Evidence map›Paper›PMID 26883694›Full record

ArticleAntimicrobial agents and chemotherapy2016

Clinical and Epidemiological Significance of Carbapenem Resistance in Acinetobacter baumannii Infections.

Ruthy Tal-Jasper, David E Katz, Nadav Amrami, Dor Ravid, Dori Avivi, Ronit Zaidenstein, Tsilia Lazarovitch, Mor Dadon, Keith S Kaye, Dror Marchaim

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05304221 (Prospective Validation of the "Shamir Resistance Calculator"), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 18% 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.

NCT05304221 unknown statusnot on this mapstarted 2023, after this paper: background citation

Prospective Validation of the "Shamir Resistance Calculator": an Interventional Crossover Trial to Improve Empiric Prescription of Antimicrobials in Acute Care Hospitals.

Typeobservational_patient_registrySponsorDror MarChaim, MDRan2023 to 2025Enrolled1,500ConditionsSepsisArmsShamir Resistance Calculator
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.

  1. Pooled it
  2. Prognostic Indicators of Carbapenem-ResistantHealth science reports · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Antibiotics (Basel, Switzerland) · 2023
    Article
  9. Association between Pneumonia Development and Virulence Gene Expression in Carbapenem-ResistantThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Frontiers in microbiology · 2022
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Observational
  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

10 authors at 4 institutions in 2 countries.

Ruthy Tal-JasperSackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
David E KatzDepartment of Internal Medicine D, Shaare Zedek Medical Center, Jerusalem, Israel.
Nadav AmramiUnit of Infectious Diseases, Assaf Harofeh Medical Center, Zerifin, Israel.
Dor RavidUnit of Infectious Diseases, Assaf Harofeh Medical Center, Zerifin, Israel.
Dori AviviUnit of Infectious Diseases, Assaf Harofeh Medical Center, Zerifin, Israel.
Ronit ZaidensteinSackler School of Medicine, Tel Aviv University, Tel Aviv, Israel Unit of Infectious Diseases, Assaf Harofeh Medical Center, Zerifin, Israel.
Tsilia LazarovitchClinical Microbiology Laboratory, Assaf Harofeh Medical Center, Zerifin, Israel.
Mor DadonUnit of Infectious Diseases, Assaf Harofeh Medical Center, Zerifin, Israel.
Keith S KayeDivision of Infectious Diseases, Detroit Medical Center, Wayne State University, Detroit, Michigan, USA.
Dror MarchaimSackler School of Medicine, Tel Aviv University, Tel Aviv, Israel Unit of Infectious Diseases, Assaf Harofeh Medical Center, Zerifin, Israel drormarchaim@gmail.com.
Assaf Harofeh Medical Center · ILTel Aviv University · ILShaare Zedek Medical Center · ILWayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Carbapenems are considered the treatment of choice for Acinetobacter baumannii infections. Many facilities implement preventive measures toward only carbapenem-resistant A. baumannii (CRAB). However, the independent role of the carbapenem resistance determinant on patient outcomes remains controversial. In a 6-year analysis of adults with A. baumannii bloodstream infection (BSI), the outcomes of 149 CRAB isolates were compared to those of 91 patients with carbapenem-susceptible A. baumannii In bivariable analyses, CRAB BSIs were significantly associated with worse outcomes and with a delay in the initiation of appropriate antimicrobial therapy (DAAT). However, in multivariable analyses, carbapenem resistance status was no longer associated with poor outcomes, while DAAT remained an independent predictor. The epidemiological significance of A. baumannii should not be determined by its resistance to carbapenems.

Indexed as

Acinetobacter baumanniiAcinetobacter InfectionsAnti-Bacterial AgentsCarbapenemsDrug Resistance, BacterialHumansKaplan-Meier EstimateMicrobial Sensitivity TestsMultivariate AnalysisRetrospective StudiesRNA, Ribosomal, 16SAnti-Bacterial AgentsCarbapenemsRNA, Ribosomal, 16S

Identifiers

PMID26883694
PMCPMC4862462
OpenAlexW2279288139

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.