Open Access

Comparison of mono- and combination antibiotic therapy for the treatment of Pseudomonas aeruginosa bacteraemia: A cumulative meta-analysis of cohort studies

  • Authors:
    • Su Yu Tang
    • Shun Wen Zhang
    • Jiang Dong Wu
    • Fang Wu
    • Jie Zhang
    • Jiang Tao Dong
    • Peng Guo
    • Da Long Zhang
    • Jun Ting Yang
    • Wan Jiang Zhang
  • View Affiliations

  • Published online on: January 9, 2018     https://doi.org/10.3892/etm.2018.5727
  • Pages: 2418-2428
  • Copyright: © Tang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

It is currently unknown whether antibiotic monotherapy or combination therapy is a more effective treatment for patients with Pseudomonas aeruginosa bacteraemia. The present study consists of a systematic review and meta‑analysis of cohort studies in associated studies. The treatment options of monotherapy and combination therapy have been compared, to determine which is more effective against P. aeruginosa bacteraemia. Several electronic bibliographic databases were systematically searched and clinical studies that compared combination therapy with monotherapy for P. aeruginosa bacteraemia were identified. Dersimonian and Laird's random‑effects models were used to generate summary estimates of the effects and to assess their association according to different patient characteristics and research quality standards. A total of 17 studies were selected, 3 of which were prospective while the remaining 14 were retrospective. The studies involved a total of 2,504 patients. Significant differences between combination therapy and monotherapy treatment were not found when the data were combined (odds ratio (OR)=0.81, 95% confidence interval (CI)=0.61‑1.08; P=0.035). The results demonstrated strength in a number of stratification and sensitivity analyses. The variables used included study type, treatment quality score and survival rate of subgroup analysis. To conduct cumulative meta‑analysis, the number of years and samples were calculated. The OR value and 95% CI were stable and demonstrated good change trend. According to the size of the sample order following accumulation, OR values and 95% CI (0.89, 0.76‑1.04) exhibited a narrow range. Neither combination therapy or monotherapy exhibited significant effects on the mortality of patients with P. aeruginosa bacteraemia. Future research is required and should include large, well‑designed prospective cohorts, and grouped clinical studies.
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March-2018
Volume 15 Issue 3

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Copy and paste a formatted citation
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Spandidos Publications style
Tang SY, Zhang SW, Wu JD, Wu F, Zhang J, Dong JT, Guo P, Zhang DL, Yang JT, Zhang WJ, Zhang WJ, et al: Comparison of mono- and combination antibiotic therapy for the treatment of Pseudomonas aeruginosa bacteraemia: A cumulative meta-analysis of cohort studies. Exp Ther Med 15: 2418-2428, 2018
APA
Tang, S.Y., Zhang, S.W., Wu, J.D., Wu, F., Zhang, J., Dong, J.T. ... Zhang, W.J. (2018). Comparison of mono- and combination antibiotic therapy for the treatment of Pseudomonas aeruginosa bacteraemia: A cumulative meta-analysis of cohort studies. Experimental and Therapeutic Medicine, 15, 2418-2428. https://doi.org/10.3892/etm.2018.5727
MLA
Tang, S. Y., Zhang, S. W., Wu, J. D., Wu, F., Zhang, J., Dong, J. T., Guo, P., Zhang, D. L., Yang, J. T., Zhang, W. J."Comparison of mono- and combination antibiotic therapy for the treatment of Pseudomonas aeruginosa bacteraemia: A cumulative meta-analysis of cohort studies". Experimental and Therapeutic Medicine 15.3 (2018): 2418-2428.
Chicago
Tang, S. Y., Zhang, S. W., Wu, J. D., Wu, F., Zhang, J., Dong, J. T., Guo, P., Zhang, D. L., Yang, J. T., Zhang, W. J."Comparison of mono- and combination antibiotic therapy for the treatment of Pseudomonas aeruginosa bacteraemia: A cumulative meta-analysis of cohort studies". Experimental and Therapeutic Medicine 15, no. 3 (2018): 2418-2428. https://doi.org/10.3892/etm.2018.5727