Evidence map›Paper›PMID 27572414›Full record

ArticleAntimicrobial agents and chemotherapy2016

Cefazolin and Ertapenem, a Synergistic Combination Used To Clear Persistent Staphylococcus aureus Bacteremia.

George Sakoulas, Joshua Olson, Juwon Yim, Niedita B Singh, Monika Kumaraswamy, Diana T Quach, Michael J Rybak, Joseph Pogliano, Victor Nizet

Registry-linked trialOpen access · hybridAbstract readCase Reports
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 NCT04886284 (Combination Cefazolin With Ertapenem for Methicillin-susceptible Staphylococcus Aureus Bacteremia), which is not on this map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
2.5field-weighted citation impact, top 12% 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.

NCT04886284 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

Combination Cefazolin With Ertapenem for Methicillin-susceptible Staphylococcus Aureus Bacteremia (CERT)

TypeinterventionalSponsorTodd C. Lee MD MPH FIDSARan2024 to 2027Enrolled60ConditionsStaphylococcus Aureus Bacteremia, Staphylococcus Aureus Septicemia, Staphylococcal Sepsis, Staphylococcus Aureus EndocarditisArmsErtapenem, Placebo
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 53 citations in OpenAlex.

  1. An Achilles' heel for methicillin-resistantAntimicrobial agents and chemotherapy · 2026
    Review
  2. Review
  3. Article
  4. ASP-COMPLEX: redefining antimicrobial stewardship to improve outcomes in high-risk patients with severe infections.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    Review
  5. Successful resolution of methicillin-sensitiveEuropean heart journal. Case reports · 2026
    Article
  6. Article
  7. Management of Infective Endocarditis: A Scoping Review.Journal of Brown hospital medicine · 2026
    Review
  8. Article
  9. Ertapenem Combined With Anti-The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2025
    Article
  10. Article
  11. Review
  12. 1-Minute Pearls/Pitfalls for the Clinician.Journal of Brown hospital medicine · 2025
    Article
  13. Article
  14. Anti-virulence and bactericidal activities of Stattic againstApplied and environmental microbiology · 2023
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  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

9 authors at 4 institutions in 1 country.

George SakoulasUniversity of California San Diego School of Medicine, La Jolla, California, USA gsakoulas@ucsd.edu.
Joshua OlsonUniversity of California San Diego School of Medicine, La Jolla, California, USA.
Juwon YimEugene Appelbaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan, USA.
Niedita B SinghEugene Appelbaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan, USA.
Monika KumaraswamyUniversity of California San Diego School of Medicine, La Jolla, California, USA.
Diana T QuachDepartment of Biological Sciences, University of California San Diego, La Jolla, California, USA.
Michael J RybakEugene Appelbaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan, USA.
Joseph PoglianoDepartment of Biological Sciences, University of California San Diego, La Jolla, California, USA.
Victor NizetUniversity of California San Diego School of Medicine, La Jolla, California, USA.
University of California, San Diego · USWayne State University · USEugene Applebaum College of Pharmacy and Health Sciences · USSharp HealthCare Foundation · US

Funding

TRAINING & OUTREACH COREU54HD071600 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CAPPARELLI, EDMUND VINCENT · 2011 to 2015
$3.6M
NICHD NIH HHS U54 HD071600
6 · The paper itself

Abstract

Ertapenem and cefazolin were used in combination to successfully clear refractory methicillin-susceptible Staphylococcus aureus (MSSA) bacteremia. In addition, recent work has demonstrated activity of combination therapy with beta-lactams from different classes against methicillin-resistant S. aureus (MRSA). The ertapenem-plus-cefazolin combination was evaluated for synergy in vitro and in vivo in a murine skin infection model using an index MSSA bloodstream isolate from a patient in whom persistent bacteremia was cleared with this combination and against a cadre of well-described research strains and clinical strains of MSSA and MRSA. Against the index MSSA bloodstream isolate, ertapenem and cefazolin showed synergy using both checkerboard (fractional inhibitory concentration [FIC] index = 0.375) and time-kill assays. Using a disk diffusion ertapenem potentiation assay, the MSSA isolate showed a cefazolin disk zone increased from 34 to 40 mm. In vitro pharmacokinetic/pharmacodynamic modeling at clinically relevant drug concentrations demonstrated bactericidal activity (>3 log

Indexed as

Aged, 80 and overAnimalsAnti-Bacterial AgentsBacteremiabeta-LactamsCefazolinDisease Models, AnimalDisk Diffusion Antimicrobial TestsDrug SynergismDrug Therapy, CombinationErtapenemFemaleHumansMethicillin-Resistant Staphylococcus aureusMiceStaphylococcal InfectionsAnti-Bacterial Agentsbeta-LactamsCefazolinErtapenem

Identifiers

PMID27572414
PMCPMC5075066
OpenAlexW2509401842

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.