Evidence map›Paper›PMID 38713455›Full record

ArticleThe Journal of international medical research2024

Cefepime-induced encephalopathy in an older patient with polypharmacy and renal insufficiency: a case report.

I-Hsuan Tsai, Yi-Chi Wang

Abstract readCase Reports
In one paragraph

Article in The Journal of international medical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

2 authors.

I-Hsuan TsaiDepartment of Family Medicine, Chi Mei Medical Center, Tainan City, Taiwan.
Yi-Chi WangDepartment of Family Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan.ORCID 0000-0003-0966-1844

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The world population is rapidly aging. Societal aging poses many challenges for individuals, families, nations, and the global healthcare system. Therefore, geriatric care is a crucial issue that demands our attention. In this case report, we describe a woman in her early 70s with multiple comorbidities, polypharmacy, and renal insufficiency who developed cefepime-induced encephalopathy with moderate to severe cerebral dysfunction during treatment of a urinary tract infection. The patient's consciousness level gradually improved, and no further seizures were observed following the discontinuation of cefepime for several days. This case report underscores the fact that polypharmacy and medication safety are significant concerns that are often overlooked when caring for older patients. The report also highlights the increased susceptibility of older individuals to antibiotic-associated adverse reactions during the management of infectious diseases. Therefore, optimization of antibiotic therapy for older patients is a critical issue that requires thorough investigation and consideration in geriatric care.

Indexed as

Anti-Bacterial AgentsBrain DiseasesCefepimePolypharmacyRenal InsufficiencyUrinary Tract InfectionsAgedFemaleHumansAnti-Bacterial AgentsCefepimeadverse reactioncase reportCefepimeencephalopathypolypharmacyrenal insufficiency

Identifiers

PMID38713455
PMCPMC11080726

What OpenQuestion holds

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LicenceCC BY-NC
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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.