Evidence map›Paper›PMID 27826141›Full record

ArticleEmerging microbes & infections2016

Rapid antimicrobial susceptibility test for identification of new therapeutics and drug combinations against multidrug-resistant bacteria.

Wei Sun, Rebecca A Weingarten, Miao Xu, Noel Southall, Sheng Dai, Paul Shinn, Philip E Sanderson, Peter R Williamson, Karen M Frank, Wei Zheng

Open access · goldAbstract read
In one paragraph

Article in Emerging microbes & infections, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Review
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  9. Excavation of resources ofFrontiers in microbiology · 2025
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  13. Risk Factors of Clonally Related, Multi, and Extensively Drug-ResistantThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2023
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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 3 institutions in 1 country.

Wei SunNational Center for Advancing Translational Sciences, National Institutes of Health, Bethesda, MD 20892, USA.
Rebecca A WeingartenDepartment of Laboratory Medicine, National Institutes of Health Clinical Center, Bethesda, MD 20892, USA.
Miao XuNational Center for Advancing Translational Sciences, National Institutes of Health, Bethesda, MD 20892, USA.
Noel SouthallNational Center for Advancing Translational Sciences, National Institutes of Health, Bethesda, MD 20892, USA.
Sheng DaiNational Center for Advancing Translational Sciences, National Institutes of Health, Bethesda, MD 20892, USA.
Paul ShinnNational Center for Advancing Translational Sciences, National Institutes of Health, Bethesda, MD 20892, USA.
Philip E SandersonNational Center for Advancing Translational Sciences, National Institutes of Health, Bethesda, MD 20892, USA.
Peter R WilliamsonLaboratory of Clinical Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
Karen M FrankDepartment of Laboratory Medicine, National Institutes of Health Clinical Center, Bethesda, MD 20892, USA.
Wei ZhengNational Center for Advancing Translational Sciences, National Institutes of Health, Bethesda, MD 20892, USA.
National Institutes of Health · USNational Center for Advancing Translational Sciences · USNational Institutes of Health Clinical Center · US

Funding

Drug Repurposing Screening for Rare and Neglected DiseasesZIATR000018 · NCATS · NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES · PI ZHENG, WEI · 2015 to 2025
$24.6M
Molecular Pathobiology of Cryptococcus neoformansZIAAI001123 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI WILLIAMSON, PETER · 2010 to 2025
$10.4M
Environmental Surveillance for BacteriaZIACL010356 · CLC · CLINICAL CENTER · PI FRANK, KAREN · 2016 to 2021
$0k
Investigation of Horizontal Transfer of Carbapenemase Gene in Gram Negative BacteriaZIACL080018 · CLC · CLINICAL CENTER · PI FRANK, KAREN · 2014 to 2022
$0k
6 · The paper itself

Abstract

Current antimicrobial susceptibility testing has limited screening capability for identifying empirical antibiotic combinations to treat severe bacterial infections with multidrug-resistant (MDR) organisms. We developed a new antimicrobial susceptibility assay using automated ultra-high-throughput screen technology in combination with a simple bacterial growth assay. A rapid screening of 5170 approved drugs and other compounds identified 25 compounds with activities against MDR Klebsiella pneumoniae. To further improve the efficacy and reduce the effective drug concentrations, we applied a targeted drug combination approach that integrates drugs' clinical antimicrobial susceptibility breakpoints, achievable plasma concentrations, clinical toxicities and mechanisms of action to identify optimal drug combinations. Three sets of three-drug combinations were identified with broad-spectrum activities against 10 MDR clinical isolates including K. pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, Citrobacter freundii, Enterobacter cloacae and Escherichia coli. Colistin-auranofin-ceftazidime and colistin-auranofin-rifabutin suppressed >80% growth of all 10 MDR strains; while rifabutin-colistin-imipenem inhibited >75% of these strains except two Acinetobacter baumannii isolates. The results demonstrate this new assay has potential as a real-time method to identify new drugs and effective drug combinations to combat severe clinical infections with MDR organisms.

Indexed as

Drug Resistance, Multiple, BacterialMicrobial Sensitivity TestsAcinetobacter baumanniiAcinetobacter InfectionsAnti-Bacterial AgentsAntirheumatic AgentsAuranofinBacterial InfectionsColistinDrug CombinationsDrug DiscoveryDrug SynergismHumansKlebsiella pneumoniaePseudomonas aeruginosaAnti-Bacterial AgentsAntirheumatic AgentsAuranofinColistinDrug Combinations

Identifiers

PMID27826141
PMCPMC5148025
OpenAlexW2555742204

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.