Evidence map›Paper›PMID 38651139›Full record

ArticleOpen forum infectious diseases2024

Real-World Dalbavancin Use for Serious Gram-Positive Infections: Comparing Outcomes Between People Who Use and Do Not Use Drugs.

Sarah Zambrano, Molly L Paras, Joji Suzuki, Jeffrey C Pearson, Brandon Dionne, Harry Schrager, Jason Mallada, Veronica Szpak, Katie Fairbank-Haynes, Marlene Kalter and 2 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 3% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Dalbavancin for infective endocarditis: A systematic review of effectiveness, safety, and dosing.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Pooled it
  2. Off-label use of dalbavancin to improve treatment outcomes and reduce health care costs in people who use drugs: A Canadian single-centre quality improvement initiative.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2026
    Article
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  4. Review
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  6. Review
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  9. Use of Dalbavancin in Treatment of Acute Bacterial Skin and Skin Structure Infections: Case Series from a Canadian Perspective.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2025
    Article
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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

12 authors at 3 institutions in 1 country.

Sarah ZambranoBrigham and Women's Hospital, Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0009-0007-8525-3320
Molly L ParasMassachusetts General Hospital, Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Joji SuzukiBrigham and Women's Hospital, Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-5659-6147
Jeffrey C PearsonBrigham and Women's Hospital, Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Brandon DionneBrigham and Women's Hospital, Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Harry SchragerNewton Wellesley Hospital, Department of Medicine, Boston, Massachusetts, USA.
Jason MalladaNewton Wellesley Hospital, Department of Medicine, Boston, Massachusetts, USA.
Veronica SzpakBrigham and Women's Hospital, Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Katie Fairbank-HaynesNewton Wellesley Hospital, Department of Medicine, Boston, Massachusetts, USA.
Marlene KalterNewton Wellesley Hospital, Department of Medicine, Boston, Massachusetts, USA.
Sara ProstkoBrigham and Women's Hospital, Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Daniel A SolomonBrigham and Women's Hospital, Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-6560-3326
Brigham and Women's Hospital · USNewton Wellesley Hospital · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Dalbavancin has been used off-label to treat invasive bacterial infections in vulnerable populations like people who use drugs (PWUD) because of its broad gram-positive coverage and unique pharmacological properties. This retrospective, multisite study examined clinical outcomes at 90 days in PWUD versus non-PWUD after secondary treatment with dalbavancin for bacteremia, endocarditis, osteomyelitis, septic arthritis, and epidural abscesses. Methods: Patients at 3 teaching hospitals who received dalbavancin for an invasive infection between March 2016 and May 2022 were included. Characteristics of PWUD and non-PWUD, infection highlights, hospital stay and treatment, and outcomes were compared using χ Results: There were a total of 176 patients; 78 were PWUD and 98 were non-PWUD. PWUD were more likely to have a patient-directed discharge (26.9% vs 3.1%; Conclusions: Dalbavancin was an effective treatment option for invasive gram-positive infections in our patient population. Despite higher rates of patient-directed discharge and loss to follow-up, PWUD had similar rates of clinical cure at 90 days compared to non-PWUD.

Indexed as

bacteremiadalbavancinendocarditisosteomyelitispeople who use drugs

Identifiers

PMID38651139
PMCPMC11034951
OpenAlexW4394019129

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.