Evidence map›Paper›PMID 37901123›Full record

ArticleOpen forum infectious diseases2023

Efficacy and Safety of Cefmetazole for Bacteremia Caused by Extended-Spectrum β-Lactamase-Producing Enterobacterales vs Carbapenems: A Retrospective Study.

Eriko Kashihara, Ryuichi Minoda Sada, Yukio Tsugihashi, Hitoshi Obayashi, Akihiro Nakamura, Noriyuki Abe, Hirofumi Miyake, Hiroyuki Akebo

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 28% 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

8 citing papers in PubMed, 10 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

8 authors at 2 institutions in 1 country.

Eriko KashiharaDepartment of General Internal Medicine, Tenri Hospital, Nara, Japan.
Ryuichi Minoda SadaDepartment of General Internal Medicine, Tenri Hospital, Nara, Japan.ORCID https://orcid.org/0000-0002-1455-6822
Yukio TsugihashiMedical Home Care Center, Tenri Hospital Shirakawa Branch, Nara, Japan.
Hitoshi ObayashiTenri Institute of Medical Research, Nara, Japan.
Akihiro NakamuraDepartment of Clinical Laboratory Science, Faculty of Health Care, Tenri University, Tenri, Japan.
Noriyuki AbeDepartment of Clinical Microbiology, Clinical Laboratory Medicine, Tenri Hospital, Tenri, Japan.
Hirofumi MiyakeDepartment of General Internal Medicine, Tenri Hospital, Nara, Japan.
Hiroyuki AkeboDepartment of General Internal Medicine, Tenri Hospital, Nara, Japan.
Tenri Hospital · JPTenri Health Care University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Extended-spectrum β-lactamase (ESBL)-producing Enterobacterales have become a global concern owing to increased infections, high mortality, and limited antibiotic treatment options. Carbapenems (CPMs) are effective against ESBL-producing Enterobacterales, but their overuse leads to the emergence of multidrug-resistant bacteria. Cefmetazole (CMZ) is effective in vitro; however, its clinical efficacy remains unclear. Methods: We retrospectively reviewed patients who were treated with CMZ or CPMs for bacteremia caused by ESBL-producing Enterobacterales between 1 April 2014 and 31 September 2022 at Tenri Hospital. The primary outcome measure was 90-day mortality. We also evaluated resistance genes and sequence types of ESBL-producing Enterobacterales. Results: In total, 156 patients were enrolled in this study. Ninety patients (58%) received CMZ therapy. Patients in the CMZ group were significantly older than those in the CPM group (median [IQR], 79 years [71-86] vs 74 years [64-83]; Conclusions: Our findings suggest that CMZ is a well-tolerated alternative to CPM for treating bacteremia caused by ESBL-producing Enterobacterales.

Indexed as

bacteremiacarbapenemcefmetazoleextended-spectrum β-lactamase–producing Enterobacteralessequence type 131

Identifiers

PMID37901123
PMCPMC10603591
OpenAlexW4387422618

What OpenQuestion holds

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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.