Evidence map›Paper›PMID 37310693›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2023

Global Differences in the Management of Staphylococcus aureus Bacteremia: No International Standard of Care.

Annette C Westgeest, David T P Buis, Kim C E Sigaloff, Felicia Ruffin, Leo G Visser, Yunsong Yu, Emile F Schippers, Merel M C Lambregts, Steven Y C Tong, Mark G J de Boer and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
7.8field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Cefazolin for Methicillin-SusceptibleThe New England journal of medicine · 2026
    Trial
  3. Factors Associated with Methicillin-ResistantAntibiotics (Basel, Switzerland) · 2026
    Article
  4. Development of a rapid diagnostic test for the cefazolin inoculum effect in methicillin-susceptible Staphylococcus aureus: Cefinase disk direct (CDD) test.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  5. Article
  6. Impact of a standardized management protocol and antimicrobial stewardship intervention on mortality and quality of care in Staphylococcus aureus bacteremia: a before-after study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  7. Methicillin-resistant Staphylococcus aureus.Nature reviews. Disease primers · 2026
    Review
  8. Observational
  9. Article
  10. Review
  11. Management of seriousPaediatrics & child health · 2026
    Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Observational
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 5 countries.

Annette C WestgeestDivision of Infectious Diseases, Department of Medicine, Duke University, Durham, North Carolina, USA.ORCID 0000-0002-0648-3555
David T P BuisAmsterdam UMC, Department of Internal Medicine, Division of Infectious Diseases, Vrije Universiteit Amsterdam, Amsterdam Institute for Infection and Immunity, Amsterdam, The Netherlands.
Kim C E SigaloffAmsterdam UMC, Department of Internal Medicine, Division of Infectious Diseases, Vrije Universiteit Amsterdam, Amsterdam Institute for Infection and Immunity, Amsterdam, The Netherlands.
Felicia RuffinDivision of Infectious Diseases, Department of Medicine, Duke University, Durham, North Carolina, USA.
Leo G VisserDepartment of Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.
Yunsong YuDepartment of Infectious Diseases, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Emile F SchippersDepartment of Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.
Merel M C LambregtsDepartment of Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.
Steven Y C TongVictorian Infectious Diseases Service, The Royal Melbourne Hospital, at the Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Mark G J de BoerDepartment of Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.
Vance G FowlerDivision of Infectious Diseases, Department of Medicine, Duke University, Durham, North Carolina, USA.
Leiden University Medical Center · NLDuke University · USAmsterdam Neuroscience · NLSir Run Run Shaw Hospital · CNThe Royal Melbourne Hospital · AU

Funding

HLA Fine Mapping to Elucidate S. aureus SusceptibilityR01AI165671 · NIAID · DUKE UNIVERSITY · PI FOWLER, VANCE G., SCOTT, WILLIAM K · 2021 to 2025
$3.8M
NIAID NIH HHS R01 AI165671
6 · The paper itself

Abstract

backgroundDespite being the leading cause of mortality from bloodstream infections worldwide, little is known about regional variation in treatment practices for Staphylococcus aureus bacteremia (SAB). The aim of this study was to identify global variation in management, diagnostics, and definitions of SAB.

methodsDuring a 20-day period in 2022, physicians throughout the world were surveyed on SAB treatment practices. The survey was distributed through listservs, e-mails, and social media.

resultsIn total, 2031 physicians from 71 different countries on 6 continents (North America [701, 35%], Europe [573, 28%], Asia [409, 20%], Oceania [182, 9%], South America [124, 6%], and Africa [42, 2%]) completed the survey. Management-based responses differed significantly by continent for preferred treatment of methicillin-susceptible S. aureus (MSSA) and methicillin-resistant S. aureus (MRSA) bacteremia, use of adjunctive rifampin for prosthetic material infection, and use of oral antibiotics (P < .01 for all comparisons). The 18F-FDG PET/CT scans were most commonly used in Europe (94%) and least frequently used in Africa (13%) and North America (51%; P < .01). Although most respondents defined persistent SAB as 3-4 days of positive blood cultures, responses ranged from 2 days in 31% of European respondents to 7 days in 38% of Asian respondents (P < .01).

conclusionsLarge practice variations for SAB exist throughout the world, reflecting the paucity of high-quality data and the absence of an international standard of care for the management of SAB.

Indexed as

BacteremiaMethicillin-Resistant Staphylococcus aureusStaphylococcal InfectionsAnti-Bacterial AgentsHumansPositron Emission Tomography Computed TomographyStandard of CareStaphylococcus aureusAnti-Bacterial Agentsglobal surveypractice patternsStaphylococcus aureus bacteremia

Identifiers

PMID37310693
PMCPMC10573727
OpenAlexW4380421880

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.