Evidence map›Paper›PMID 25551618›Full record

ArticlePloS one2014

Efficacy of combined vancomycin and fosfomycin against methicillin-resistant Staphylococcus aureus in biofilms in vivo.

Jian Shi, Ning-Fang Mao, Li Wang, Han-Bo Zhang, Qian Chen, Hua Liu, Xun Tang, Tao Jin, Chong-Tao Zhu, Fu-Bing Li and 3 more

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 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

25 citing papers in PubMed, 41 citations in OpenAlex.

  1. Review
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  11. Efficacy of celery (Veterinary world · 2022
    Article
  12. Review
  13. International journal of molecular sciences · 2021
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. New microbiological aspects of fosfomycin.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2019
    Review
  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

13 authors at 3 institutions in 1 country.

Jian ShiDepartment of Orthopedics, Kunming General Hospital of Chengdu Military Region, Kunming, China.
Ning-Fang MaoDepartment of Orthopedics, Changhai Hospital, Shanghai, China.
Li WangDepartment of Pathology, Kunming General Hospital of Chengdu Military Region, Kunming, China.
Han-Bo ZhangLaboratory of Conservation and Utilization for Bio-resources and Key Laboratory for Microbial Resources of the Ministry of Education, Yunnan University, Kunming, China.
Qian ChenDepartment of Infection Control, Kunming General Hospital of Chengdu Military Region, Kunming, China.
Hua LiuDepartment of Orthopedics, Kunming General Hospital of Chengdu Military Region, Kunming, China.
Xun TangDepartment of Orthopedics, Kunming General Hospital of Chengdu Military Region, Kunming, China.
Tao JinDepartment of Orthopedics, Kunming General Hospital of Chengdu Military Region, Kunming, China.
Chong-Tao ZhuDepartment of Orthopedics, Kunming General Hospital of Chengdu Military Region, Kunming, China.
Fu-Bing LiDepartment of Orthopedics, Kunming General Hospital of Chengdu Military Region, Kunming, China.
Lin-Hui SunDepartment of Orthopedics, Kunming General Hospital of Chengdu Military Region, Kunming, China.
Xin-Ming XuDepartment of Orthopedics, Kunming General Hospital of Chengdu Military Region, Kunming, China.
Yong-Qing XuDepartment of Orthopedics, Kunming General Hospital of Chengdu Military Region, Kunming, China.
Kunming General Hospital of Chengdu Military Command · CNSecond Military Medical University · CNYunnan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infection by methicillin-resistant Staphylococcus aureus (MRSA) is a life-threatening condition, and formation of biofilms can lead to treatment failure in a clinical setting. The aim of this study was to demonstrate the in vivo bactericidal effects of a combination of vancomycin (VAN) and fosfomycin (FOS) against MRSA in a rat carboxymethyl cellulose-pouch biofilm model. The results of the time-kill assay showed that the combination therapy was capable of killing at low minimal inhibitory concentrations (MIC) (½ × MIC VAN +1 × MIC FOS and 1 × MIC VAN + 1 × MIC FOS). In the in vivo study, a synergistically bactericidal effect was observed when using the combination therapy on MRSA embedded in the mature biofilm model. In comparison with the untreated control group and the groups receiving either VAN or FOS alone, the rats treated with combination therapy had lower MRSA colony counts in exudates from the pouch, lower white blood cell and neutrophil counts, and C-reactive protein (CRP) in peripheral blood. Furthermore, histological analysis of the pouch wall indicated combination therapy resulted in disappearance of biofilm-like structures, marked decrease in necrosis, and formation of granular tissue. In conclusion, the combination of VAN with FOS had a synergistic bactericidal effect on chronic MRSA infection embedded in biofilm, providing an alternative approach to treating this condition.

Indexed as

AnimalsAnti-Bacterial AgentsBiofilmsC-Reactive ProteinDrug SynergismFosfomycinLeukocyte CountMaleMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsRatsRats, Sprague-DawleyStaphylococcal InfectionsVancomycinAnti-Bacterial AgentsC-Reactive ProteinFosfomycinVancomycin

Identifiers

PMID25551618
PMCPMC4281042
OpenAlexW2084243657

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.