PMID- 27144279 OWN - NLM STAT- MEDLINE DCOM- 20170208 LR - 20181202 IS - 1421-9794 (Electronic) IS - 0009-3157 (Linking) VI - 61 IP - 6 DP - 2016 TI - Efficacy and Safety of Tigecycline for Patients with Hospital-Acquired Pneumonia. PG - 323-30 LID - 10.1159/000445425 [doi] AB - BACKGROUND: Tigecycline is an antibiotic agent with a broad spectrum, which has an antibacterial effect against many multidrug-resistant organisms. However, its clinical efficacy in the treatment of hospital-acquired pneumonia (HAP) is disputed. MATERIALS AND METHODS: In this report, a systematic review and meta-analysis were conducted to evaluate the efficacy and safety of tigecycline for the treatment of HAP. The primary outcome was the rate of clinical cure, and the secondary outcomes were mortality and adverse events (AEs). RESULTS: Four trials involving 1,234 patients were included. The standard-dose tigecycline and comparator groups did not differ significantly in their rates of clinical cure. However, high-dose tigecycline was more effective than standard-dose tigecycline or the comparators for the treatment of HAP. There was no significant difference in mortality between the standard-dose or high-dose regimen and the comparators. Although the safety profile of standard-dose tigecycline was similar to the comparators, the high-dose regimen exhibited more AEs compared with the other groups. CONCLUSION: High-dose tigecycline is efficient for the treatment of HAP but is associated with more AEs. CI - (c) 2016 S. Karger AG, Basel. FAU - Xu, Li AU - Xu L FAU - Wang, Ya-Li AU - Wang YL FAU - Du, Shuai AU - Du S FAU - Chen, Lin AU - Chen L FAU - Long, Li-Hui AU - Long LH FAU - Wu, Yan AU - Wu Y LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20160504 PL - Switzerland TA - Chemotherapy JT - Chemotherapy JID - 0144731 RN - 0 (Anti-Bacterial Agents) RN - 70JE2N95KR (Tigecycline) RN - FYY3R43WGO (Minocycline) SB - IM MH - Anti-Bacterial Agents/adverse effects/pharmacokinetics/*therapeutic use MH - Databases, Factual MH - Female MH - Half-Life MH - Hospitals MH - Humans MH - Male MH - Minocycline/adverse effects/*analogs & derivatives/pharmacokinetics/therapeutic use MH - Odds Ratio MH - Pneumonia/*drug therapy/mortality/pathology MH - Tigecycline EDAT- 2016/05/06 06:00 MHDA- 2017/02/09 06:00 CRDT- 2016/05/05 06:00 PHST- 2015/09/28 00:00 [received] PHST- 2016/03/12 00:00 [accepted] PHST- 2016/05/05 06:00 [entrez] PHST- 2016/05/06 06:00 [pubmed] PHST- 2017/02/09 06:00 [medline] AID - 000445425 [pii] AID - 10.1159/000445425 [doi] PST - ppublish SO - Chemotherapy. 2016;61(6):323-30. doi: 10.1159/000445425. Epub 2016 May 4.