Evidence map›Paper›PMID 20208551›Full record

ReviewNature reviews. Microbiology2010

Antibiotic resistance and its cost: is it possible to reverse resistance?

Dan I Andersson, Diarmaid Hughes

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Microbiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06174519 (Evaluation of the Artificial Intelligence-based Prescription Support Software iAST® for the Choice of Empirical and Semi-targeted Antibiotic Treatment), which is not on this map. Cited by 968 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
968citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT06174519 completednot on this mapstarted 2023, after this paper: background citation

Evaluation of the Artificial Intelligence-based Prescription Support Software iAST® for the Choice of Empirical and Semi-targeted Antibiotic Treatment

TypeobservationalSponsorPragmatech AI SolutionsRan2023 to 2023Enrolled325ConditionsBacterial InfectionsArmsMedical device simulation
3 · Its place in the literature

Who cites it

968 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Gut microbes · 2026
    Article
  5. Article
  6. ISEmerging microbes & infections · 2026
    Article
  7. Review
  8. Article
  9. Review
  10. Recurrent reversible mutations atMicrobiology spectrum · 2026
    Article
  11. In-host adaptation ofMicrobiology spectrum · 2026
    Article
  12. Review
  13. Review
  14. Pairwise Growth Dynamics of EnvironmentalAntibiotics (Basel, Switzerland) · 2026
    Article
  15. Comparison ofInfection and immunity · 2026
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

908 more citing papers are in PubMed but not listed here.

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

2 authors.

Dan I AnderssonDepartment of Medical Biochemistry and Microbiology, Uppsala University, BOX 582, SE-751 23, Uppsala, Sweden. dan.andersson@imbim.uu.se
Diarmaid Hughes

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Most antibiotic resistance mechanisms are associated with a fitness cost that is typically observed as a reduced bacterial growth rate. The magnitude of this cost is the main biological parameter that influences the rate of development of resistance, the stability of the resistance and the rate at which the resistance might decrease if antibiotic use were reduced. These findings suggest that the fitness costs of resistance will allow susceptible bacteria to outcompete resistant bacteria if the selective pressure from antibiotics is reduced. Unfortunately, the available data suggest that the rate of reversibility will be slow at the community level. Here, we review the factors that influence the fitness costs of antibiotic resistance, the ways by which bacteria can reduce these costs and the possibility of exploiting them.

Indexed as

Anti-Bacterial AgentsBacterial InfectionsBiological EvolutionDrug Resistance, BacterialGenetic FitnessHumansAnti-Bacterial Agents

Identifiers

PMID20208551

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.