Evidence map›Paper›PMID 40033251›Full record

ArticleBMC infectious diseases2025

A comparison of empiric therapy with cefazolin versus ceftriaxone for patients with complicated urinary tract infections in a tertiary care veterans affairs medical center.

Paola Carcamo, Elizabeth Walter, Christopher R Frei, Linda Yang, Jose Cadena, Teri Hopkins

Abstract readComparative Study
In one paragraph

Article in BMC infectious diseases, 2025. 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. Trial
  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

6 authors.

Paola CarcamoSouth Texas Veterans Health Care System, San Antonio, TX, USA. Paola.Carcamo@va.gov.
Elizabeth WalterSouth Texas Veterans Health Care System, San Antonio, TX, USA.
Christopher R FreiSouth Texas Veterans Health Care System, San Antonio, TX, USA.
Linda YangSouth Texas Veterans Health Care System, San Antonio, TX, USA.
Jose CadenaSouth Texas Veterans Health Care System, San Antonio, TX, USA.
Teri HopkinsSouth Texas Veterans Health Care System, San Antonio, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData are limited regarding use of narrow-spectrum agents for the treatment of complicated urinary tract infections (cUTIs). We sought to evaluate cefazolin compared with ceftriaxone for the empiric treatment of patients with cUTIs in an inpatient setting.

methodsWe conducted a retrospective, single-center, cohort study involving patients with cUTI treated with cefazolin or ceftriaxone at a Veterans Affairs (VA) medical center between November 1, 2019 and September 30, 2022. The primary outcome was 30-day clinical success, defined as resolution of signs and symptoms of infection without re-initiation of antibiotics during hospitalization or relapse within 30 days after cUTI diagnosis. Secondary outcomes included hospital length of stay and Clostridioides difficile infection (CDI) within 30 days of the end of antibiotic therapy.

resultsWe identified 113 patients with cUTI treated with cefazolin (n = 52) or ceftriaxone (n = 61) meeting study criteria. The study arms had similar demographics, although patients treated with ceftriaxone more frequently had subjective fever on admission or nephrolithiasis while cefazolin-treated patients had more altered mental status as the only UTI symptom reported, urinary catheter, and had a single dose of another antibiotic prior to starting the study medication. Clinical success was achieved in 47/52 (90%) and 53/61 (87%) in the cefazolin and ceftriaxone groups, respectively (P = 0.56). Additionally, there were no statistically significant differences in length of stay and development of CDI.

conclusionsIn this retrospective cohort study of patients with cUTI at a VA medical center, empiric therapy with cefazolin appears to be a safe and effective treatment option.

Indexed as

Anti-Bacterial AgentsCefazolinCeftriaxoneUrinary Tract InfectionsAgedAged, 80 and overFemaleHospitals, VeteransHumansLength of StayMaleMiddle AgedRetrospective StudiesTertiary Care CentersTreatment OutcomeUnited StatesAnti-Bacterial AgentsCefazolinCeftriaxoneAntimicrobial stewardshipCefazolinCeftriaxoneComplicated urinary tract infectionsInpatient

Identifiers

PMID40033251
PMCPMC11874385

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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.