Evidence map›Paper›PMID 26239978›Full record

ArticleAntimicrobial agents and chemotherapy2015

Evaluation of Gallium Citrate Formulations against a Multidrug-Resistant Strain of Klebsiella pneumoniae in a Murine Wound Model of Infection.

Mitchell G Thompson, Vu Truong-Le, Yonas A Alamneh, Chad C Black, Jeff Anderl, Cary L Honnold, Rebecca L Pavlicek, Rania Abu-Taleb, Matthew C Wise, Eric R Hall and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
0.6field-weighted citation impact, top 38% 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

24 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
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  9. Article
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  13. Frontiers in cellular and infection microbiology · 2022
    Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Gain-of-Function Mutations in Acid Stress Response (Antimicrobial agents and chemotherapy · 2021
    Article
  19. Review
  20. Using Bioactive Glasses in the Management of Burns.Frontiers in bioengineering and biotechnology · 2019
    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

13 authors at 3 institutions in 1 country.

Mitchell G ThompsonDepartment of Wound Infections, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Vu Truong-LeAridis Pharmaceuticals LLC, San Jose, California, USA.
Yonas A AlamnehDepartment of Wound Infections, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Chad C BlackDepartment of Wound Infections, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Jeff AnderlAridis Pharmaceuticals LLC, San Jose, California, USA.
Cary L HonnoldDepartment of Pathology, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Rebecca L PavlicekDepartment of Wound Infections, Naval Medical Research Center, Silver Spring, Maryland, USA.
Rania Abu-TalebDepartment of Wound Infections, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Matthew C WiseDepartment of Pathology, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Eric R HallDepartment of Wound Infections, Naval Medical Research Center, Silver Spring, Maryland, USA.
Eric J WagarDepartment of Wound Infections, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Eric PatzerAridis Pharmaceuticals LLC, San Jose, California, USA.
Daniel V ZurawskiDepartment of Wound Infections, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA daniel.v.zurawski.ctr@mail.mil.
Walter Reed Army Institute of Research · USAridis Pharmaceuticals (United States) · USNaval Medical Research Command · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Skin and soft tissue infections (SSTIs) are a common occurrence in health care facilities with a heightened risk for immunocompromised patients. Klebsiella pneumoniae has been increasingly implicated as the bacterial agent responsible for SSTIs, and treatment can be challenging as more strains become multidrug resistant (MDR). Therefore, new treatments are needed to counter this bacterial pathogen. Gallium complexes exhibit antimicrobial activity and are currently being evaluated as potential treatment for bacterial infections. In this study, we tested a topical formulation containing gallium citrate (GaCi) for the treatment of wounds infected with K. pneumoniae. First, the MIC against K. pneumoniae ranged from 0.125 to 2.0 μg/ml GaCi. After this in vitro efficacy was established, two topical formulations with GaCi (0.1% [wt/vol] and 0.3% [wt/vol]) were tested in a murine wound model of MDR K. pneumoniae infection. Gross pathology and histopathology revealed K. pneumoniae-infected wounds appeared to close faster with GaCi treatment and were accompanied by reduced inflammation compared to those of untreated controls. Similarly, quantitative indications of infection remediation, such as reduced weight loss and wound area, suggested that treatment improved outcomes compared to those of untreated controls. Bacterial burdens were measured 1 and 3 days following inoculation, and a 0.5 to 1.5 log reduction of CFU was observed. Lastly, upon scanning electron microscopy analysis, GaCi treatment appeared to prevent biofilm formation on dressings compared to those of untreated controls. These results suggest that with more preclinical testing, a topical application of GaCi may be a promising alternative treatment strategy for K. pneumoniae SSTI.

Indexed as

Administration, CutaneousAnimalsAnti-Bacterial AgentsBiofilmsBody WeightCitratesDisease Models, AnimalDrug Evaluation, PreclinicalDrug Resistance, Multiple, BacterialFemaleGalliumKlebsiella InfectionsKlebsiella pneumoniaeMiceMice, Inbred BALB CMicrobial Sensitivity TestsAnti-Bacterial AgentsCitratesGalliumgallium citrate

Identifiers

PMID26239978
PMCPMC4576086
OpenAlexW2156332375

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.