Evidence map›Paper›PMID 23422916›Full record

ArticleAntimicrobial agents and chemotherapy2013

Activities of vancomycin-containing regimens against colistin-resistant Acinetobacter baumannii clinical strains.

Jessica A O'Hara, Lauretta A Ambe, Leila G Casella, Bethany M Townsend, Mark R Pelletier, Robert K Ernst, Robert M Q Shanks, Yohei Doi

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 5% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Carbapenem Resistance inMicroorganisms · 2025
    Review
  3. Treatment of infections caused by carbapenem-resistantFrontiers in cellular and infection microbiology · 2024
    Review
  4. Article
  5. Genomic Epidemiology of Carbapenem-ResistantAntimicrobial agents and chemotherapy · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Pathogens (Basel, Switzerland) · 2021
    Review
  10. Review
  11. Review
  12. Article
  13. Colistin Dependence in Extensively Drug-ResistantInternational journal of molecular sciences · 2021
    Article
  14. Review
  15. Colistin-ResistantMicroorganisms · 2020
    Article
  16. Article
  17. Article
  18. Colistin resistance inAfrican health sciences · 2019
    Article
  19. Article
  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

8 authors at 2 institutions in 1 country.

Jessica A O'HaraDivision of Infectious Diseases.
Lauretta A Ambe
Leila G Casella
Bethany M Townsend
Mark R Pelletier
Robert K Ernst
Robert M Q Shanks
Yohei Doi
University of Pittsburgh · USUniversity of Maryland, Baltimore · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Novel virulence and exoenzyme regulatorsR01AI085570 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SHANKS, ROBERT M · 2010 to 2014
$1.8M
Multidrug-Resistant Acinetobacter baumanniiK22AI080584 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DOI, YOHEI · 2009 to 2010
$269k
NCATS NIH HHS UL1 TR000005NIAID NIH HHS K22 AI080584NIAID NIH HHS K22AI080584NIAID NIH HHS R01 AI085570NIAID NIH HHS R01AI085570
6 · The paper itself

Abstract

Treatment of infections due to extensively drug-resistant (XDR) Acinetobacter baumannii often involves the use of antimicrobial agents in combination. Various combinations of agents have been proposed, with colistin serving as the backbone in many of them. Recent data suggest that glycopeptides, in particular vancomycin, may have unique activity against laboratory-adapted and clinical strains of A. baumannii, alone and in combination with colistin. The aim of the present study was to test this approach against three unique colistin-resistant A. baumannii clinical strains using combinations of vancomycin (VAN), colistin (COL), and doripenem (DOR). All three strains possessed the signature phosphoethanolamine modification of the lipid A moiety associated with colistin resistance and unique amino acid changes in the PmrAB two-component signal transduction system not observed in colistin-susceptible strains. In checkerboard assays, synergy (defined as a fractional inhibitory concentration index [FICI] of ≤ 0.5) was observed between COL and VAN for all three strains tested and between COL and DOR in two strains. In time-kill assays, the combinations of COL-DOR, COL-VAN, and COL-DOR-VAN resulted in complete killing of colistin-resistant A. baumannii in 1, 2, and all 3 strains, respectively. In the Galleria mellonella moth model of infection, the combinations of DOR-VAN and COL-DOR-VAN led to significantly increased survival of the larvae, compared with other combinations and monotherapy. These findings suggest that regimens containing vancomycin may confer therapeutic benefit for infection due to colistin-resistant A. baumannii.

Indexed as

Acinetobacter baumanniiAnimalsAnti-Bacterial AgentsCarbapenemsColistinDoripenemDrug Resistance, Multiple, BacterialDrug SynergismDrug Therapy, CombinationLarvaLipid AMicrobial Sensitivity TestsMothsSignal TransductionVancomycinAnti-Bacterial AgentsCarbapenemsColistinDoripenemLipid AVancomycin

Identifiers

PMID23422916
PMCPMC3632926
OpenAlexW2160320395

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.