Evidence map›Paper›PMID 26392505›Full record

ArticleAntimicrobial agents and chemotherapy2015

Efficacy of Single and Combined Antibiotic Treatments of Anthrax in Rabbits.

Shay Weiss, Zeev Altboum, Itai Glinert, Josef Schlomovitz, Assa Sittner, Elad Bar-David, David Kobiler, Haim Levy

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 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 30% 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

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

  1. Postexposure Prophylaxis and Treatment of Bacillus anthracis Infections: A Systematic Review and Meta-analyses of Animal Models, 1947-2019.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Pooled it
  2. Article
  3. RapidAntimicrobial agents and chemotherapy · 2024
    Article
  4. Central Nervous System Antimicrobial Exposure and Proposed Dosing for Anthrax Meningitis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  5. Article
  6. CDC Guidelines for the Prevention and Treatment of Anthrax, 2023.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Treating Anthrax-Induced Meningitis in Rabbits.Antimicrobial agents and chemotherapy · 2018
    Article
  11. 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

8 authors at 1 institution in 1 country.

Shay WeissDepartment of Infectious Diseases, Israel Institute for Biological Research, Ness-Ziona, Israel.
Zeev AltboumDepartment of Infectious Diseases, Israel Institute for Biological Research, Ness-Ziona, Israel.
Itai GlinertDepartment of Infectious Diseases, Israel Institute for Biological Research, Ness-Ziona, Israel.
Josef SchlomovitzDepartment of Infectious Diseases, Israel Institute for Biological Research, Ness-Ziona, Israel.
Assa SittnerDepartment of Infectious Diseases, Israel Institute for Biological Research, Ness-Ziona, Israel.
Elad Bar-DavidDepartment of Infectious Diseases, Israel Institute for Biological Research, Ness-Ziona, Israel.
David KobilerDepartment of Infectious Diseases, Israel Institute for Biological Research, Ness-Ziona, Israel.
Haim LevyDepartment of Infectious Diseases, Israel Institute for Biological Research, Ness-Ziona, Israel haiml@iibr.gov.il.
Israel Institute for Biological Research · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Respiratory anthrax is a fatal disease in the absence of early treatment with antibiotics. Rabbits are highly susceptible to infection with Bacillus anthracis spores by intranasal instillation, succumbing within 2 to 4 days postinfection. This study aims to test the efficiency of antibiotic therapy to treat systemic anthrax in this relevant animal model. Delaying the initiation of antibiotic administration to more than 24 h postinfection resulted in animals with systemic anthrax in various degrees of bacteremia and toxemia. As the onset of symptoms in humans was reported to start on days 1 to 7 postexposure, delaying the initiation of treatment by 24 to 48 h (time frame for mass distribution of antibiotics) may result in sick populations. We evaluated the efficacy of antibiotic administration as a function of bacteremia levels at the time of treatment initiation. Here we compare the efficacy of treatment with clarithromycin, amoxicillin-clavulanic acid (Augmentin), imipenem, vancomycin, rifampin, and linezolid to the previously reported efficacy of doxycycline and ciprofloxacin. We demonstrate that treatment with amoxicillin-clavulanic acid, imipenem, vancomycin, and linezolid were as effective as doxycycline and ciprofloxacin, curing rabbits exhibiting bacteremia levels of up to 10(5) CFU/ml. Clarithromycin and rifampin were shown to be effective only as a postexposure prophylactic treatment but failed to treat the systemic (bacteremic) phase of anthrax. Furthermore, we evaluate the contribution of combined treatment of clindamycin and ciprofloxacin, which demonstrated improvement in efficacy compared to ciprofloxacin alone.

Indexed as

Amoxicillin-Potassium Clavulanate CombinationAnimalsAnthraxAnti-Bacterial AgentsBacillus anthracisBacteremiaCiprofloxacinClarithromycinDisease Models, AnimalDoxycyclineDrug CombinationsDrug SynergismHumansImipenemLinezolidMaleAmoxicillin-Potassium Clavulanate CombinationAnti-Bacterial AgentsCiprofloxacinClarithromycinDoxycyclineDrug CombinationsImipenemLinezolidRifampinVancomycin

Identifiers

PMID26392505
PMCPMC4649227
OpenAlexW2254805567

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.