Evidence map›Paper›PMID 37968642›Full record

ArticleAnnals of clinical microbiology and antimicrobials2023

Efficacy and nephrotoxicity of polymyxin B in elderly patients with carbapenem resistant bacterial infection.

G L Xia, X Xu, X B You, X Wang, D D Feng, S Lei, R L Jiang

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical microbiology and antimicrobials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 40% 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

4 citing papers in PubMed, 6 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

7 authors at 2 institutions in 1 country.

G L Xia *Department of Intensive Care Unit, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), NO.54 Youdian Road, Hangzhou, 310006, China.
X Xu *The First School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
X B YouThe Third Affiliated Hospital of Zhejiang, Chinese Medical University, Hangzhou, 310009, China.
X WangDepartment of Intensive Care Unit, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), NO.54 Youdian Road, Hangzhou, 310006, China.
D D FengDepartment of Intensive Care Unit, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), NO.54 Youdian Road, Hangzhou, 310006, China.
S Lei *Department of Intensive Care Unit, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), NO.54 Youdian Road, Hangzhou, 310006, China.
R L Jiang *Department of Intensive Care Unit, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), NO.54 Youdian Road, Hangzhou, 310006, China. jrl163@126.com.
Zhejiang Chinese Medical University · CNThe Third Affiliated Hospital of Zhejiang Chinese Medical University · CN

Funding

the National Natural Science Foundation of China 81774070the Natural Science Youth Exploration Project of Zhejiang Chinese Medical University 2021JKZKTS046Bthe Science and technology project of Zhejiang Health Committee 2020KY663the Science and technology project of Zhejiang Health Committee 2022KY915the Traditional Chinese Medicine Science and Technology Plan Project of Zhejiang Province 2023ZL425
6 · The paper itself

Abstract

backgroundTo study the efficacy and nephrotoxicity of polymyxin B in the treatment of elderly patients with carbapenem-resistant organism (CRO) infection.

methodsThe clinical and microbiological data of patients with CRO-infected sepsis treated with polymyxin B were retrospectively analyzed. The effective rate, bacterial clearance, incidence and recovery rate of acute renal injury (AKI) and prognosis-related indicators in AKI at different stages were compared.

resultsThe effective rate of 215 elderly patients with CRO infection treated with polymyxin was 50.7%. The total bacterial clearance rate was 44.2%, the total incidence of AKI was 37.2%, the recovery rate of AKI was 35%, and the incidence range of polymyxin B-related AKI was 10.2-37.2%. Logistic multivariate regression analysis showed that the predictors of AKI in elderly patients were high APACHE II score, long duration of polymyxin, chronic renal insufficiency and ineffective outcome; the ROC curve showed that the cutoff value for predicting AKI was a serum creatinine concentration of 73 mmol/L before polymyxin B use, and the AUC was 0.931.

conclusionsRational use of polymyxin B is safe and effective in elderly patients with CRO infection, and its effective outcome can improve the recovery rate of AKI.

Indexed as

Acute Kidney InjuryBacterial InfectionsAgedAnti-Bacterial AgentsCarbapenemsHumansPolymyxin BRetrospective StudiesAnti-Bacterial AgentsCarbapenemsPolymyxin BAcute kidney injuryCarbapenem-resistant organismElderlyInfectionPolymyxin B

Identifiers

PMID37968642
PMCPMC10652515
OpenAlexW4388691523

What OpenQuestion holds

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LicenceCC BY
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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.