The impact of different antibiotic injection regimens on patients with severe infections: A meta‐analysis

Author:

Li Da1,Mo Kanglin2,Liang Binqi1,Huang Yunsheng3,Tan Xingling4,Wang Zengrui4,Yang Xia4ORCID

Affiliation:

1. Intensive Care Unit The People’s Hospital of Guangxi Zhuang Autonomous Region Nanning China

2. Respiratory Endoscopy The First Affiliated Hospital of Guangxi Mediacal University Nanning China

3. Intensive Care Unit Baise People's Hospital Baise China

4. Department of General Practice The First Affiliated Hospital of Guangxi Mediacal University Nanning China

Abstract

AbstractSevere infection is a critical health threat to humans, and antibiotic treatment is one of the main therapeutic approaches. Nevertheless, the efficacy of various antibiotic injection regimens in severe infection patients remains uncertain. This study aimed to comprehensively evaluate the impact of various antibiotic injection strategies on patients with severe infection through a meta‐analysis. Relevant research literature was collected by searching databases such as PubMed, Embase, and Cochrane Library. The retrieved literature was screened according to inclusion and exclusion criteria. Relevant data, including study design, sample size, and antibiotic regimens, were extracted from the included studies. The Cochrane Collaboration's Risk of Bias tool was employed to assess the risk of bias in each study. Statistical analysis was performed based on the results of the included studies. A total of 15 articles were included, covering various types of severe infection patients, including pulmonary and abdominal infections. The analysis provided insights into mortality rates, treatment efficacy, adverse reactions (ARs), Acute Physiology and Chronic Health Evaluation (APACHE) scores, among other outcomes. The results indicated that combination therapy was superior to monotherapy in terms of mortality rate, treatment efficacy, and APACHE scores, while the incidence of ARs was lower in the monotherapy group compared to the combination therapy group (p < 0.05). Combination therapy showed better treatment efficacy compared to monotherapy, although it was associated with a higher incidence of ARs.

Publisher

Wiley

Subject

Dermatology,Surgery

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