Efficacy of sulbactam for the treatment of Acinetobacter baumannii complex infection: A systematic review and meta-analysis.

Abstract

Meta-analyses that ignore the full programme of clinical trials may lead to a misleading interpretation. We did a comprehensive meta-analysis to explore the efficacy of sulbactam for the treatment of Acinetobacter baumannii complex infection. We searched electronic databases, including Pubmed and Embase up to April 24, 2016, to identify relevant published trials. Clinical trial registries were likewise searched to identify completed unpublished studies. Primary outcomes of interest were the clinical and microbiological efficacy and in-hospital mortality. Effect model was based on heterogeneity across studies. Altogether 12 observational trials, comprising about 1500 patients, were included. Compared with control group, the clinical response (OR 1.16, 95% CI 0.77-1.75), bacteriological response (OR 1.71, 95% CI 0.89-3.29) and in-hospital mortality (OR 0.76, 95% CI 0.57-1.01) of sulbactam-based therapy group achieved similar therapeutic in A. baumannii complex infection. Subgroup analysis showed the clinical response (OR 1.66, 95% CI 1.11-2.48) of A. baumannii complex infection favored high-dose sulbactam group. In conclusion, our findings suggested that the overall therapy effect of sulbactam was no more superior than alternative therapeutics. However, when taking consideration of the dose factor, we found that high dosage regimen of sulbactam showed an obvious advantage in the treatment of A. baumannii complex infection.

• Authors: Haojun Chen, Qianqian Liu, Zhanguo Chen, Congrong Li
• Journal: Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy (J Infect Chemother) Vol. 23 Issue 5 Pg. 278-285 (May 2017) ISSN: 1437-7780 [Electronic] Netherlands
• PMID: 28202329 (Publication Type: Journal Article, Meta-Analysis, Systematic Review)
• Copyright: Copyright © 2017 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

Chemical References

• Anti-Bacterial Agents
• Sulbactam

Topics

• Acinetobacter Infections (drug therapy)
• Acinetobacter baumannii (drug effects)
• Anti-Bacterial Agents (therapeutic use)
• Clinical Trials as Topic
• Drug Resistance, Multiple, Bacterial (drug effects)
• Hospital Mortality
• Humans
• Microbial Sensitivity Tests (methods)
• Observational Studies as Topic
• Sulbactam (therapeutic use)