Evidence map›Paper›PMID 39535202›Full record

ArticleAntimicrobial agents and chemotherapy2024

Targeted antimicrobial regimens for Gram-negative prosthetic joint infections: a prospective multicenter study.

Jaap L J Hanssen, Robert J P van der Wal, Rachid Mahdad, Stefan Keizer, Nathalie M Delfos, Joris C T van der Lugt, Karin Ellen Veldkamp, Peter A Nolte, Masja Leendertse, Luc B S Gelinck and 6 more

Abstract readMulticenter Study
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
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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

16 authors.

Jaap L J HanssenLeiden University Center for Infectious Diseases (LU-CID), Infectious Diseases, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-9898-7960
Robert J P van der WalDepartment of Orthopedics, Leiden University Medical Centre, Leiden, the Netherlands.
Rachid MahdadDepartment of Orthopedic Surgery, Alrijne Hospital, Leiderdorp, the Netherlands.
Stefan KeizerDepartment of Orthopedic Surgery, Haaglanden Medical Centre, The Hague, the Netherlands.
Nathalie M DelfosDepartment of Internal Medicine, Alrijne Hospital, Leiderdorp, the Netherlands.
Joris C T van der LugtDepartment of Traumatology, Hospital Vithas Xanit Estepona, Estepona, Spain.
Karin Ellen VeldkampDepartment of Medical Microbiology, Leiden University Medical Centre, Leiden, the Netherlands.
Peter A NolteDepartment of Orthopedic Surgery, Spaarne Gasthuis, Hoofddorp, the Netherlands.
Masja LeendertseDepartment of Medical Microbiology, Alrijne Hospital, Leiderdorp, the Netherlands.
Luc B S GelinckDepartment of Internal Medicine, Haaglanden Medical Centre, The Hague, the Netherlands.
Femke P N MollemaDepartment of Internal Medicine, Haaglanden Medical Centre, The Hague, the Netherlands.
Emile F SchippersLeiden University Center for Infectious Diseases (LU-CID), Infectious Diseases, Leiden University Medical Center, Leiden, the Netherlands.
Hanke G Wattel-LouisDepartment of Internal Medicine, Spaarne Gasthuis, Hoofddorp, the Netherlands.
Rob G H H NelissenDepartment of Orthopedics, Leiden University Medical Centre, Leiden, the Netherlands.
Henk ScheperLeiden University Center for Infectious Diseases (LU-CID), Infectious Diseases, Leiden University Medical Center, Leiden, the Netherlands.
Mark G J de BoerLeiden University Center for Infectious Diseases (LU-CID), Infectious Diseases, Leiden University Medical Center, Leiden, the Netherlands.

Funding

Dutch health insurance company: Zorg en Zekerheid ST.2015.53
6 · The paper itself

Abstract

Fluoroquinolones (FQs) are considered the most effective antimicrobial treatment for Gram-negative prosthetic joint infection (GN-PJI). Alternatives are needed due to increasing FQ resistance and side effects. We aimed to compare different targeted antimicrobial strategies for GN-PJI managed by debridement, antibiotics, and implant retention (DAIR) or one-stage revision surgery (1SR) and to review the literature of oral treatment options for GN-PJI. In this prospective, multicenter, registry-based study, all consecutive patients with a PJI caused by a Gram-negative microorganism (including mixed infections with Gram-positive microorganisms), managed with DAIR or 1SR from 2015 to 2020, were included. Minimum follow-up was 1 year. Patients underwent targeted therapy with oral FQ, oral cotrimoxazole, or intravenous or oral β-lactams. Survival analysis was performed with use of Kaplan-Meier and Cox proportional hazards models to identify factors potentially associated with treatment failure. Seventy-four patients who received either FQ (

Indexed as

Anti-Bacterial AgentsGram-Negative Bacterial InfectionsProsthesis-Related InfectionsTrimethoprim, Sulfamethoxazole Drug CombinationAgedAged, 80 and overbeta-LactamsDebridementFemaleFluoroquinolonesGram-Negative BacteriaHumansMaleMiddle AgedProspective StudiesAnti-Bacterial Agentsbeta-LactamsFluoroquinolonesTrimethoprim, Sulfamethoxazole Drug Combinationantimicrobial treatmentGram-negative PJIprosthetic joint infectionstotal hiptotal knee

Identifiers

PMID39535202
PMCPMC11619448

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.