Evidence map›Paper›PMID 35959206›Full record

ArticleOpen forum infectious diseases2022

Oral Versus Standard Antimicrobial Treatment for Pyogenic Native Vertebral Osteomyelitis: A Single-Center, Retrospective, Propensity Score-Balanced Analysis.

Lorenzo Marconi, Sara Tedeschi, Eleonora Zamparini, Silvia Terzi, Nicolò Rossi, Luca Boriani, Filippo Trapani, Maddalena Giannella, Damiano Alfio Ruinato, Elisa Marchionni and 2 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% 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, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Rifampin Based Therapy for Patients With Staphylococcus aureus Native Vertebral Osteomyelitis: A Systematic Review and Meta-analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Pooled it
  3. Article
  4. Review
  5. Periprosthetic Joint Infection: Current Clinical Challenges.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  6. Article
  7. Taking the route less traveled: on the way to COpAT.Therapeutic advances in infectious disease
    Review
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 3 institutions in 1 country.

Lorenzo MarconiInfectious Disease Unit, IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy.
Sara TedeschiInfectious Disease Unit, IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy.
Eleonora ZampariniInfectious Disease Unit, IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy.
Silvia TerziDepartment of Oncological and Degenerative Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Nicolò RossiInfectious Disease Unit, IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy.
Luca BorianiDepartment of Oncological and Degenerative Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Filippo TrapaniInfectious Disease Unit, IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy.
Maddalena GiannellaInfectious Disease Unit, IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy.
Damiano Alfio RuinatoSchool of Medicine, University of Bologna, Bologna, Italy.
Elisa MarchionniInfectious Disease Unit, IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy.
Alessandro GasbarriniDepartment of Oncological and Degenerative Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Pierluigi VialeInfectious Disease Unit, IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy.
Azienda USL di Bologna · ITIstituto Ortopedico Rizzoli · ITUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Interest in shorter antimicrobial regimens and oral treatment for osteoarticular infections is growing. The aim of this study is to assess whether there is an association between the administration of an entirely oral antibiotic therapy (OT) and the clinical outcome of native vertebral osteomyelitis (NVOs). Methods: We conducted a single-center, retrospective, observational study on consecutive patients with pyogenic NVOs over a 10-year period (2008-2018). We performed multivariate logistic regression analysis to identify risk factors for clinical failure, both in the whole population and in subgroups. The impact of OT versus standard treatment (intravenous induction followed by oral treatment whenever possible) was assessed in patients with a non-multidrug-resistant microorganism (MDRO) etiology, and the impact of a rifampin-containing regimen was assessed in patients affected by NVOs caused by staphylococci or of unknown etiology. Results: The study population included 249 patients, and 33 (13.3%) experienced clinical failure; the OT group consisted of 54 patients (21.7%). Multivariate regression analysis of the whole population selected Charlson comorbidity index (adjusted odds ratio [aOR], 1.291; 95% confidence interval [CI], 1.114-1.497; Conclusions: An entirely oral, highly bioavailable treatment, including rifampin, may be as effective as parenteral treatment in selected patients with NVOs.

Indexed as

antibiotic therapyoral therapyoutcomevertebral osteomyelitis

Identifiers

PMID35959206
PMCPMC9361174
OpenAlexW4288068524

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.