Evidence map›Paper›PMID 25152859›Full record

ArticleGMS hygiene and infection control2014

In vitro synergism of combinations of colistin with selected antibiotics against colistin-resistant Acinetobacter baumannii.

Duygu Percin, Selcan Akyol, Gamze Kalin

Open access · greenAbstract read
In one paragraph

Article in GMS hygiene and infection control, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 35% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Strategic re-engineering of antibiotics.Nature reviews bioengineering · 2025
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  5. Frontiers in microbiology · 2022
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  7. Review
  8. Review
  9. Article
  10. Multidrug-resistantExperimental and therapeutic medicine · 2019
    Article
  11. Article
  12. Article
  13. Antibiotic Resistance Profiles and Genotypes ofTurkish journal of pharmaceutical sciences · 2017
    Article
  14. Article
  15. 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

3 authors at 3 institutions in 1 country.

Duygu PercinDepartment of Microbiology, Faculty of Medicine, Erciyes University, Kayseri, Turkey.
Selcan AkyolDepartment of Microbiology, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey.
Gamze KalinDepartment of Infectious Diseases and Clinical Microbiology, Yozgat State Hospital, Yozgat, Turkey.
Bozok Universitesi · TRErciyes University · TRIstanbul University-Cerrahpaşa · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe in vitro activity of colistin in combination with sulbactam, netilmicin, and vancomycin against colistin-resistant A. baumannii strains was investigated. Furthermore, the clonal relationship of the strains was analyzed.

methodsClonal relationship was investigated using rep-PCR. To screen for synergysm, the fractional inhibitory concentration index (FICI) was calculated using checkerboard assay. The killing kinetics of the combination of colistin with vancomycin was assessed using time-kill assay.

resultsThree different clones were found among 10 clinical isolates of colistin-resistant A. baumannii strains. Thereof, 8 strains were susceptible to netilmicin. Synergistic interaction was detected in 1 strain with the combination of colistin-netilmicin, in 5 strains with colistin-sulbactam, and in 9 strains with colistin-vancomycin. None of combinations had antagonistic activity. Colistin-vancomycin combination resulted in rapid bactericidal activity.

conclusionThese results show a distinct in vitro synergism between colistin and vancomycin, which might be useful to treat infection with multiple-resistant strains, prevent emergence of resistant strains, and to lower doses for both antibiotics to be used.

Indexed as

Acinetobacter baumanniicolistin resistancefractional inhibitory concentration index (FICI)netilmicinsulbactamsynergismtime-kill assayvancomycin

Identifiers

PMID25152859
PMCPMC4141631
OpenAlexW1474342903

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.