Evidence map›Paper›PMID 37180353›Full record

ArticleJAC-antimicrobial resistance2023

Assessing clinical cure of empirical piperacillin/tazobactam for ESBL urinary tract infections (ACCEPT-UTI).

Sylvia S Stefanos, Sami Sakaan, Michael Samarin, Michael S Gelfand, Kerry O Cleveland, Jessie Gant, Sydney Kermeen, Diana A Hobbs, Athena L V Hobbs

Open access · goldAbstract read
In one paragraph

Article in JAC-antimicrobial resistance, 2023. 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
2.1field-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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Antibiotics (Basel, Switzerland) · 2024
    Article
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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

9 authors at 4 institutions in 1 country.

Sylvia S StefanosDepartment of Pharmacy, Methodist University Hospital, 1265 Union Avenue, Memphis, TN 38104, USA.
Sami SakaanDepartment of Pharmacy, Methodist University Hospital, 1265 Union Avenue, Memphis, TN 38104, USA.
Michael SamarinDepartment of Pharmacy, Methodist University Hospital, 1265 Union Avenue, Memphis, TN 38104, USA.
Michael S GelfandInfectious Diseases, Methodist University Hospital, 1265 Union Avenue, Memphis, TN 38104, USA.
Kerry O ClevelandInfectious Diseases, Methodist University Hospital, 1265 Union Avenue, Memphis, TN 38104, USA.
Jessie GantCollege of Pharmacy, University of Tennessee Health Science Center, 881 Madison Ave., Memphis, TN 38163, USA.
Sydney KermeenCollege of Pharmacy, University of Tennessee Health Science Center, 881 Madison Ave., Memphis, TN 38163, USA.
Diana A HobbsDepartment of Radiology, Washington University School of Medicine, 4525 Scott Ave., St Louis, MO 63110, USA.
Athena L V HobbsCardinal Health Innovative Delivery Solutions, 7000 Cardinal Place, Dublin, OH 43017, USA.
Methodist University Hospital · USUniversity of Tennessee Health Science Center · USCardinal Health (United States) · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Data are limited regarding use of piperacillin/tazobactam for ESBL urinary tract infections (UTIs). The objective of this study was to compare clinical outcomes of patients treated empirically with piperacillin/tazobactam versus carbapenems for ESBL UTIs. Methods: This retrospective, observational, propensity score-matched study evaluated adults with an ESBL on urine culture. Patients who had UTI symptoms or leukocytosis, and who received a carbapenem or piperacillin/tazobactam empirically for at least 48 h were included. The primary outcome was clinical success within 48 h, defined as resolution of temperature (36-38°C), resolution of symptoms or leukocytosis (WBC <12 × 10 Results: Overall, 223 patients were included in the full cohort and 200 patients in the matched cohort (piperacillin/tazobactam = 100, carbapenem = 100). Baseline characteristics were similar between the groups. There was no difference in the primary outcome of clinical success between the carbapenem and piperacillin/tazobactam groups (58% versus 56%, respectively; Conclusions: There was no significant difference in clinical success for patients treated empirically with piperacillin/tazobactam compared with carbapenems for ESBL UTIs.

Identifiers

PMID37180353
PMCPMC10174203
OpenAlexW4376134850

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.