Evidence map›Paper›PMID 25068396›Full record

ArticlePloS one2014

Determination of MIC distribution of arbekacin, cefminox, fosfomycin, biapenem and other antibiotics against gram-negative clinical isolates in South India: a prospective study.

Sangeetha Rajenderan, Veeraraghavan Balaji, Shalini Anandan, Rani Diana Sahni, Giannoula S Tansarli, Matthew E Falagas

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 27% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Clinical Usefulness of Arbekacin.Infection & chemotherapy · 2016
    Review
  8. Fosfomycin: A First-Line Oral Therapy for Acute Uncomplicated Cystitis.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2016
    Review
  9. 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

6 authors at 4 institutions in 3 countries.

Sangeetha RajenderanChristian Medical College, Vellore, Tamil Nadu, South India.
Veeraraghavan BalajiChristian Medical College, Vellore, Tamil Nadu, South India.
Shalini AnandanChristian Medical College, Vellore, Tamil Nadu, South India.
Rani Diana SahniChristian Medical College, Vellore, Tamil Nadu, South India.
Giannoula S TansarliAlfa Institute of Biomedical Sciences, Athens, Greece.
Matthew E FalagasAlfa Institute of Biomedical Sciences, Athens, Greece; Department of Internal Medicine - Infectious Diseases, Iaso General Hospital, Iaso Group, Athens, Greece; Department of Medicine, Tufts University School of Medicine, Boston, Massachusetts, United States of America.
Christian Medical College · INAlfa Institute of Biomedical Sciences · GRChristian Medical College & Hospital · INTufts University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the in vitro activity of antibiotics, including arbekacin, cefminox, fosfomycin and biapenem which are all still unavailable in India, against Gram-negative clinical isolates.

methodsWe prospectively collected and tested all consecutive isolates of Escherichia coli, Klebsiella spp., Pseudomonas aeruginosa and Acinetobacter spp. from blood, urine and sputum samples between March and November 2012. The minimum inhibition concentration (MIC) of 16 antibiotics was determined by the broth micro-dilution method.

resultsOverall 925 isolates were included; 211 E. coli, 207 Klebsiella spp., 153 P. aeruginosa, and 354 Acinetobacter spp. The MIC50 and MIC90 were high for cefminox, biapenem and arbekacin for all pathogens but interpretative criteria were not available. The MIC50 was categorized as susceptible for a couple of antibiotics, including piperacillin/tazobactam, carbapenems and amikacin, for E. coli, Klebsiella spp. and P. aeruginosa. However, for Acinetobacter spp., the MIC50 was categorized as susceptible only for colistin. On the other hand, fosfomycin was the only antibiotic that inhibited 90% of E. coli and Klebsiella spp. isolates, while 90% of P. aeruginosa isolates were inhibited only by colistin. Finally, 90% of Acinetobacter spp. isolates were not inhibited by any antibiotic tested.

conclusionFosfomycin and colistin might be promising antibiotics for the treatment of infections due to E. coli or Klebsiella spp. and P. aeruginosa, respectively, in India; however, clinical trials should first corroborate the in vitro findings. The activity of tigecycline should be evaluated, as this is commonly used as last-resort option for the treatment of multidrug-resistant Acinetobacter infections.

Indexed as

AcinetobacterAnti-Bacterial AgentsCephamycinsDibekacinDrug Resistance, Multiple, BacterialEscherichia coliFosfomycinGram-Negative BacteriaGram-Negative Bacterial InfectionsHumansIndiaKlebsiellaMicrobial Sensitivity TestsProspective StudiesPseudomonas aeruginosaThienamycinsAnti-Bacterial AgentsarbekacinbiapenemcefminoxCephamycinsDibekacinFosfomycinThienamycins

Identifiers

PMID25068396
PMCPMC4113358
OpenAlexW2085900850

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.