Evidence map›Paper›PMID 18411316›Full record

ArticleAntimicrobial agents and chemotherapy2008

Antimicrobial susceptibilities of geographically diverse clinical human isolates of Leptospira.

Roseanne A Ressner, Matthew E Griffith, Miriam L Beckius, Guillermo Pimentel, R Scott Miller, Katrin Mende, Susan L Fraser, Renee L Galloway, Duane R Hospenthal, Clinton K Murray

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Antibiotics for treatment of leptospirosis.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Antibiotics for leptospirosis.The Cochrane database of systematic reviews · 2012
    Pooled it
  3. Applied and environmental microbiology · 2025
    Review
  4. Review
  5. Biofilm formationHeliyon · 2023
    Article
  6. Article
  7. Complete Genome Sequencing ofPathogens (Basel, Switzerland) · 2021
    Article
  8. In Vitro Anti-Leptospiral Activity ofInternational journal of environmental research and public health · 2021
    Article
  9. Insight into the Epidemiology of Leptospirosis: A Review ofAnimals : an open access journal from MDPI · 2021
    Review
  10. Antimicrobial agents and chemotherapy · 2020
    Article
  11. Bacteriostatic and Bactericidal Effect of Tigecycline onAntibiotics (Basel, Switzerland) · 2020
    Article
  12. Antimicrobial Susceptibility Testing ofThe American journal of tropical medicine and hygiene · 2019
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Leptospirosis in humans.Current topics in microbiology and immunology · 2015
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Roseanne A RessnerBrooke Army Medical Center, Fort Sam Houston, Texas, USA.
Matthew E Griffith
Miriam L Beckius
Guillermo Pimentel
R Scott Miller
Katrin Mende
Susan L Fraser
Renee L Galloway
Duane R Hospenthal
Clinton K Murray
Joint Base San Antonio · USWalter Reed Army Institute of Research · USCenters for Disease Control and Prevention · USSan Antonio Military Medical Center · USUnited States Naval Medical Research Unit III · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although antimicrobial therapy of leptospirosis has been studied in a few randomized controlled clinical studies, those studies were limited to specific regions of the world and few have characterized infecting strains. A broth microdilution technique for the assessment of antibiotic susceptibility has been developed at Brooke Army Medical Center. In the present study, we assessed the susceptibilities of 13 Leptospira isolates (including recent clinical isolates) from Egypt, Thailand, Nicaragua, and Hawaii to 13 antimicrobial agents. Ampicillin, cefepime, azithromycin, and clarithromycin were found to have MICs below the lower limit of detection (0.016 microg/ml). Cefotaxime, ceftriaxone, imipenem-cilastatin, penicillin G, moxifloxacin, ciprofloxacin, and levofloxacin had MIC(90)s between 0.030 and 0.125 microg/ml. Doxycycline and tetracycline had the highest MIC(90)s: 2 and 4 microg/ml, respectively. Doxycycline and tetracycline were noted to have slightly higher MICs against isolates from Egypt than against strains from Thailand or Hawaii; otherwise, the susceptibility patterns were similar. There appears to be possible variability in susceptibility to some antimicrobial agents among strains, suggesting that more extensive testing to look for geographic variability should be pursued.

Indexed as

AmpicillinAnti-Bacterial AgentsAzithromycinCefepimeCefotaximeCeftriaxoneCephalosporinsCiprofloxacinEgyptHawaiiHumansLeptospiraLeptospirosisLevofloxacinMicrobial Sensitivity TestsNicaraguaAmpicillinAnti-Bacterial AgentsAzithromycinCefepimeCefotaximeCeftriaxoneCephalosporinsCiprofloxacinLevofloxacinOfloxacinTetracycline

Identifiers

PMID18411316
PMCPMC2493142
OpenAlexW2161441281

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.