Effectiveness of procalcitoninguided antibiotic therapy to shorten treatment duration in critically-ill patients with bloodstream infections: a systematic review and meta-analysis

Effectiveness of procalcitoninguided antibiotic therapy to shorten treatment duration in critically-ill patients with bloodstream infections: a systematic review and meta-analysis


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نویسندگان: محمود رباطی انارکی , مسعود نوری وسکه , شهرام عبدلی اسکویی

کلمات کلیدی: procalcitonin, critical care, anti-bacterial agents, antimicrobial stewardship, sepsis

نشریه: 22800 , 1 , 28 , 2020

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نویسنده ثبت کننده مقاله شهرام عبدلی اسکویی
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه مرکز تحقیقات سلامت کودکان
کد مقاله 72363
عنوان فارسی مقاله Effectiveness of procalcitoninguided antibiotic therapy to shorten treatment duration in critically-ill patients with bloodstream infections: a systematic review and meta-analysis
عنوان لاتین مقاله Effectiveness of procalcitoninguided antibiotic therapy to shorten treatment duration in critically-ill patients with bloodstream infections: a systematic review and meta-analysis
ناشر 3
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ خیر
عنوان نشریه (خارج از لیست فوق)
نوع مقاله Systematic Review Article
نحوه ایندکس شدن مقاله ایندکس شده سطح دو – PubMed
آدرس لینک مقاله/ همایش در شبکه اینترنت

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Evaluation of serum procalcitonin (PCT) levels has been suggested for diagnosis of infection, precise medical decision making and guidance for prescribing antibiotics in critically-ill patients. The aim of this study was to assess the effectiveness of PCT to shorten antibiotic treatment in critically-ill patients with bloodstream infections. Furthermore, the mortality and ICU length of stay (LOS) in such patients were secondary outcomes. Medline/PubMed, EMBASE, Scopus and Cochrane Databases were searched from January 1, 2007 to September 1, 2018. Randomized controlled trials (RCTs) on using PCT to guide antibiotic therapy compared with routine treatments for administration of antibiotics in critically-ill adult patients published in English were included. Two reviewers assessed the methodology of the studies included and extracted their data using the CONSORT checklist. Inverse-variance weighting and fixed and random effects meta- analyses were performed using the length of anti-biotic treatment, LOS in an intensive care unit (ICU) and all-cause mortality. No significant reduction was found in the length of antibiotic treatment: although the cut-off point of 0.25

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نویسنده نفر چندم مقاله
محمود رباطی انارکیاول
مسعود نوری وسکهدوم
شهرام عبدلی اسکوییسوم

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Vol_28_1_2020_6.pdf1399/03/071414458دانلود