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ArticleTransplant international : official journal of the European Society for Organ Transplantation2024

Antibiotic Prophylaxis in Patients Undergoing Lung Transplant: Single-Center Cohort Study.

Renato Pascale, Beatrice Tazza, Armando Amicucci, Elena Salvaterra, Giampiero Dolci, Filippo Antonacci, Massimo Baiocchi, Saverio Pastore, Simone Ambretti, Maddalena Peghin and 2 more

Abstract read
In one paragraph

Article in Transplant international : official journal of the European Society for Organ Transplantation, 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. Review
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.

Renato PascaleDepartment of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy.
Beatrice TazzaInfectious Diseases Unit, Scientific Institute for Research, Hospitalization and Healthcare Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Armando AmicucciDepartment of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy.
Elena SalvaterraDivision of Interventional Pulmonology Unit, Scientific Institute for Research, Hospitalization and Healthcare Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Giampiero DolciThoracic Surgery, Azienda Ospedaliero Universitaria di Ferrara, Ferrara, Italy.
Filippo AntonacciThoracic Surgery, Scientific Institute for Research, Hospitalization and Healthcare Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Massimo BaiocchiAnaesthesiology and Intensive Care, Scientific Institute for Research, Hospitalization and Healthcare Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy.
Saverio PastoreAnaesthesiology and Intensive Care, Scientific Institute for Research, Hospitalization and Healthcare Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy.
Simone AmbrettiDepartment of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy.
Maddalena PeghinInfectious and Tropical Diseases Unit, Department of Medicine and Surgery, University of Insubria-ASST-Sette Laghi, Varese, Italy.
Pierluigi VialeDepartment of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy.
Maddalena GiannellaDepartment of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Perioperative antibiotic prophylaxis (PAP) in lung transplant recipients (LuTRs) has high heterogeneity between centers. Our aim was to investigate retrospectively the approach to PAP in our center over a 20-year period (2002-2023), and its impact on early post-operative infections (EPOIs) after lung transplantation (LuT). Primary endpoint was diagnosis of EPOI, defined as any bacterial infection including donor-derived events diagnosed within 30 days from LuT. Main exposure variables were type of PAP (combination vs. monotherapy) and PAP duration. We enrolled 111 LuTRs. PAP consisted of single-agent or combination regimens in 26 (25.2%) and 85 (74.8%) LuTR. Median PAP duration was 10 days (IQR 6-13) days. Piperacillin/tazobactam was the most common agent used either as monotherapy (n = 21, 80.7%) or as combination with levofloxacin (n = 79, 92.9%). EPOIs were diagnosed in 30 (27%) patients. At multivariable analysis no advantages were found for combination regimens compared to single-agent PAP in preventing EPOI (OR: 1.57, 95% CI: 0.488-5.068, p:0.448). The impact of PAP duration on EPOIs development was investigated including duration of PAP ≤6 days as main exposure variables, without finding a significantly impact (OR:2.165, 95% CI: 0.596-7.863, p: 0.240). Our results suggest no advantages for combination regimens PAP in preventing EPOI in LuTR.

Indexed as

Anti-Bacterial AgentsAntibiotic ProphylaxisLung TransplantationAdultAgedBacterial InfectionsDrug Therapy, CombinationFemaleHumansLevofloxacinMaleMiddle AgedPiperacillin, Tazobactam Drug CombinationPostoperative ComplicationsRetrospective StudiesAnti-Bacterial AgentsLevofloxacinPiperacillin, Tazobactam Drug Combinationantibiotic prophylaxisbacterial infectiondonor derived infectionsidiopatic pulmonary fibrosislung transplant

Identifiers

PMID39220301
PMCPMC11361928

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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.