Addressing resistance to antibiotics in systematic reviews of antibiotic interventions

Leonard Leibovici, Mical Paul, Paul Garner, David J Sinclair, Arash Afshari, Nathan Leon Pace, Nicky Cullum, Hywel C Williams, Alan Smyth, Nicole Skoetz, Chris Del Mar, Anne G M Schilder, Dafna Yahav, David Tovey

Research output: Contribution to journalArticleResearchpeer-review

20 Citations (Scopus)

Abstract

Antibiotics are among the most important interventions in healthcare. Resistance of bacteria to antibiotics threatens the effectiveness of treatment. Systematic reviews of antibiotic treatments often do not address resistance to antibiotics even when data are available in the original studies. This omission creates a skewed view, which emphasizes short-term efficacy and ignores the long-term consequences to the patient and other people. We offer a framework for addressing antibiotic resistance in systematic reviews. We suggest that the data on background resistance in the original trials should be reported and taken into account when interpreting results. Data on emergence of resistance (whether in the body reservoirs or in the bacteria causing infection) are important outcomes. Emergence of resistance should be taken into account when interpreting the evidence on antibiotic treatment in randomized controlled trials or systematic reviews.

Original languageEnglish
Pages (from-to)2367-2369
Number of pages3
JournalJournal of Antimicrobial Chemotherapy
Volume71
Issue number9
DOIs
Publication statusPublished - Sep 2016

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Microbial Drug Resistance
Anti-Bacterial Agents
Bacteria
Randomized Controlled Trials
Delivery of Health Care
Therapeutics
Infection

Cite this

Leibovici, L., Paul, M., Garner, P., Sinclair, D. J., Afshari, A., Pace, N. L., ... Tovey, D. (2016). Addressing resistance to antibiotics in systematic reviews of antibiotic interventions. Journal of Antimicrobial Chemotherapy, 71(9), 2367-2369. https://doi.org/10.1093/jac/dkw135
Leibovici, Leonard ; Paul, Mical ; Garner, Paul ; Sinclair, David J ; Afshari, Arash ; Pace, Nathan Leon ; Cullum, Nicky ; Williams, Hywel C ; Smyth, Alan ; Skoetz, Nicole ; Del Mar, Chris ; Schilder, Anne G M ; Yahav, Dafna ; Tovey, David. / Addressing resistance to antibiotics in systematic reviews of antibiotic interventions. In: Journal of Antimicrobial Chemotherapy. 2016 ; Vol. 71, No. 9. pp. 2367-2369.
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Leibovici, L, Paul, M, Garner, P, Sinclair, DJ, Afshari, A, Pace, NL, Cullum, N, Williams, HC, Smyth, A, Skoetz, N, Del Mar, C, Schilder, AGM, Yahav, D & Tovey, D 2016, 'Addressing resistance to antibiotics in systematic reviews of antibiotic interventions' Journal of Antimicrobial Chemotherapy, vol. 71, no. 9, pp. 2367-2369. https://doi.org/10.1093/jac/dkw135

Addressing resistance to antibiotics in systematic reviews of antibiotic interventions. / Leibovici, Leonard; Paul, Mical; Garner, Paul; Sinclair, David J; Afshari, Arash; Pace, Nathan Leon; Cullum, Nicky; Williams, Hywel C; Smyth, Alan; Skoetz, Nicole; Del Mar, Chris; Schilder, Anne G M; Yahav, Dafna; Tovey, David.

In: Journal of Antimicrobial Chemotherapy, Vol. 71, No. 9, 09.2016, p. 2367-2369.

Research output: Contribution to journalArticleResearchpeer-review

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