Evidence map›Paper›PMID 25102221›Full record

ReviewAnnals of the American Thoracic Society2014

Antibiotic management of lung infections in cystic fibrosis. I. The microbiome, methicillin-resistant Staphylococcus aureus, gram-negative bacteria, and multiple infections.

James F Chmiel, Timothy R Aksamit, Sanjay H Chotirmall, Elliott C Dasenbrook, J Stuart Elborn, John J LiPuma, Sarath C Ranganathan, Valerie J Waters, Felix A Ratjen

Open access · greenAbstract readReview
In one paragraph

Review in Annals of the American Thoracic Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 2 pooled it
11.6field-weighted citation impact, top 1% 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

99 citing papers in PubMed, 2 syntheses or guidelines pooled it, 193 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Molecular epidemiology ofFrontiers in cellular and infection microbiology · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Effect of L-arginine on cystic fibrosisAntimicrobial agents and chemotherapy · 2024
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Bibliometric analysis of intestinal microbiota and lung diseases.Frontiers in cellular and infection microbiology · 2024
    Article
  16. Anti-Biofilm Activity of Carnosic Acid fromPlants (Basel, Switzerland) · 2023
    Article
  17. Upper airway microbiota development in infants with cystic fibrosis diagnosed by newborn screen.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2023
    Article
  18. Article
  19. Review
  20. Article

39 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

9 authors at 9 institutions in 6 countries.

James F Chmiel1 Department of Pediatrics, Case Western Reserve University School of Medicine and Rainbow Babies and Children's Hospital, Cleveland, Ohio.
Timothy R Aksamit
Sanjay H Chotirmall
Elliott C Dasenbrook
J Stuart Elborn
John J LiPuma
Sarath C Ranganathan
Valerie J Waters
Felix A Ratjen
Beaumont Hospital · IEHospital for Sick Children · CAMayo Clinic · USOffice of Infectious Diseases · USQueen's University Belfast · GBRainbow Babies & Children's Hospital · USRoyal Children's Hospital · AUUniversity Hospitals Cleveland Medical Center · USUniversity of Michigan · US

Funding

Translational Research in Cystic FibrosisP30DK027651 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI DRUMM, MITCHELL L · 1986 to 2014
$15.6M
NIDDK NIH HHS P30 DK027651NIDDK NIH HHS P30-DK27651
6 · The paper itself

Abstract

Despite significant advances in treatment strategies targeting the underlying defect in cystic fibrosis (CF), airway infection remains an important cause of lung disease. In this two-part series, we review recent evidence related to the complexity of CF airway infection, explore data suggesting the relevance of individual microbial species, and discuss current and future treatment options. In Part I, the evidence with respect to the spectrum of bacteria present in the CF airway, known as the lung microbiome is discussed. Subsequently, the current approach to treat methicillin-resistant Staphylococcus aureus, gram-negative bacteria, as well as multiple coinfections is reviewed. Newer molecular techniques have demonstrated that the airway microbiome consists of a large number of microbes, and the balance between microbes, rather than the mere presence of a single species, may be relevant for disease pathophysiology. A better understanding of this complex environment could help define optimal treatment regimens that target pathogens without affecting others. Although relevance of these organisms is unclear, the pathologic consequences of methicillin-resistant S. aureus infection in patients with CF have been recently determined. New strategies for eradication and treatment of both acute and chronic infections are discussed. Pseudomonas aeruginosa plays a prominent role in CF lung disease, but many other nonfermenting gram-negative bacteria are also found in the CF airway. Many new inhaled antibiotics specifically targeting P. aeruginosa have become available with the hope that they will improve the quality of life for patients. Part I concludes with a discussion of how best to treat patients with multiple coinfections.

Indexed as

AdultAnti-Infective AgentsChildCystic FibrosisDrug Resistance, BacterialEvidence-Based MedicineFemaleGram-Negative BacteriaGram-Negative Bacterial InfectionsHumansMaleMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsMicrobiotaPrognosisRespiratory Tract InfectionsAnti-Infective AgentsBurkholderia cepaciamethicillin-resistant Staphylococcus aureusmicrobiomePseudomonas aeruginosaStenotrophomonas maltophilia

Identifiers

PMID25102221
PMCPMC5467101
OpenAlexW2117107959

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.