Evidence map›Paper›PMID 26597507›Full record

SynthesisScientific reports2015

Meta-analysis of colistin for the treatment of Acinetobacter baumannii infection.

Zhijin Chen, Yu Chen, Yaogao Fang, Xiaotian Wang, Yanqing Chen, Qingsong Qi, Fang Huang, Xungang Xiao

Registry-linked trialOpen access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04202861 (A Randomised Controlled Trial Evaluating a Novel Individualised Treatment Strategy for Carbapenem-Resistant Gram-Negative Bacteria Infections), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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.

NCT04202861 naunknown statusnot on this mapstarted 2019, after this paper: background citation

A Randomised Controlled Trial Evaluating a Novel Individualised Treatment Strategy for Carbapenem-Resistant Gram-Negative Bacteria Infections (iACT)

TypeinterventionalSponsorSingapore General HospitalRan2019 to 2023Enrolled594ConditionsAntibiotic TherapyArmsIn vitro antibiotic combination testing (iACT)
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Review
  7. NovelMolecules (Basel, Switzerland) · 2025
    Article
  8. Article
  9. Combating Multidrug-ResistantInfection and drug resistance · 2025
    Review
  10. Article
  11. Review
  12. Clinical effectiveness of cefiderocol for the treatment of bloodstream infections due to carbapenem-resistant Acinetobacter baumannii during the COVID-19 era: a single center, observational study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Observational
  13. PmrAB, the two-component system ofJournal of bacteriology · 2024
    Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Review
  20. Observational
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 3 institutions in 1 country.

Zhijin ChenDepartment of Hospital Infection-Control, Affiliated Houjie Hospital, Guangdong Medical College, Dongguan, Guangdong 523945, China.
Yu ChenDepartment of Urology, Affiliated Hospital of Huzhou Teachers' College, The First People's Hospital of Hu zhou, Hu zhou, 313000, P.R. China.
Yaogao FangDepartment of Hospital Infection-Control, Affiliated Houjie Hospital, Guangdong Medical College, Dongguan, Guangdong 523945, China.
Xiaotian WangDepartment of Hospital Infection-Control, Affiliated Houjie Hospital, Guangdong Medical College, Dongguan, Guangdong 523945, China.
Yanqing ChenDepartment of Hospital Infection-Control, Affiliated Houjie Hospital, Guangdong Medical College, Dongguan, Guangdong 523945, China.
Qingsong QiDepartment of Hospital Infection-Control, Affiliated Houjie Hospital, Guangdong Medical College, Dongguan, Guangdong 523945, China.
Fang HuangDepartment of Hospital Infection-Control, Affiliated Houjie Hospital, Guangdong Medical College, Dongguan, Guangdong 523945, China.
Xungang XiaoDepartment of Joint Surgery, Chenzhou NO.1 People's Hospital, Hunan Province, 423000 P.R. China.
Guangdong Medical College · CNChenzhou First People's Hospital · CNThird People's Hospital of Huzhou · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multidrug resistant among Acinetobacter baumannii infection is associated with a high mortality rate and limits the therapeutic options. The aim of this study was to assess the safety and efficacy of colistin monotherapy vs. other single antibiotic therapy AND colistin-based combination therapy (with other antibiotics) vs. colistin alone for the treatment of Acinetobacter baumannii infection. Online electronic database were searched for studies evaluating colistin with or without other antibiotics in treatment of patients with drug-resistant Acinetobacter baumannii infection. Totally, twelve studies met the inclusion criteria. For colistin-based combination therapy, six articles including 668 patients were included. Our results showed that the overall clinical response did not differ significantly between colistin-based combination therapy and monotherapy (OR = 1.37, 95% CI = 0.86-2.19, P = 0.18). This insignificance was also detected in ICU mortality, length of stay and nephrotoxicity (P > 0.05). However, the colistin-based combination therapy was shown increasing the microbiological response (OR = 2.14, 95% CI = 1.48-3.07, P < 0.0001). For colistin monotherapy, six studies involving 491 patients were analyzed. The results were in concordance with the findings of the colistin-based combination therapy group. Our results suggest that colistin may be a promising therapy as safe and efficacious as standard antibiotics for the treatment of drug-resistant Acinetobacter baumannii infection.

Indexed as

Acinetobacter baumanniiAcinetobacter InfectionsAnti-Bacterial AgentsColistinDrug Resistance, Multiple, BacterialDrug Therapy, CombinationHumansLength of StayTreatment OutcomeAnti-Bacterial AgentsColistin

Identifiers

PMID26597507
PMCPMC4657015
OpenAlexW2178527956

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Registered trials

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.