hospital, Melbourne, Australia.
J NelsonGlobal and Tropical Health Division, Menzies School of Health Research, Darwin, Australia.
M V N O'SullivanCentre for Infectious Diseases and Microbiology, Westmead Hospital, University of Sydney, Sydney, Australia.
D J PriceDepartment of Infectious Diseases, Doherty Institute for Infection & Immunity, The University of Melbourne & Royal Melbourne Hospital, Melbourne, Australia.
J O RobinsonDepartment of Infectious Diseases, Royal Perth Hospital, Perth, Australia.
A WhelanWesfarmers Centre of Vaccines and Infectious Diseases, Telethon Kids Institute, Perth, Australia.
S Y C TongDepartment of Infectious Diseases, Doherty Institute for Infection & Immunity, The University of Melbourne & Royal Melbourne Hospital, Melbourne, Australia.ORCID https://orcid.org/0000-0002-1368-8356
A C BowenDepartment of Infectious Diseases, Perth Children's Hospital, Perth, Australia.
J S DavisGlobal and Tropical Health Division, Menzies School of Health Research, Darwin, Australia.ORCID https://orcid.org/0000-0001-9864-5699
Menzies School of Health Research · AUThe Kids Research Institute Australia · AUThe Royal Melbourne Hospital · AUThe University of Sydney · AUJames Cook University · AUJohn Hunter Hospital · AUMurdoch University · AUThe University of Melbourne · AUTownsville Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCombination antibiotic therapy with an antitoxin agent, such as clindamycin, is included in some guidelines for severe, toxin-mediated

objectivesThis pilot RCT aimed to determine the feasibility of conducting a clinical trial to examine if adjunctive clindamycin with standard therapy has greater efficacy than standard therapy alone for

methodsWe performed an investigator-initiated, open-label, multicentre, pilot RCT (ACTRN12617001416381p) in adults and children with severe

resultsOver 28 months, across nine sites, 127 individuals were screened and 34 randomized, including 11 children (32%). The primary outcome-number of days alive and free of systemic inflammatory response syndrome ≤14 days-was similar between groups: clindamycin (3 days [IQR 1-6]) versus standard therapy (4 days [IQR 0-8]). The 90 day mortality was 0% (0/17) in the clindamycin group versus 24% (4/17) in the standard therapy group. Secondary outcomes-microbiological relapse, treatment failure or diarrhoea-were similar between groups.

conclusionsAs the first clinical trial assessing adjunctive clindamycin for

Identifiers

PMID35237755
PMCPMC8884362
OpenAlexW4210616768

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.