Evidence map›Paper›PMID 36092959›Full record

ArticleDisease markers2022

Antimicrobial Step-Down Therapy versus Conventional Antimicrobial Therapy in the Treatment of Patients with Sepsis.

Zhuo Peng, Zequn Niu, Rui Zhang, Longfei Pan, Hui Feng, Yang Zhou, Honghong Pei

RetractedOpen access · hybridAbstract readMulticenter StudyRetracted Publication
In one paragraph

Article in Disease markers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Zhuo PengEmergency Department, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province 710000, China.
Zequn NiuEmergency Department, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province 710000, China.
Rui ZhangEmergency Department, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province 710000, China.
Longfei PanEmergency Department, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province 710000, China.
Hui FengEmergency Department, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province 710000, China.
Yang ZhouEmergency Department, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province 710000, China.
Honghong PeiEmergency Department, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province 710000, China.ORCID https://orcid.org/0000-0003-4649-5152
Second Affiliated Hospital of Xi'an Jiaotong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study was to evaluate the efficacy of antimicrobial step-down therapy versus conventional antimicrobial therapy in the treatment of patients with sepsis. Methods: Between September 2020 and September 2021, 65 patients with sepsis treated in the intensive care unit (ICU) of our hospital were recruited and assigned at a ratio of 1 : 1 to receive either conventional antimicrobial therapy (sulbactam plus cefoperazone) (control group) or antimicrobial step-down therapy (imipenem/cilastatin) (observation group). The results of drug sensitivity tests and clinical effects were evaluated comprehensively after 3-5 d of treatment, downgraded, and upgraded, or maintenance treatment was administered for 10 d. Outcome measures included clinical and laboratory indices and treatment efficacy. Results: Antimicrobial step-down therapy resulted in a significantly higher efficacy and lower levels of white blood cell (WBC) count and C-reactive protein (CRP) versus conventional antimicrobial therapy ( Conclusion: Antimicrobial step-down therapy contributes to the mitigation of inflammatory responses in patients with sepsis and shortens the duration of antimicrobial drug use and ICU stay versus conventional antimicrobial therapy. The reliability of the conclusions can be further increased if multicenter and large sample clinical observations can be conducted, which is the direction of endeavor for future clinical studies.

Indexed as

Anti-Infective AgentsSepsisAnti-Bacterial AgentsHumansIntensive Care UnitsReproducibility of ResultsAnti-Bacterial AgentsAnti-Infective Agents

Identifiers

PMID36092959
PMCPMC9452988
OpenAlexW4293919139

What OpenQuestion holds

Textmetadata
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.