Evidence map›Paper›PMID 27974412›Full record

ReviewClinical microbiology reviews2017

Clinical and Pathophysiological Overview of Acinetobacter Infections: a Century of Challenges.

Darren Wong, Travis B Nielsen, Robert A Bonomo, Paul Pantapalangkoor, Brian Luna, Brad Spellberg

Open access · bronzeAbstract readReview
In one paragraph

Review in Clinical microbiology reviews, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 655 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
655citing papers in PubMed, 3 pooled it
30.2field-weighted citation impact, top 1% 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

655 citing papers in PubMed, 3 syntheses or guidelines pooled it, 1,134 citations in OpenAlex.

  1. Prosthetic Valve Endocarditis byPathogens (Basel, Switzerland) · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Loss of CsrA inProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  6. Article
  7. Article
  8. ISmLife · 2026
    Article
  9. Complete genome sequence ofMicrobiology resource announcements · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Antibacterial and Immunomodulatory Effects ofInternational journal of molecular sciences · 2026
    Article
  14. Review
  15. Article
  16. Article
  17. Monoclonal Antibodies Targeting Bacterial Infections: A Broad Review of the Field.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  18. Article
  19. Article
  20. Article

595 more citing papers are in PubMed but not listed here.

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

6 authors at 3 institutions in 1 country.

Darren WongDivision of Infectious Diseases, Keck School of Medicine of the University of Southern California (USC), Los Angeles, California, USA Darren.Wong@med.usc.edu.
Travis B NielsenDivision of Infectious Diseases, Keck School of Medicine of the University of Southern California (USC), Los Angeles, California, USA.
Robert A BonomoDepartments of Medicine, Pharmacology, and Molecular Biology and Microbiology, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Case Western Reserve University, Cleveland, Ohio, USA.
Paul PantapalangkoorDepartment of Molecular Microbiology and Immunology, Keck School of Medicine of USC, Los Angeles, California, USA.
Brian LunaDivision of Infectious Diseases, Keck School of Medicine of the University of Southern California (USC), Los Angeles, California, USA.
Brad SpellbergDivision of Infectious Diseases, Keck School of Medicine of the University of Southern California (USC), Los Angeles, California, USA.
Keck Hospital of USC · USUniversity of Southern California · USCase Western Reserve University · US

Funding

Antibacterial Resistance Leadership Group (ARLG)UM1AI104681 · NIAID · DUKE UNIVERSITY · PI Vance G. Fowler, Henry F HENRY CHAMBERS · 2013 to 2026
$180.8M
Understanding ceftazidime resistance in SHV B-LactamasesR01AI063517 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI BONOMO, ROBERT A. · 2005 to 2023
$4.9M
A Mechanism-Based Approach to Metallo-beta-Lactamase InhibitionR01AI100560 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI BONOMO, ROBERT A., SPENCER, JAMES · 2012 to 2022
$4.4M
Humanized Monoclonal Antibody to Treat Acinetobacter InfectionsR42AI106375 · NIAID · BIOLOGICAL ANTI-INFECTIVE MEDICINES, LLC · PI ISLAM, KHALID · 2016 to 2018
$3.1M
Transferrin Combination Therapy to Address Antimicrobial ResistanceR01AI117211 · NIAID · UNIVERSITY OF SOUTHERN CALIFORNIA · PI SPELLBERG, BRAD J · 2016 to 2019
$2.7M
A New Approach to Staphylococcus aureus Vaccine Development - Resubmission 01R01AI103342 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI DAUM, ROBERT S., LEE, JEAN CLAIRE · 2013 to 2016
$2.1M
Activated Targeted Killer (ATAK) Cells for Invasive Fungal InfectionsR01AI081719 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI SPELLBERG, BRAD J · 2009 to 2013
$1.7M
Diabetes and Inflammation During InfectionR21AI127954 · NIAID · UNIVERSITY OF SOUTHERN CALIFORNIA · PI SPELLBERG, BRAD J · 2017 to 2018
$454k
The Continuing Challenge of Carbapenemases in K. pneumoniae: KPC-2 & NDM-1I01BX001974 · VA · LOUIS STOKES CLEVELAND VA MEDICAL CENTER · PI BONOMO, ROBERT A. · 2013 to 2024
–
BLRD VA I01 BX001974NIAID NIH HHS R01 AI063517NIAID NIH HHS R01 AI081719NIAID NIH HHS R01 AI100560NIAID NIH HHS R01 AI117211NIAID NIH HHS R21 AI127954NIAID NIH HHS R42 AI106375NIAID NIH HHS UM1 AI104681
6 · The paper itself

Abstract

Acinetobacter is a complex genus, and historically, there has been confusion about the existence of multiple species. The species commonly cause nosocomial infections, predominantly aspiration pneumonia and catheter-associated bacteremia, but can also cause soft tissue and urinary tract infections. Community-acquired infections by Acinetobacter spp. are increasingly reported. Transmission of Acinetobacter and subsequent disease is facilitated by the organism's environmental tenacity, resistance to desiccation, and evasion of host immunity. The virulence properties demonstrated by Acinetobacter spp. primarily stem from evasion of rapid clearance by the innate immune system, effectively enabling high bacterial density that triggers lipopolysaccharide (LPS)-Toll-like receptor 4 (TLR4)-mediated sepsis. Capsular polysaccharide is a critical virulence factor that enables immune evasion, while LPS triggers septic shock. However, the primary driver of clinical outcome is antibiotic resistance. Administration of initially effective therapy is key to improving survival, reducing 30-day mortality threefold. Regrettably, due to the high frequency of this organism having an extreme drug resistance (XDR) phenotype, early initiation of effective therapy is a major clinical challenge. Given its high rate of antibiotic resistance and abysmal outcomes (up to 70% mortality rate from infections caused by XDR strains in some case series), new preventative and therapeutic options for Acinetobacter spp. are desperately needed.

Indexed as

AcinetobacterAcinetobacter InfectionsAnti-Bacterial AgentsClinical Trials as TopicCommunity-Acquired InfectionsCross InfectionDrug Resistance, Multiple, BacterialHumansTime-to-TreatmentVirulence FactorsAnti-Bacterial AgentsVirulence FactorsAcinetobacterAcinetobacter baumanniiAcinetobacter calcoaceticus

Identifiers

PMID27974412
PMCPMC5217799
OpenAlexW2578361705

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.