Evidence map›Paper›PMID 40872291›Full record

Observational studyPathogens (Basel, Switzerland)2025

One-Shot, One Opportunity: Retrospective Observational Study on Long-Acting Antibiotics for SSTIs in the Emergency Room-A Real-Life Experience.

Giacomo Ciusa, Giuseppe Pipitone, Alessandro Mancuso, Stefano Agrenzano, Claudia Imburgia, Agostino Massimo Geraci, Alberto D'Alcamo, Luisa Moscarelli, Antonio Cascio, Chiara Iaria

Abstract readObservational Study
In one paragraph

Observational study in Pathogens (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Observational
  2. 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.

Giacomo CiusaInfectious Diseases Unit, ARNAS Civico-Di Cristina Hospital, 90100 Palermo, Italy.
Giuseppe PipitoneInfectious Diseases Unit, ARNAS Civico-Di Cristina Hospital, 90100 Palermo, Italy.ORCID 0000-0002-3408-4877
Alessandro MancusoInfectious Diseases Unit, ARNAS Civico-Di Cristina Hospital, 90100 Palermo, Italy.
Stefano AgrenzanoInfectious Diseases Unit, ARNAS Civico-Di Cristina Hospital, 90100 Palermo, Italy.
Claudia ImburgiaInfectious Diseases Unit, ARNAS Civico-Di Cristina Hospital, 90100 Palermo, Italy.
Agostino Massimo GeraciEmergency Room, ARNAS Civico-Di Cristina Hospital, 90100 Palermo, Italy.
Alberto D'AlcamoEmergency Room, ARNAS Civico-Di Cristina Hospital, 90100 Palermo, Italy.
Luisa MoscarelliPharmacy Unit, ARNAS Civico-Di Cristina Hospital, 90100 Palermo, Italy.
Antonio CascioInfectious Diseases Unit, P. Giaccone University Hospital, 90100 Palermo, Italy.ORCID 0000-0002-1992-1796
Chiara IariaInfectious Diseases Unit, ARNAS Civico-Di Cristina Hospital, 90100 Palermo, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSkin and soft tissue infections (SSTIs) are a major cause of emergency room (ER) visits and hospitalizations. Long-acting lipoglycopeptides (LALs), such as dalbavancin and oritavancin, offer potential for early discharge and outpatient management, especially in patients at risk for methicillin-resistant

methodsWe conducted a retrospective observational cohort study from March to December 2024 in an Italian tertiary-care hospital. Adult patients treated in the ER with a single dose of dalbavancin (1500 mg) or oritavancin (1200 mg) for SSTIs were included. Demographic, clinical, and laboratory data were collected. Follow-up evaluations were performed at 14 and 30 days post-treatment to assess outcomes.

resultsNineteen patients were enrolled (median age 59 years; 53% female). Most had lower limb involvement and elevated inflammatory markers. Three patients (16%) were septic. Fourteen patients (74%) were discharged without hospital admission; hospitalization in the remaining cases was due to comorbidities rather than SSTI severity. No adverse drug reactions were observed. At 14 days, 84% of patients had clinical resolution; only 10% had recurrence by day 30, with no mortality nor readmission reported.

conclusionsLALs appear effective and well-tolerated in the ER setting, supporting early discharge and reducing healthcare burden. Broader use may require structured care pathways and multidisciplinary coordination.

Indexed as

Anti-Bacterial AgentsSoft Tissue InfectionsTeicoplaninAdultAgedEmergency Service, HospitalFemaleHumansItalyLipoglycopeptidesMaleMethicillin-Resistant Staphylococcus aureusMiddle AgedRetrospective StudiesTreatment OutcomeAnti-Bacterial AgentsdalbavancinLipoglycopeptidesTeicoplanindalbavancinemergency roomlong-acting antibioticsoritavancinskin and soft tissue infections

Identifiers

PMID40872291
PMCPMC12389273

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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.