Evidence map›Paper›PMID 38324144›Full record

ArticleInfection2024

In-label, off-label prescription, efficacy and tolerability of dalbavancin: report from a National Registry.

Silvano Esposito, Pasquale Pagliano, Giuseppe De Simone, Amedeo Guarino, Angelo Pan, Paola Brambilla, Claudio Mastroianni, Miriam Lichtner, Pierluigi Brugnaro, Anna Carretta and 14 more

Abstract read
In one paragraph

Article in Infection, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Review
  2. Leukocytoclastic Vasculitis Induced by Dalbavancin: A Case Report.The American journal of case reports · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. 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

24 authors.

Silvano EspositoDepartment of Infectious Diseases, University of Salerno, Salerno, Italy. silvanoesposito@libero.it.
Pasquale PaglianoDepartment of Infectious Diseases, University of Salerno, Salerno, Italy.
Giuseppe De SimoneDepartment of Infectious Diseases, University of Salerno, Salerno, Italy.
Amedeo GuarinoDepartment of Public Health, University of Naples Federico II, Naples, Italy.
Angelo PanDepartment of Infectious Diseases, Istituti Ospitalieri of Cremona, Cremona, Italy.
Paola BrambillaDepartment of Infectious Diseases, Istituti Ospitalieri of Cremona, Cremona, Italy.
Claudio MastroianniDepartment of Public Health and Infectious Diseases, Sapienza University, Rome, Italy.
Miriam LichtnerDepartment of Public Health and Infectious Diseases, Sapienza University, Latina, Italy.
Pierluigi BrugnaroInfectious Diseases Department, Ospedale Civile "SS. Giovanni E Paolo", Venice, Italy.
Anna CarrettaInfectious Diseases Department, Ospedale Civile "SS. Giovanni E Paolo", Venice, Italy.
Teresa SantantonioInfectious Diseases Department, Ospedale Civile "SS. Giovanni E Paolo", Venice, Italy.
Gaetano BrindicciDepartment of Infectious Diseases, University of Bari, Bari, Italy.
Giuliana CarregaInfectious Diseases Unit, Santa Maria Della Misericordia Hospital, Albenga, Savona, Italy.
Francesca MontagnaniDepartment of Infectious Diseases, University of Siena, Siena, Italy.
Giuseppe LapadulaInfectious Diseases Unit, San Gerardo Hospital, Monza, Italy.
Anna SpoltiInfectious Diseases Unit, San Gerardo Hospital, Monza, Italy.
Roberto LuzzatiInfectious Diseases Unit, Maggiore Hospital, Trieste, Italy.
Elisabetta SchiaroliDepartment of Infectious Diseases, University of Perugia, Perugia, Italy.
Vittoria ScaglioneDepartment of Infectious Diseases, University of Perugia, Perugia, Italy.
Carlo PallottoInfectious Diseases Unit, PO San Donato, Arezzo, Italy.
Danilo TacconiInfectious Diseases Unit, PO San Donato, Arezzo, Italy.
Francesco QuintieriInfectious Diseases Unit, Magna Grecia University, Catanzaro, Italy.
Enrico TrecarichiInfectious Diseases Unit, Magna Grecia University, Catanzaro, Italy.
Italian Society of Infectious, Tropical Diseases

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough dalbavancin is currently approved for the treatment of ABSSIs, several studies suggest its efficacy and tolerance as long-term therapy for other off-label indications requiring prolonged intravenous antibiotic administration.

methodsWe conducted a prospective nationwide study of dalbavancin use in real-life settings for both approved and off-label indications analysing for each case the clinical and microbiological characteristics of infection the efficacy and safety of treatments.

resultsDuring the study period (from December 2018 to July 2021), the ID specialists from 14 different centres enrolled 223 patients treated with dalbavancin [141 males (63%) and 82 females (37%); male/female ratio 1.72; mean age 59 (SD 17.2) years, (range 15-96). Most patients in the study population (136/223; 61.0%) came from community rather than health care facilities and most of them were visited in Infectious Diseases wards (93/223; 41.7%) and clinics (55/223; 24.7%) even though some patients were cured in other settings, such as surgery wards (18/223; 8.1%), orthopaedic wards (11/223; 4.9%), Emergency Rooms (7/223; 3.1%) and non-surgical other than ID wards (6/223; 2.7%). The most common ID diagnoses were osteomyelitis (44 cases/223; 19.7%; of which 29 acute and 15 chronic osteomyelitis), cellulitis (28/223; 12.5%), cutaneous abscess (23/223; 10.3%), orthopaedic prosthesis-associated infection (22/223; 9.9%), surgical site infection (20/223; 9.0%) and septic arthritis (15/223; 6.7%).

conclusionIn conclusion, by virtue of its PK/PD properties, dalbavancin represents a valuable option to daily in-hospital intravenous or outpatient antimicrobial regimens also for off-label indications requiring a long-term treatment of Gram-positive infections.

Indexed as

Anti-Bacterial AgentsOff-Label UseRegistriesTeicoplaninAdolescentAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeYoung AdultAnti-Bacterial AgentsdalbavancinTeicoplaninDalbavancinIn-labelOff-label

Identifiers

PMID38324144
PMCPMC11289212

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.