Evidence map›Paper›PMID 26074898›Full record

ArticleFrontiers in microbiology2015

In vitro and in vivo analysis of antimicrobial agents alone and in combination against multi-drug resistant Acinetobacter baumannii.

Songzhe He, Hui He, Yi Chen, Yueming Chen, Wei Wang, Daojun Yu

Open access · goldAbstract read
In one paragraph

Article in Frontiers in microbiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.1field-weighted citation impact, top 28% 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

19 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Carbapenem Resistance inMicroorganisms · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Induced Heteroresistance in Carbapenem-ResistantInternational journal of molecular sciences · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Acinetobacter baumannii bacteraemia in patients with haematological malignancy: a multicentre retrospective study from the Infection Working Party of Jiangsu Society of Hematology.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2017
    Article
  17. Article
  18. Biology ofFrontiers in cellular and infection microbiology · 2017
    Review
  19. Review
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 2 institutions in 1 country.

Songzhe HeThe Affiliated First Hospital of Hangzhou, Zhejiang Chinese Medical University Hangzhou, China ; Department of Clinical Laboratories, Hangzhou First People's Hospital Hangzhou, China.
Hui HeThe Affiliated First Hospital of Hangzhou, Zhejiang Chinese Medical University Hangzhou, China ; Department of Clinical Laboratories, Hangzhou First People's Hospital Hangzhou, China.
Yi ChenThe Affiliated First Hospital of Hangzhou, Zhejiang Chinese Medical University Hangzhou, China ; Department of Clinical Laboratories, Hangzhou First People's Hospital Hangzhou, China.
Yueming ChenDepartment of Clinical Laboratories, Hangzhou First People's Hospital Hangzhou, China.
Wei WangDepartment of Clinical Laboratories, Hangzhou First People's Hospital Hangzhou, China.
Daojun YuThe Affiliated First Hospital of Hangzhou, Zhejiang Chinese Medical University Hangzhou, China ; Department of Clinical Laboratories, Hangzhou First People's Hospital Hangzhou, China.
Hangzhou First People's Hospital · CNZhejiang Chinese Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the in vitro and in vivo antibacterial activities of tigecycline and other 13 common antimicrobial agents, alone or in combination, against multi-drug resistant Acinetobacter baumannii.

methodsAn in vitro susceptibility test of 101 A. baumannii was used to detect minimal inhibitory concentrations (MICs). A mouse lung infection model of multi-drug resistant A. baumannii, established by the ultrasonic atomization method, was used to define in vivo antimicrobial activities.

resultsMulti-drug resistant A. baumannii showed high sensitivity to tigecycline (98% inhibition), polymyxin B (78.2% inhibition), and minocycline (74.2% inhibition). However, the use of these antimicrobial agents in combination with other antimicrobial agents produced synergistic or additive effects. In vivo data showed that white blood cell (WBC) counts in drug combination groups C (minocycline + amikacin) and D (minocycline + rifampicin) were significantly higher than in groups A (tigecycline) and B (polymyxin B) (P < 0.05), after administration of the drugs 24 h post-infection. Lung tissue inflammation gradually increased in the model group during the first 24 h after ultrasonic atomization infection; vasodilation, congestion with hemorrhage were observed 48 h post infection. After 3 days of anti-infective therapy in groups A, B, C, and D, lung tissue inflammation in each group gradually recovered with clear structures. The mortality rates in drug combination groups(groups C and D) were much lower than in groups A and B.

conclusionThe combination of minocycline with either rifampicin or amikacin is more effective against multi-drug resistant A. baumannii than single-agent tigecycline or polymyxin B. In addition, the mouse lung infection by ultrasonic atomization is a suitable model for drug screening and analysis of infection mechanism.

Indexed as

Acinetobacter baumanniicombination treatmentmulti-drug resistantpneumonia infection modelultrasonic atomization

Identifiers

PMID26074898
PMCPMC4444844
OpenAlexW1590902922

What OpenQuestion holds

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Registered trials

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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.