Evidence map›Paper›PMID 36918748›Full record

ArticleThe Journal of antimicrobial chemotherapy2023

Teicoplanin and vancomycin as treatment for glycopeptide-susceptible Enterococcus faecium bacteraemia: a propensity score-adjusted non-inferior comparative study.

Ryo Yamaguchi, Takehito Yamamoto, Koh Okamoto, Sohei Harada, Miho Echizenya, Takeya Tsutsumi, Tappei Takada

Abstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

  1. Clinical outcomes of teicoplanin for Corynebacterium species bacteremia: A retrospective observational study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  2. Article
  3. Optimal vancomycin AUCEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  4. Article
  5. Genomic epidemiology and antimicrobial resistance ofJournal of clinical microbiology · 2025
    Article
  6. Observational
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Occurrence of Antimicrobial-ResistantAntibiotics (Basel, Switzerland) · 2024
    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

7 authors.

Ryo YamaguchiDepartment of Pharmacy, The University of Tokyo Hospital, Tokyo, Japan.ORCID 0000-0003-2012-0299
Takehito YamamotoDepartment of Pharmacy, The University of Tokyo Hospital, Tokyo, Japan.
Koh OkamotoDepartment of Infectious Diseases, The University of Tokyo Hospital, Tokyo, Japan.ORCID 0000-0002-4072-9096
Sohei HaradaDepartment of Infection Control and Prevention, The University of Tokyo Hospital, Tokyo, Japan.ORCID 0000-0003-3073-6564
Miho EchizenyaDepartment of Pharmacy, The University of Tokyo Hospital, Tokyo, Japan.
Takeya TsutsumiDepartment of Infectious Diseases, The University of Tokyo Hospital, Tokyo, Japan.
Tappei TakadaDepartment of Pharmacy, The University of Tokyo Hospital, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesLimited evidence is available regarding alternative therapeutic agents to vancomycin in treating glycopeptide-susceptible Enterococcus faecium (GSEF) bacteraemia. This study assessed the effectiveness and safety of teicoplanin compared with vancomycin for treating GSEF bacteraemia. PATIENTS AND

methodsThis was a retrospective, non-inferiority cohort study. Patients aged ≥18 years who developed GSEF bacteraemia and received either teicoplanin or vancomycin were included. The primary effectiveness outcome was the clinical success at the end of treatment, with a generalized linear model using the propensity score for selecting the agent as a covariate. We used an absolute difference of 20% in clinical success as the non-inferiority margin. Using multivariable logistic regression, the primary safety outcome was the incidence of acute kidney injury (AKI).

resultsIn total, 164 patients (74 and 90 in the teicoplanin and vancomycin groups, respectively) were included. Overall, 64.9% (48/74) and 48.9% (44/90) of patients in the teicoplanin and vancomycin groups, respectively, achieved the primary effectiveness outcome. A generalized linear analysis showed an adjusted effectiveness difference of 9.9% (95% CI, -0.9% to 20.0%; P = 0.07), indicating non-inferiority of teicoplanin versus vancomycin. The incidence of AKI was 8.1% (6/74) and 24.4% (22/90) in the teicoplanin and vancomycin groups, respectively, with an adjusted OR of 0.242 (95% CI, 0.068 to 0.864; P = 0.029), indicating significantly lower AKI risk in the teicoplanin than in the vancomycin group.

conclusionsTeicoplanin is a safe and useful alternative therapeutic agent for treating GSEF bacteraemia.

Indexed as

Acute Kidney InjuryBacteremiaEnterococcus faeciumAdolescentAdultAnti-Bacterial AgentsCohort StudiesGlycopeptidesHumansPropensity ScoreRetrospective StudiesTeicoplaninVancomycinAnti-Bacterial AgentsGlycopeptidesTeicoplaninVancomycin

Identifiers

PMID36918748
PMCPMC10154127

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Registered trials

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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.