Evidence map›Paper›PMID 39100522›Full record

ArticleGlobal & regional health technology assessment

Clinical, organizational, and pharmacoeconomic perspectives of dalbavancin vs standard of care in the infectious disease network.

Daniela Segala, Marco Barbieri, Mariachiara Di Nuzzo, Melissa Benazzi, Aurora Bonazza, Letizia Romanini, Brunella Quarta, Kristian Scolz, Anna Marra, Diana Campioni and 1 more

Abstract read
In one paragraph

Article in Global & regional health technology assessment. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. A mixed methods approach (EXPANS) to assess current and future uses of antimicrobials: a case study of ceftaroline.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Pooled it
  2. Article
  3. 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

11 authors.

Daniela SegalaInfectious Diseases Unit, Azienda Ospedaliero-Universitaria di Ferrara, Ferrara - Italy.
Marco BarbieriPharmaceutical Department, Azienda Unità Sanitaria Locale di Ferrara, Ferrara - Italy.
Mariachiara Di NuzzoInfectious Diseases Unit, Azienda Unità Sanitaria Locale di Ferrara, Ferrara - Italy.
Melissa BenazziInfectious Diseases Unit, Azienda Unità Sanitaria Locale di Ferrara, Ferrara - Italy.
Aurora BonazzaInfectious Diseases Unit, Azienda Unità Sanitaria Locale di Ferrara, Ferrara - Italy.
Letizia RomaniniDepartment of Diagnostic Imaging and Laboratory, Microbiology Unit, Azienda Ospedaliero-Universitaria and Azienda Unità Sanitaria Locale di Ferrara, Ferrara - Italy.
Brunella QuartaAntimicrobial Stewardship Program Team, Azienda Unità Sanitaria Locale di Ferrara, Ferrara - Italy.
Kristian ScolzInfectious Diseases Unit, Azienda Ospedaliero-Universitaria di Ferrara, Ferrara - Italy.
Anna MarraPharmaceutical Department, Azienda Unità Sanitaria Locale di Ferrara, Ferrara - Italy.
Diana CampioniDepartment of Diagnostic Imaging and Laboratory, Microbiology Unit, Azienda Ospedaliero-Universitaria and Azienda Unità Sanitaria Locale di Ferrara, Ferrara - Italy.
Rosario CultreraInfectious Diseases Unit, Azienda Ospedaliero-Universitaria di Ferrara, Ferrara - Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The therapeutic approach to the patient with acute bacterial skin and skin structure infection (ABSSSI) and complicated infections often involves the early transition from intravenous to oral therapy (early switch) or early discharge. Our study aimed to evaluate sustainable and innovative care models that can be transferred to community healthcare and the economic impact of dalbavancin therapy vs Standard of Care (SoC) therapy for the treatment of ABSSSI and other Gram-positive infections including those by multidrug-resistant organisms. We also described the organization of an infectious disease network that allows optimizing the treatment of ABSSSI and other complex infections with dalbavancin. Materials and Methods: We retrospectively studied all patients treated with dalbavancin in the University Hospital "S. Anna" of Ferrara, Italy, between November 2016 and December 2022. The clinical information of each patient was collected from the hospital's SAP database and used to evaluate the impact of dalbavancin in early discharge with reduction of length of stay promoting dehospitalization and in improving adherence to antibiotic therapy. Results: A total of 287 patients (165 males and 122 females) were included in the study of which 62 were treated with dalbavancin. In 13/62 patients dalbavancin was administered in a single dose at the completion of therapy to facilitate early discharge. Assuming a 12-day hospitalization required for the treatment of ABSSSI or to complete the treatment of osteomyelitis or spondilodiscitis, the treatment with dalbavancin results in a cost reduction of more than €3,200 per single patient compared to SoC (dancomycin, linezolid or vancomycin). Conclusions: Dalbavancin has proven to be a valid therapeutic aid in the organization of a territorial infectious disease network given its prolonged action, which allows the dehospitalization with management of even patients with complex infections in outpatient parenteral antimicrobial therapy.

Indexed as

ABSSSIAntimicrobial resistanceAntimicrobial stewardshipDalbavancinDehospitalizationEarly dischargeInfectious disease networkOPAT

Identifiers

PMID39100522
PMCPMC11292617

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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.