Evidence map›Paper›PMID 28947644›Full record

ArticleInfection and immunity2017

Why Antibiotic Treatment Is Not Enough for Sepsis Resolution: an Evaluation in an Experimental Animal Model.

Jonathan L Halbach, Andrew W Wang, Dennis Hawisher, David M Cauvi, Radhames E Lizardo, Joseph Rosas, Tony Reyes, Omar Escobedo, Stephen W Bickler, Raul Coimbra and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Infection and immunity, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

23 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Article
  3. Unpacking the sepsis controversy.Trauma surgery & acute care open · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Regulation of theInfection and immunity · 2021
    Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Early hyperbaric oxygen therapy improves survival in a model of severe sepsis.American journal of physiology. Regulatory, integrative and comparative physiology · 2019
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Jonathan L HalbachDepartment of Surgery, Naval Medical Center San Diego, San Diego, California, USA.
Andrew W WangDepartment of Surgery, Naval Medical Center San Diego, San Diego, California, USA.
Dennis HawisherDivision of Trauma, Critical Care, Burns and Acute Injury, Department of Surgery, School of Medicine, University of California, La Jolla, California, USA.
David M CauviDivision of Trauma, Critical Care, Burns and Acute Injury, Department of Surgery, School of Medicine, University of California, La Jolla, California, USA.
Radhames E LizardoDepartment of Surgery, Naval Medical Center San Diego, San Diego, California, USA.
Joseph RosasCenter for Investigations of Health and Education Disparities, University of California, San Diego, La Jolla, California, USA.
Tony ReyesCenter for Investigations of Health and Education Disparities, University of California, San Diego, La Jolla, California, USA.
Omar EscobedoCenter for Investigations of Health and Education Disparities, University of California, San Diego, La Jolla, California, USA.
Stephen W BicklerDivision of Trauma, Critical Care, Burns and Acute Injury, Department of Surgery, School of Medicine, University of California, La Jolla, California, USA.
Raul CoimbraDivision of Trauma, Critical Care, Burns and Acute Injury, Department of Surgery, School of Medicine, University of California, La Jolla, California, USA.
Antonio De MaioDivision of Trauma, Critical Care, Burns and Acute Injury, Department of Surgery, School of Medicine, University of California, La Jolla, California, USA ademaio@ucsd.edu.ORCID http://orcid.org/0000-0002-1520-6381
University of California San Diego · USNaval Medical Center San Diego · US

Funding

Contribution of Cholesterol Homeostasis for Injury ResolutionR01GM114473 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DE MAIO, ANTONIO · 2015 to 2018
$1.2M
Heat Shock Proteins and the Stress Observation SystemR01GM098455 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DE MAIO, ANTONIO · 2012 to 2015
$1.1M
NIGMS NIH HHS R01 GM098455NIGMS NIH HHS R01 GM114473
6 · The paper itself

Abstract

Sepsis remains a major health problem at the levels of mortality, morbidity, and economic burden to the health care system, a condition that is aggravated by the development of secondary conditions such as septic shock and multiple-organ failure. Our current understanding of the etiology of human sepsis has advanced, at least in part, due to the use of experimental animal models, particularly the model of cecum ligation and puncture (CLP). Antibiotic treatment has been commonly used in this model to closely mirror the treatment of human septic patients. However, whether their use may obscure the elucidation of the cellular and molecular mechanisms involved in the septic response is questionable. The objective of the present study was to determine the effect of antibiotic treatment in the outcome of a fulminant model of CLP. Various dosing strategies were used for the administration of imipenem, which has broad-spectrum coverage of enteric bacteria. No statistically significant differences in the survival of mice were observed between the different antibiotic dosing strategies and no treatment, suggesting that live bacteria may not be the only factor inducing septic shock. To further investigate this hypothesis, mice were challenged with sterilized or unsterilized cecal contents. We found that exposure of mice to sterilized cecal contents also resulted in a high mortality rate. Therefore, it is possible that bacterial debris, apart from bacterial proliferation, triggers a septic response and contributes to mortality in this model, suggesting that additional factors are involved in the development of septic shock.

Indexed as

AnimalsAnti-Bacterial AgentsDisease Models, AnimalImipenemMiceSepsisSurvival AnalysisTreatment OutcomeAnti-Bacterial AgentsImipenemantibioticscecal ligation and punctureinfectioninflammationsepsis

Identifiers

PMID28947644
PMCPMC5695106
OpenAlexW2760408204

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.