Evidence map›Paper›PMID 39959367›Full record

ArticleArthroplasty today2024

Dalbavancin Use in Bone and Joint Infections.

Liam P Alderson, Srivani Sanikommu, Simon C Mears, C Lowry Barnes, Benjamin M Stronach, Jeffrey B Stambough, Jennifer McDonald, Traci Motes, Brett Bailey, Ryan K Dare

Abstract read
In one paragraph

Article in Arthroplasty today, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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

3 citing papers in PubMed.

  1. Article
  2. Study of the release kinetics of dalbavancin from bone allografts.Journal of materials science. Materials in medicine · 2025
    Article
  3. 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

10 authors.

Liam P AldersonUniversity of Arkansas for Medical Sciences College of Medicine, Little Rock, AR, USA.
Srivani SanikommuDivision of Infectious Diseases, Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Simon C MearsDepartment of Orthopedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
C Lowry BarnesDepartment of Orthopedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Benjamin M StronachDepartment of Orthopedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Jeffrey B StamboughDepartment of Orthopedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Jennifer McDonaldPharmacy, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Traci MotesDepartment of Orthopedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Brett BaileyDepartment of Clinical Informatics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Ryan K DarePharmacy, University of Arkansas for Medical Sciences, Little Rock, AR, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Dalbavancin (DAL) off-label use for treating bone and joint infections has increased especially as long-term intravenous access is not needed. Little is known about the effectiveness and safety of its use. Methods: This retrospective, single-center, descriptive study included adults treated with DAL for bone or joint infections over a 4-year period (2019-2023). Patient demographics, infection type and location, pre-DAL antibiotic and surgical treatments, indication for DAL, and clinical outcomes were collected. Risk factor analysis for 1-year infection recurrence was performed. Results: There were 58 patient encounters of bone and/or joint infections treated with DAL. The majority of patients were treated for osteomyelitis (81.0%) followed by native (8.6%) and peri-prosthetic (10.4%) joint infection. Fifty (86.2%) patients underwent surgical intervention, and 17 (68%) of the 25 patients with infected hardware had full hardware removal. The most common pathogen identified was Conclusions: Our findings support DAL as an effective treatment for bone and joint infection when combined with surgical debridement and hardware removal. Failure to remove infected hardware significantly increased the risk of infection recurrence within 1 year. Randomized controlled trials are needed to further support DAL as a novel treatment for orthopedic infections.

Indexed as

Dalbavancin (DAL)Methicillin-resistant Staphylococcus aureus (MRSA)OsteomyelitisPeri-prosthetic joint infection (PJI)

Identifiers

PMID39959367
PMCPMC11827072

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.