Evidence map›Paper›PMID 37191533›Full record

ArticleAntimicrobial agents and chemotherapy2023

Comparison of Oral and Intravenous Definitive Antibiotic Therapy for Beta-Hemolytic Streptococcus Species Bloodstream Infections from Soft Tissue Sources: a Propensity Score-Matched Analysis.

Zachary A Yetmar, Supavit Chesdachai, Brian D Lahr, Douglas W Challener, Kellie N Arensman Hannan, Kevin Epps, Ryan W Stevens, Maria Teresa Seville, Aaron J Tande, Abinash Virk

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.5field-weighted citation impact, top 8% 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, 12 citations in OpenAlex.

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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

10 authors at 4 institutions in 1 country.

Zachary A YetmarDivision of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0003-2098-2868
Supavit ChesdachaiDivision of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0003-3507-6411
Brian D LahrDivision of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, Minnesota, USA.
Douglas W ChallenerDivision of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Kellie N Arensman HannanDepartment of Pharmacy, Mayo Clinic, Mankato, Minnesota, USA.
Kevin EppsDepartment of Pharmacy, Mayo Clinic, Jacksonville, Florida, USA.
Ryan W StevensDepartment of Pharmacy, Mayo Clinic, Rochester, Minnesota, USA.
Maria Teresa SevilleDivison of Infectious Diseases, Mayo Clinic, Phoenix, Arizona, USA.
Aaron J TandeDivision of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Abinash VirkDivision of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Mayo Clinic in Florida · USMayo Clinic · USWinnMed · USJacksonville College · US

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
NCATS NIH HHS UL1 TR002377
6 · The paper itself

Abstract

Beta-hemolytic streptococci are common causes of bloodstream infection (BSI). There is emerging data regarding oral antibiotics for BSI but limited for beta-hemolytic streptococcal BSI. We conducted a retrospective study of adults with beta-hemolytic streptococcal BSI from a primary skin/soft tissue source from 2015 to 2020. Patients transitioned to oral antibiotics within 7 days of treatment initiation were compared to those who continued intravenous therapy, after propensity score matching. The primary outcome was 30-day treatment failure (composite of mortality, infection relapse, and hospital readmission). A prespecified 10% noninferiority margin was used for the primary outcome. We identified 66 matched pairs of patients treated with oral and intravenous antibiotics as definitive therapy. Based on an absolute difference in 30-day treatment failure of 13.6% (95% confidence interval 2.4 to 24.8%), the noninferiority of oral therapy was not confirmed (

Indexed as

BacteremiaSepsisStreptococcal InfectionsAdultAnti-Bacterial AgentsHumansPropensity ScoreRetrospective StudiesStreptococcusAnti-Bacterial AgentsBeta-hemolytic Streptococcuscellulitisoral therapypropensity score

Identifiers

PMID37191533
PMCPMC10269088
OpenAlexW4376640475

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.