Doripenem in the Treatment of Patients with Nosocomial Pneumonia: A Meta-Analysis
Introduction: Clinically, doripenem therapy for nosocomial pneumonia remains a serious concern. The purpose of this meta-analysis was to explore the efficacy and the safety of doripenem therapy for nosocomial pneumonia in comparison with other antimicrobial agents. Methods: Studies were eligible for...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-07-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/14/4014 |
| _version_ | 1797406061828767744 |
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| author | Chienhsiu Huang Ihung Chen Yalun Yang |
| author_facet | Chienhsiu Huang Ihung Chen Yalun Yang |
| author_sort | Chienhsiu Huang |
| collection | DOAJ |
| description | Introduction: Clinically, doripenem therapy for nosocomial pneumonia remains a serious concern. The purpose of this meta-analysis was to explore the efficacy and the safety of doripenem therapy for nosocomial pneumonia in comparison with other antimicrobial agents. Methods: Studies were eligible for inclusion only if they directly compared the clinical effectiveness of doripenem and other antimicrobial agent therapies for nosocomial pneumonia in adult patients between 1 January 2000 and 30 April 2022. All studies were included if they reported one or more of the following outcomes: clinical cure rate, microbiological cure rate, all-cause mortality, and adverse events. Results: Six randomized controlled trials and three retrospective studies were included in the meta-analysis. There were 952 patients in the doripenem group and 1183 patients in the comparator group. The comparator antimicrobial agents included imipenem/cilastatin, meropenem, and piperacillin/tazobactam. Seven studies had a high risk of bias. Doripenem therapy for nosocomial pneumonia had a microbiological cure rate, a clinical cure rate, an all-cause mortality, and adverse events similar to those of comparators. Conclusions: The efficacy and the safety of doripenem therapy for nosocomial pneumonia were comparable with those of comparators. Randomized controlled trials are needed to confirm the role of doripenem in nosocomial pneumonia therapy. |
| first_indexed | 2024-03-09T03:19:15Z |
| format | Article |
| id | doaj.art-cbbf14b8299b4e8391223d2b7ae77ee0 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T03:19:15Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-cbbf14b8299b4e8391223d2b7ae77ee02023-12-03T15:12:47ZengMDPI AGJournal of Clinical Medicine2077-03832022-07-011114401410.3390/jcm11144014Doripenem in the Treatment of Patients with Nosocomial Pneumonia: A Meta-AnalysisChienhsiu Huang0Ihung Chen1Yalun Yang2Department of Internal Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi 62247, TaiwanDepartment of Internal Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi 62247, TaiwanDepartment of Nursing, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi 62247, TaiwanIntroduction: Clinically, doripenem therapy for nosocomial pneumonia remains a serious concern. The purpose of this meta-analysis was to explore the efficacy and the safety of doripenem therapy for nosocomial pneumonia in comparison with other antimicrobial agents. Methods: Studies were eligible for inclusion only if they directly compared the clinical effectiveness of doripenem and other antimicrobial agent therapies for nosocomial pneumonia in adult patients between 1 January 2000 and 30 April 2022. All studies were included if they reported one or more of the following outcomes: clinical cure rate, microbiological cure rate, all-cause mortality, and adverse events. Results: Six randomized controlled trials and three retrospective studies were included in the meta-analysis. There were 952 patients in the doripenem group and 1183 patients in the comparator group. The comparator antimicrobial agents included imipenem/cilastatin, meropenem, and piperacillin/tazobactam. Seven studies had a high risk of bias. Doripenem therapy for nosocomial pneumonia had a microbiological cure rate, a clinical cure rate, an all-cause mortality, and adverse events similar to those of comparators. Conclusions: The efficacy and the safety of doripenem therapy for nosocomial pneumonia were comparable with those of comparators. Randomized controlled trials are needed to confirm the role of doripenem in nosocomial pneumonia therapy.https://www.mdpi.com/2077-0383/11/14/4014doripenemhospital-acquired pneumoniaventilator-associated pneumonia<i>Pseudomonas aeruginosa</i> |
| spellingShingle | Chienhsiu Huang Ihung Chen Yalun Yang Doripenem in the Treatment of Patients with Nosocomial Pneumonia: A Meta-Analysis Journal of Clinical Medicine doripenem hospital-acquired pneumonia ventilator-associated pneumonia <i>Pseudomonas aeruginosa</i> |
| title | Doripenem in the Treatment of Patients with Nosocomial Pneumonia: A Meta-Analysis |
| title_full | Doripenem in the Treatment of Patients with Nosocomial Pneumonia: A Meta-Analysis |
| title_fullStr | Doripenem in the Treatment of Patients with Nosocomial Pneumonia: A Meta-Analysis |
| title_full_unstemmed | Doripenem in the Treatment of Patients with Nosocomial Pneumonia: A Meta-Analysis |
| title_short | Doripenem in the Treatment of Patients with Nosocomial Pneumonia: A Meta-Analysis |
| title_sort | doripenem in the treatment of patients with nosocomial pneumonia a meta analysis |
| topic | doripenem hospital-acquired pneumonia ventilator-associated pneumonia <i>Pseudomonas aeruginosa</i> |
| url | https://www.mdpi.com/2077-0383/11/14/4014 |
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