Evidence map›Paper›PMID 37820167›Full record

ArticleRevista da Associacao Medica Brasileira (1992)2023

Evaluation of the combination treatments with intravenous fosfomycin for carbapenem-resistant Klebsiella pneumoniae.

Uğur Önal, Nazmiye Ülkü Tüzemen, Pınar Küçükdemirci Kaya, Remzi İşçimen, Nermin Kelebek Girgin, Cüneyt Özakın, Ferda Şöhret Kahveci, Halis Akalın

Open access · diamondAbstract read
In one paragraph

Article in Revista da Associacao Medica Brasileira (1992), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 53% 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, 3 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

8 authors at 1 institution in 1 country.

Uğur ÖnalUludag University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology - Bursa, Turkey.ORCID http://orcid.org/0000-0001-6194-3254
Nazmiye Ülkü TüzemenUludag University, Faculty of Medicine, Department of Microbiology - Bursa, Turkey.ORCID http://orcid.org/0000-0003-3544-3509
Pınar Küçükdemirci KayaUludag University, Faculty of Medicine, Department of Anesthesiology and Reanimation - Bursa, Turkey.ORCID http://orcid.org/0000-0002-8428-8245
Remzi İşçimenUludag University, Faculty of Medicine, Department of Anesthesiology and Reanimation - Bursa, Turkey.ORCID http://orcid.org/0000-0001-8111-5958
Nermin Kelebek GirginUludag University, Faculty of Medicine, Department of Anesthesiology and Reanimation - Bursa, Turkey.ORCID http://orcid.org/0000-0002-5882-1632
Cüneyt ÖzakınUludag University, Faculty of Medicine, Department of Microbiology - Bursa, Turkey.ORCID http://orcid.org/0000-0001-5428-3630
Ferda Şöhret KahveciUludag University, Faculty of Medicine, Department of Anesthesiology and Reanimation - Bursa, Turkey.ORCID http://orcid.org/0000-0003-4820-2288
Halis AkalınUludag University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology - Bursa, Turkey.ORCID http://orcid.org/0000-0001-7530-1279
Bursa Uludağ Üni̇versi̇tesi̇ · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to evaluate the combination treatments with intravenous fosfomycin for carbapenem-resistant Klebsiella pneumoniae infections in a tertiary-care center.

methodsBetween December 24, 2018 and November 21, 2022, adult patients diagnosed with bloodstream infection or ventilator-associated pneumonia due to culture-confirmed carbapenem-resistant Klebsiella pneumoniae in the anesthesiology and reanimation intensive care units were investigated retrospectively.

resultsThere were a total of 62 patients fulfilling the study inclusion criteria. No significant difference was recorded in 14- and 30-day mortality among different types of combination regimens such as fosfomycin plus one or two antibiotic combinations. Hypokalemia (OR:5.651, 95%CI 1.019-31.330, p=0.048) was found to be a significant risk factor for 14-day mortality, whereas SOFA score at the time of diagnosis (OR:1.497, 95%CI 1.103-2.032, p=0.010) and CVVHF treatment (OR:6.409, 95%CI 1.395-29.433, p=0.017) were associated with 30-day mortality in multivariate analysis.

conclusionIn our study, high mortality rates were found in patients with bloodstream infection or ventilator-associated pneumonia due to carbapenem-resistant Klebsiella pneumoniae, and no significant difference was recorded in 14- and 30-day mortality among different types of combination regimens such as fosfomycin plus one or two antibiotic combinations.

Indexed as

FosfomycinKlebsiella InfectionsPneumonia, Ventilator-AssociatedSepsisAdultAnti-Bacterial AgentsCarbapenemsHumansKlebsiella pneumoniaeRetrospective StudiesAnti-Bacterial AgentsCarbapenemsFosfomycin

Identifiers

PMID37820167
PMCPMC10561911
OpenAlexW4387466588

What OpenQuestion holds

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LicenceCC BY-NC
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.