Evidence map›Paper›PMID 39200009›Full record

ArticleAntibiotics (Basel, Switzerland)2024

Clinical Outcomes of Patients with AmpC-Beta-Lactamase-Producing Enterobacterales Bacteremia Treated with Carbapenems versus Non-Carbapenem Regimens: A Single-Center Study.

Orjowan Shalabi, Livnat Kashat, Omer Murik, Shoshana Zevin, Marc V Assous, Eli Ben-Chetrit

Abstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 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

2 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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

6 authors.

Orjowan ShalabiMedical Department B, Shaare Zedek Medical Center, The Eisenberg R&D Authority, Hadassah Medical School, Hebrew University, Jerusalem 91904, Israel.
Livnat KashatFaculty of Medicine, Hebrew University, Jerusalem 91904, Israel.
Omer MurikFaculty of Medicine, Hebrew University, Jerusalem 91904, Israel.ORCID 0000-0002-3093-6980
Shoshana ZevinMedical Department B, Shaare Zedek Medical Center, The Eisenberg R&D Authority, Hadassah Medical School, Hebrew University, Jerusalem 91904, Israel.
Marc V AssousFaculty of Medicine, Hebrew University, Jerusalem 91904, Israel.
Eli Ben-ChetritFaculty of Medicine, Hebrew University, Jerusalem 91904, Israel.ORCID 0000-0001-5743-1387

Funding

The Eisenberg R&D Authority, TELEM project 18004749
6 · The paper itself

Abstract

introductionBloodstream infections caused by AmpC-producing Enterobacterales pose treatment challenges due to the risk of AmpC overproduction and treatment failure. Current guidelines recommend carbapenems or cefepime as optimal therapy. We aimed to evaluate empiric and definitive non-carbapenem regimens for these infections.

methodsIn a retrospective study from June 2014 to March 2023, adult bacteremic patients with

resultsThe cohort comprised 120 bacteremic patients, 17 receiving empiric carbapenem and 103 non-carbapenem regimens. Both groups had similar Charlson and Norton scores and previous antimicrobial exposure. The most common sources of bacteremia were urinary, abdominal and central-line-associated sources. Empiric non-carbapenem regimens (

conclusionsEmpiric and definitive non-carbapenem regimens for bacteremia with AmpC-producing organisms were not associated with treatment failure or increased 30-day mortality. Ciprofloxacin appears promising for selected, stable patients, potentially enabling early discharge.

Indexed as

AmpCbacteremiacarbapenemciprofloxacin

Identifiers

PMID39200009
PMCPMC11350690

What OpenQuestion holds

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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.