Article ; Online: Systematic review and meta-analysis on the safety of dalbavancin.
2021 Volume 20, Issue 9, Page(s) 1095–1107
Abstract: Background: Dalbavancin is a semisynthetic lipoglycopeptide antimicrobial agent with activity against Gram-positive bacteria including anaerobes.: Research design and methods: Meta-analysis of randomized control trials and large case series (more ... ...
Abstract | Background: Dalbavancin is a semisynthetic lipoglycopeptide antimicrobial agent with activity against Gram-positive bacteria including anaerobes. Research design and methods: Meta-analysis of randomized control trials and large case series (more than 20 patients), were identified by searching Pubmed and Cochrane databases through 14 December 2020. Results: 3,073 patients from 6 RCTs met the inclusion criteria. Treatment emergent adverse effects were described in 30.6% dalbavancin patients, and 38.1% patients with other treatments. Our meta-analysis supports favorable results for dalbavancin treatment (OR 0.79; 95%CI 0.66-0.94; p = 0.01). 2.74% dalbavancin patients had to discontinue treatment versus 2.49% patients on other antibiotics. 4.80% dalbavancin patients versus 5.30% patients with other treatments had severe adverse events. 0.31% in the dalbavancin group and 0.95% receiving other antibiotics died. There was no statistically significant difference in severe adverse effects with OR 0.77; 95% CI 0.52-1.14; p = 0.19. Dalbavancin therapy was shown to have statistically significant lower mortality rate (OR 0.26; 95% CI 0.07-0.90; p = 0.03). Observational studies reported few side effects but included a heterogeneous population of patients concerning their diagnosis and the duration of antibiotic treatment. Conclusions: Dalbavancin has comparable safety profile relative to other antibiotics and is well-tolerated. |
---|---|
MeSH term(s) | Anti-Bacterial Agents/administration & dosage ; Anti-Bacterial Agents/adverse effects ; Gram-Positive Bacteria/drug effects ; Gram-Positive Bacteria/isolation & purification ; Gram-Positive Bacterial Infections/drug therapy ; Gram-Positive Bacterial Infections/microbiology ; Humans ; Randomized Controlled Trials as Topic ; Teicoplanin/administration & dosage ; Teicoplanin/adverse effects ; Teicoplanin/analogs & derivatives |
Chemical Substances | Anti-Bacterial Agents ; Teicoplanin (61036-62-2) ; dalbavancin (808UI9MS5K) |
Language | English |
Publishing date | 2021-06-07 |
Publishing country | England |
Document type | Comparative Study ; Journal Article ; Meta-Analysis ; Systematic Review |
ZDB-ID | 2088728-0 |
ISSN | 1744-764X ; 1474-0338 |
ISSN (online) | 1744-764X |
ISSN | 1474-0338 |
DOI | 10.1080/14740338.2021.1935864 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
Full text online
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
Zs.A 6096: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.