Evidence map›Paper›PMID 25590154›Full record

ReviewAmerican journal of respiratory and critical care medicine2015

Novel approaches are needed to develop tomorrow's antibacterial therapies.

Brad Spellberg, John Bartlett, Rich Wunderink, David N Gilbert

Abstract readReview
In one paragraph

Review in American journal of respiratory and critical care medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
–field-weighted citation impact
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

38 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Antimicrobial Activity of Some Steroidal Hydrazones.Molecules (Basel, Switzerland) · 2023
    Article
  10. Review
  11. Article
  12. Article
  13. Pneumonia.Nature reviews. Disease primers · 2021
    Review
  14. A How-To Guide for Mode of Action Analysis of Antimicrobial Peptides.Frontiers in cellular and infection microbiology · 2020
    Review
  15. Review
  16. Clinical Utility of Lefamulin: If Not Now, When?Current infectious disease reports · 2020
    Review
  17. Article
  18. 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

4 authors.

Brad Spellberg1 Los Angeles County-University of Southern California Medical Center, Los Angeles, California.
John Bartlett
Rich Wunderink
David N Gilbert

Funding

Antibacterial Resistance Leadership Group (ARLG)UM1AI104681 · NIAID · DUKE UNIVERSITY · PI Vance G. Fowler, Henry F HENRY CHAMBERS · 2013 to 2026
$180.8M
Activated Targeted Killer (ATAK) Cells for Invasive Fungal InfectionsR01AI081719 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI SPELLBERG, BRAD J · 2009 to 2013
$1.7M
Acinetobacter virulence and host innunopathogenesisR21AI101750 · NIAID · UNIVERSITY OF SOUTHERN CALIFORNIA · PI SPELLBERG, BRAD J · 2013 to 2014
$434k
Antibody Targeting of KPC and NDM1R21AI101492 · NIAID · UNIVERSITY OF SOUTHERN CALIFORNIA · PI SPELLBERG, BRAD J · 2013 to 2014
$417k
NIAID NIH HHS R01 AI081719NIAID NIH HHS R21 AI101492NIAID NIH HHS R21 AI101750NIAID NIH HHS UM1 AI104681NIAID NIH HHS UM1AI104681
6 · The paper itself

Abstract

Society faces a crisis of rising antibiotic resistance even as the pipeline of new antibiotics has been drying up. Antibiotics are a public trust; every individual's use of antibiotics affects their efficacy for everyone else. As such, responses to the antibiotic crisis must take a societal perspective. The market failure of antibiotics is due to a combination of scientific challenges to discovering and developing new antibiotics, unfavorable economics, and a hostile regulatory environment. Scientific solutions include changing the way we screen for new antibiotics. More transformationally, developing new treatments that seek to disarm pathogens without killing them, or that modulate the host inflammatory response to infection, will reduce selective pressure and hence minimize resistance emergence. Economic transformation will require new business models to support antibiotic development. Finally, regulatory reform is needed so that clinical development programs are feasible, rigorous, and clinically relevant. Pulmonary and critical care specialists can have tremendous impact on the continued availability of effective antibiotics. Encouraging use of molecular diagnostic tests to allow pathogen-targeted, narrow-spectrum antibiotic therapy, using short rather than unnecessarily long course therapy, reducing inappropriate antibiotic use for probable viral infections, and reducing infection rates will help preserve the antibiotics we have for future generations.

Indexed as

Anti-Bacterial AgentsClinical Trials as TopicDrug ApprovalDrug DiscoveryDrug IndustryDrug Resistance, BacterialDrug UtilizationHumansMicrobial Sensitivity TestsUnited StatesUnited States Food and Drug AdministrationAnti-Bacterial Agentsantibiotic resistanceantibioticsdrugmarket failureregulations

Identifiers

PMID25590154
PMCPMC4347440

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.