Evidence map›Paper›PMID 38832929›Full record

ReviewClinical infectious diseases : an official publication of the Infectious Diseases Society of America2024

The Use of Long-term Antibiotics for Suppression of Bacterial Infections.

Molly Horne, Ian Woolley, Jillian S Y Lau

Abstract readReview
In one paragraph

Review in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–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

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Efficacy and limitations of a web-based native adult knee septic arthritis calculator in urban trauma care.OTA international : the open access journal of orthopaedic trauma · 2026
    Article
  6. Characterization of a Novel Quorum QuencherPlants (Basel, Switzerland) · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Cell-Free DNA-Based Theranostics for Inflammatory Disorders.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  15. Article
  16. Review
  17. Computational and Experimental Characterization ofBioinformatics and biology insights · 2026
    Article
  18. Article
  19. Article
  20. 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

3 authors.

Molly HorneFaculty of Medicine, Nursing, and Health Sciences, Monash University, Clayton, Victoria, Australia.
Ian WoolleyFaculty of Medicine, Nursing, and Health Sciences, Monash University, Clayton, Victoria, Australia.ORCID 0000-0003-2928-1291
Jillian S Y LauFaculty of Medicine, Nursing, and Health Sciences, Monash University, Clayton, Victoria, Australia.ORCID 0000-0002-6797-4307

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Suppressive antibiotic therapy is prescribed when a patient has an infection that is presumed to be incurable by a defined course of therapy or source control. The cohort receiving suppressive antibiotic therapy is typically highly comorbid and the infections often involve retained prosthetic material. In part due to a lack of clear guidelines regarding the use of suppressive antibiotics, and in part due to the complex nature of the infections in question, patients are often prescribed suppressive antibiotics for extremely long, if not indefinite, courses. The risks of prolonged antibiotic exposure in this context are not fully characterized, but they include adverse drug effects ranging from mild to severe, the development of antibiotic-resistant organisms, and perturbations of the gastrointestinal microbiome. In this narrative review we present the available evidence for the use of suppressive antibiotic therapy in 4 common indications, examine the gaps in the current literature, and explore the known and potential risks of this therapy. We also make suggestions for improving the quality of evidence in future studies, particularly by highlighting the need for a standardized term to describe the use of long courses of antibiotics to suppress hard-to-treat infections.

Indexed as

Anti-Bacterial AgentsBacterial InfectionsGastrointestinal MicrobiomeHumansAnti-Bacterial Agentsantibioticsantimicrobial stewardshipinfectionprosthetic joint infectionsuppression

Identifiers

PMID38832929
PMCPMC11478772

What OpenQuestion holds

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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.