Evidence map›Paper›PMID 39596771›Full record

ReviewAntibiotics (Basel, Switzerland)2024

Duration of Antimicrobial Treatment in Adult Patients with Pneumonia: A Narrative Review.

Dimitra Dimopoulou, Charalampos D Moschopoulos, Konstantina Dimopoulou, Anastasia Dimopoulou, Maria M Berikopoulou, Ilias Andrianakis, Sotirios Tsiodras, Anastasia Kotanidou, Paraskevi C Fragkou

Abstract readReview
In one paragraph

Review in Antibiotics (Basel, Switzerland), 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

9 authors.

Dimitra DimopoulouSecond Department of Pediatrics, "Aghia Sophia" Children's Hospital, 11527 Athens, Greece.ORCID 0000-0003-4470-263X
Charalampos D MoschopoulosFourth Department of Internal Medicine, School of Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, 12462 Athens, Greece.ORCID 0000-0001-9954-7409
Konstantina DimopoulouDepartment of Gastroenterology, Red Cross Hospital of Athens, 11526 Athens, Greece.ORCID 0000-0001-9097-1502
Anastasia DimopoulouDepartment of Pediatric Surgery, "Aghia Sophia" Children's Hospital, 11527 Athens, Greece.ORCID 0000-0002-5021-5152
Maria M BerikopoulouSecond Department of Pediatrics, "Aghia Sophia" Children's Hospital, 11527 Athens, Greece.ORCID 0000-0002-0018-6584
Ilias AndrianakisDepartment of Intensive Care Unit, Hygeia Hospital, 15123 Athens, Greece.
Sotirios TsiodrasFourth Department of Internal Medicine, School of Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, 12462 Athens, Greece.ORCID 0000-0002-0463-4321
Anastasia KotanidouFirst Department of Critical Care Medicine and Pulmonary Services, School of Medicine, Evangelismos Hospital, National and Kapodistrian University of Athens, 10676 Athens, Greece.ORCID 0000-0002-2508-500X
Paraskevi C FragkouFirst Department of Critical Care Medicine and Pulmonary Services, School of Medicine, Evangelismos Hospital, National and Kapodistrian University of Athens, 10676 Athens, Greece.ORCID 0000-0003-2022-2949

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pneumonia remains a major global health concern, causing significant morbidity and mortality among adults. This narrative review assesses the optimal duration of antimicrobial treatment in adults with community-acquired pneumonia (CAP), hospital-acquired pneumonia (HAP), and ventilator-associated pneumonia (VAP). Current evidence about the impact of treatment duration on clinical outcomes demonstrates that shorter antibiotic courses are non-inferior, regarding safety and efficacy, compared to longer courses, particularly in patients with mild to moderate CAP, which is in line with the recommendations of international guidelines. Data are limited regarding the optimal antimicrobial duration in HAP patients, and it should be individually tailored to each patient, taking into account the causative pathogen and the clinical response. Shorter courses are found to be as effective as longer courses in the management of VAP, except for pneumonia caused by non-fermenting Gram-negative bacteria; however, duration should be balanced between the possibility of higher recurrence rates and the documented benefits with shorter courses. Additionally, the validation of reliable biomarkers or clinical predictors that identify patients who would benefit from shorter therapy is crucial. Insights from this review may lead to future research on personalized antimicrobial therapies in pneumonia, in order to improve patient outcomes.

Indexed as

antibioticscommunity-acquired pneumoniadurationhospital-acquired pneumoniaventilator-associated pneumonia

Identifiers

PMID39596771
PMCPMC11591184

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.