Cited by 173Antibiotic Use and ResistanceSurgical site infection preventionAbdominal Surgery and Complications

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Short-course antibiotic therapy for critically ill patients treated for postoperative intra-abdominal infection: The DURAPOP randomised clinical trial.

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For the DURAPOP Trial Group, Montravers, Philippe, Tubach, Florence, Lescot, Thomas, Veber, Benoit, Esposito-Farèse, Marina, Seguin, Philippe, Paugam, Catherine, Lepape, Alain, Meistelman, Claude, Cousson, Joel, Tesniere, Antoine, Plantefeve, Gaetan, Blasco, Gilles, Asehnoune, Karim, Jaber, Samir, Lasocki, Sigismond, Dupont, Herve·2018·Intensive Care Medicine

DOI 10.1007/s00134-018-5088-x

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Abstract

Purpose Shortening the duration of antibiotic therapy (ABT) is a key measure in antimicrobial stewardship. The optimal duration of ABT for treatment of postoperative intra-abdominal infections (PIAI) in critically ill patients is unknown.Methods A multicentre prospective randomised trial conducted in 21 French intensive care units (ICU) between May 2011 and February 2015 compared the efficacy and safety of 8-day versus 15-day antibiotic therapy in critically ill patients with PIAI. Among 410 eligible patients (adequate source control and ABT on day 0), 249 patients were randomly assigned on day 8 to either stop ABT immediately (n = 126) or to continue ABT until day 15 (n = 123). The primary endpoint was the number of antibiotic-free days between randomisation (day 8) and day 28. Secondary outcomes were death, ICU and hospital length of stay, emergence of multidrug-resistant (MDR) bacteria and reoperation rate, with 45-day follow-up.Results Patients treated for 8 days had a higher median number of antibiotic-free days than those treated for 15 days (15 [6-20] vs 12 [6-13] days, respectively; P < 0.0001) (Wilcoxon rank difference 4.99 days [95% CI 2.99-6.00; P < 0.0001). Equivalence was established in terms of 45-day mortality (rate difference 0.038, 95% CI - 0.013 to 0.061). Treatments did not differ in terms of ICU and hospital length of stay, emergence of MDR bacteria or reoperation rate, while subsequent drainages between day 8 and day 45 were observed following short-course ABT (P = 0.041).Conclusion Short-course antibiotic therapy in critically ill ICU patients with PIAI reduces antibiotic exposure. Continuation of treatment until day 15 is not associated with any clinical benefit. CLINICALTRIALS.Gov identifier NCT01311765.

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Novy, E. (2024) · theses.fr (ABES) · doi:10.70675/bb875beazbffcz45cdz85b2z2ac1b68c7226
Effect of adding metronidazole to meropenem on clinical efficacy in complicated intra-abdominal infections: a retrospective study
Nakashima, H., Miyazaki, M., Nishimura, N., Maeyama, R., Yoshikuni, K., & Imakyure, O. (2026) · BMC Infectious Diseases · doi:10.1186/s12879-026-13775-9
Current advances in pharmacotherapeutic strategies for the treatment of complicated intra-abdominal infections
Montravers, P., Atchade, E., & Zappella, N. (2026) · Expert Opinion on Pharmacotherapy · doi:10.1080/14656566.2026.2695994
Self-citation
Antimicrobial Strategy and Stewardship
Maves, R. C. (2026) · Springer eBooks · doi:10.1007/978-3-032-22660-0_25
Gut–Brain Axis and Nutrition in Sepsis-Associated Encephalopathy: A Narrative Review
Cosenza, G., Giurazza, R., Pota, V., Coppolino, F., Sansone, P., Pace, M. C., & Fiore, M. (2026) · Applied Sciences · doi:10.3390/app162110703

Authors: For the DURAPOP Trial Group, Montravers, P., Tubach, F., Lescot, T., Veber, B., Esposito-Farèse, M., Seguin, P., Paugam, C., Lepape, A., Meistelman, C., Cousson, J., Tesniere, A., Plantefeve, G., Blasco, G., Asehnoune, K., Jaber, S., Lasocki, S., & Dupont, H.
Affiliations: Assistance Publique – Hôpitaux de Paris (FR)
Inserm (FR)
Centre Hospitalier Régional et Universitaire de Nancy (FR)
Centre Hospitalier Universitaire de Besançon (FR)
Centre Hospitalier Universitaire de Nantes (FR)
Centre Hospitalier Universitaire d'Angers (FR)
Corresponding author: Montravers, Philippe
ORCID: Montravers, Philippe
Tubach, Florence
Lescot, Thomas
Lepape, Alain
Meistelman, Claude
Asehnoune, Karim
Jaber, Samir
Lasocki, Sigismond
Venue: Intensive Care Medicine
Publisher: Springer Science and Business Media LLC
Published: 2018-02-26
Volume: 44
Issue: 3
Pages: 300-310
ISSN: 0342-4642 (ISSN-L)
1432-1238
DOI: 10.1007/s00134-018-5088-x
OpenAlex: W2788905391
Semantic Scholar: dbe977f969deb7a1c03bc9fa9985b3dc9757f50a
Cited by: 173
References: 33
Citations by year: 2026: 9 · 2025: 18 · 2024: 17 · 2023: 24 · 2022: 30 · 2021: 30 · 2020: 17 · 2019: 16 · 2018: 11
FWCI: 11.38
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: Intensive Care Medicine (publishedVersion)
PubMed (publishedVersion)
HAL (submittedVersion, other-oa)
Funders: French Ministery of Health-Programme Hospitalier de Recherche Clinique 2009 (AOM-09024)
Topics: Health Sciences › Medicine › Infectious Diseases › Antibiotic Use and Resistance
Health Sciences › Medicine › Surgery › Surgical site infection prevention
Health Sciences › Medicine › Surgery › Abdominal Surgery and Complications
Keywords: short-course antibiotic therapy, postoperative intra-abdominal infection, critically ill patients, antimicrobial stewardship, antibiotic duration, multidrug-resistant bacteria, reoperation, ICU length of stay, mortality
MeSH terms: Aged, Aged, 80 and over, Anti-Bacterial Agents, Female, France, Humans, Intensive Care Units, Male, Middle Aged, Obesity, Morbid, Prospective Studies, Critical Illness, Intraabdominal Infections

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Short-course antibiotic therapy for critically ill patients treated for postoperative intra-abdominal infection: The DURAPOP randomised clinical trial.

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