Evidence map›Paper›PMID 35329878›Full record

ArticleJournal of clinical medicine2022

Clinical Outcomes of an Innovative Cefazolin Delivery Program for MSSA Infections in OPAT.

Laura Herrera-Hidalgo, Rafael Luque-Márquez, Aristides de Alarcon, Ana Belén Guisado-Gil, Belen Gutierrez-Gutierrez, Maria Dolores Navarro-Amuedo, Julia Praena-Segovia, Juan Manuel Carmona-Caballero, Elena Fraile-Ramos, Alicia Gutierrez-Valencia and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
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  4. Review
  5. 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 1 institution in 1 country.

Laura Herrera-HidalgoUnidad de Farmacia, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain.ORCID 0000-0002-2307-944X
Rafael Luque-MárquezInstituto de Biomedicina de Sevilla (IBiS), 41013 Seville, Spain.ORCID 0000-0002-7563-5815
Aristides de AlarconInstituto de Biomedicina de Sevilla (IBiS), 41013 Seville, Spain.
Ana Belén Guisado-GilUnidad de Farmacia, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain.
Belen Gutierrez-GutierrezInstituto de Biomedicina de Sevilla (IBiS), 41013 Seville, Spain.
Maria Dolores Navarro-AmuedoInstituto de Biomedicina de Sevilla (IBiS), 41013 Seville, Spain.
Julia Praena-SegoviaInstituto de Biomedicina de Sevilla (IBiS), 41013 Seville, Spain.
Juan Manuel Carmona-CaballeroInstituto de Biomedicina de Sevilla (IBiS), 41013 Seville, Spain.
Elena Fraile-RamosInstituto de Biomedicina de Sevilla (IBiS), 41013 Seville, Spain.
Alicia Gutierrez-ValenciaInstituto de Biomedicina de Sevilla (IBiS), 41013 Seville, Spain.
Luis Eduardo Lopez-CortesInstituto de Biomedicina de Sevilla (IBiS), 41013 Seville, Spain.ORCID 0000-0002-9347-527X
Maria Victoria Gil-NavarroUnidad de Farmacia, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain.
Consejo Superior de Investigaciones Científicas · ES

Funding

Instituto de Salud Carlos III CM19/00152, CM19/00029, CP19/00159
6 · The paper itself

Abstract

Cefazolin is a recommended treatment for methicillin-susceptible Staphylococcus aureus (MSSA) infections that has been successfully used in outpatient parenteral antibiotic therapy (OPAT) programs. The aim of this study was to assess the clinical outcomes of cefazolin delivered each day (Group 24) vs. every two days (Group 48) for MSSA infections in OPAT programs. It was a prospective observational study with retrospective analysis of a cohort of MSSA infections attended in OPAT. The primary outcome was treatment success, defined as completing the antimicrobial regimen without death, treatment discontinuation, or readmission during treatment and follow-up. A univariate and multivariate logistic regression model was built. A two-sided p < 0.05 was considered statistically significant. Of the 149 MSSA infections treated with cefazolin 2 g/8 h in OPATs, 94 and 55 patients were included in the delivery Group 24 and Group 48, respectively. Treatment failure and unplanned readmission rates were similar in both groups (11.7% vs. 7.3% p = 0.752 and 8.5% vs. 5.5% p = 0.491). There was a significant increase in vascular access complications in Group 24 (33.0%) with respect to Group 48 (7.3%) (p < 0.001). Treating uncomplicated MSSA infection with cefazolin home-delivered every two days through an OPAT program is not associated with an increased risk of treatment failure and entails a significant reduction in resource consumption compared to daily delivery.

Indexed as

cefazolinhome-deliverymethicillin-susceptible Staphylococcus aureusMSSAOPAT

Identifiers

PMID35329878
PMCPMC8950875
OpenAlexW4220743943

What OpenQuestion holds

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LicenceCC BY
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.