Evidence map›Paper›PMID 35915273›Full record

Observational studyEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2022

Treatment duration for central line-associated infection caused by Enterococcus spp.: a retrospective evaluation of a multicenter cohort.

Elena Rosselli Del Turco, Zeno Pasquini, Kristian Scolz, Alberto Amedeo, Giacomo Beci, Maddalena Giglia, Linda Bussini, Sulamita Carvalho-Brugger, Laura Gutiérrez, Sara Tedeschi and 6 more

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 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
0.8field-weighted citation impact, top 29% 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, 5 citations in OpenAlex.

  1. Article
  2. ManagingEClinicalMedicine · 2026
    Article
  3. Short course of antimicrobial treatment for uncomplicated enterococcal bacteremia.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  4. Article
  5. Observational
  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

16 authors at 4 institutions in 3 countries.

Elena Rosselli Del TurcoInfectious Disease Unit, Policlinico Sant'Orsola-Malpighi, IRCCS Sant'Orsola, Via Massarenti, 11 - 40138, Bologna, Italy. erossellidelturco@gmail.com.ORCID http://orcid.org/0000-0002-9059-4804
Zeno PasquiniInfectious Disease Unit, Policlinico Sant'Orsola-Malpighi, IRCCS Sant'Orsola, Via Massarenti, 11 - 40138, Bologna, Italy.
Kristian ScolzDepartment of Medical and Surgical Science, Alma Mater Studiorum-Università Di Bologna, Bologna, Italy.
Alberto AmedeoDepartment of Medical and Surgical Science, Alma Mater Studiorum-Università Di Bologna, Bologna, Italy.
Giacomo BeciDepartment of Medical and Surgical Science, Alma Mater Studiorum-Università Di Bologna, Bologna, Italy.
Maddalena GigliaDepartment of Medical and Surgical Science, Alma Mater Studiorum-Università Di Bologna, Bologna, Italy.
Linda BussiniInfectious Disease Unit, Policlinico Sant'Orsola-Malpighi, IRCCS Sant'Orsola, Via Massarenti, 11 - 40138, Bologna, Italy.
Sulamita Carvalho-BruggerIntensive Care Unit, University Hospital Arnau de Vilanova, Lleida, Spain.
Laura GutiérrezInfectious Diseases Service, University Hospital Arnau de Vilanova-University Hospital Santa Maria, Lleida, Spain.
Sara TedeschiInfectious Disease Unit, Policlinico Sant'Orsola-Malpighi, IRCCS Sant'Orsola, Via Massarenti, 11 - 40138, Bologna, Italy.
Mercè GarciaMicrobiology Service, University Hospital Arnau de Vilanova, Lleida, Spain.
Simone AmbrettiOperative Unit of Microbiology, IRCCS Sant'Orsola, Bologna, Italy.
Juan M PericàsLiver Unit, Internal Medicine Department, Vall d'Hebron Institute for Research, Vall d'Hebron University Hospital, Barcelona, Spain.
Maddalena GiannellaInfectious Disease Unit, Policlinico Sant'Orsola-Malpighi, IRCCS Sant'Orsola, Via Massarenti, 11 - 40138, Bologna, Italy.
Pierluigi VialeInfectious Disease Unit, Policlinico Sant'Orsola-Malpighi, IRCCS Sant'Orsola, Via Massarenti, 11 - 40138, Bologna, Italy.
Michele BartolettiInfectious Disease Unit, Policlinico Sant'Orsola-Malpighi, IRCCS Sant'Orsola, Via Massarenti, 11 - 40138, Bologna, Italy.
IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITUniversity of Bologna · ITHospital Universitari Arnau de Vilanova · ESHebron University · PS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective of this study was to assess the appropriate treatment duration for enterococcal central line-associated bloodstream infections (CLABSIs). This observational, retrospective, multicenter study conducted between 2011 and 2019 enrolled all hospitalized patients with monomicrobial enterococcal CLABSI. Those with infective endocarditis and non-survivors at least 7 days from index blood culture (BC) were excluded. Primary endpoint was 30-day mortality. We enrolled 113 patients, of whom 59% were male, median age was 64 (SD ± 15) and median Charlson's index score 5 (IQR 3-8). Enterococcus faecalis and Enterococcus faecium were found in 51% and 44% of cases, respectively. Median treatment duration was 11 days (IQR 6-17), and 32% of patients (n = 36) received ≤ 7 days. Characteristics of patients receiving more or less than 7 days of treatment were similar. Central line was removed in 82% (n = 93) of cases within a median of 3 days (1-8). At both uni- and multivariate analysis, duration of antibiotic treatment > 7 days was not associated with 30-day mortality [HR 0.41 (95% CI, 0.13-1.24), p = 0.12] even after adjustment with propensity score [HR 0.47 (95% CI 0.17-1.26), p = 0.13]. A 7-day treatment course appears to be safe in non-complicated enterococcal CLABSIs.

Indexed as

BacteremiaGram-Positive Bacterial InfectionsAnti-Bacterial AgentsDuration of TherapyEnterococcusEnterococcus faecalisFemaleHumansMaleMiddle AgedRetrospective StudiesAnti-Bacterial AgentsBloodstream infectionCentral line-associated infectionsEnterococcus faecalisEnterococcus faeciumEnterococcus spp.

Identifiers

PMID35915273
OpenAlexW4289641571

What OpenQuestion holds

Textmetadata
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.