Evidence map›Paper›PMID 29088073›Full record

ReviewAntibiotics (Basel, Switzerland)2017

Fosfomycin: Pharmacological, Clinical and Future Perspectives.

Anneke Corinne Dijkmans, Natalia Veneranda Ortiz Zacarías, Jacobus Burggraaf, Johan Willem Mouton, Erik Bert Wilms, Cees van Nieuwkoop, Daniel Johannes Touw, Jasper Stevens, Ingrid Maria Catharina Kamerling

Open access · goldAbstract readReview
In one paragraph

Review in Antibiotics (Basel, Switzerland), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 3% 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

104 citing papers in PubMed, 1 synthesis or guideline pooled it, 190 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Association between Broad-Spectrum Antibiotic Use and Risk of Early-Onset Colorectal Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Combination Antibiotic Therapy for Orthopedic Infections.Antibiotics (Basel, Switzerland) · 2025
    Review
  18. Article
  19. Article
  20. Article

44 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

9 authors at 5 institutions in 1 country.

Anneke Corinne DijkmansCentre for Human Drug Research, Leiden, 2333 CL, The Netherlands. annekedijkmans@hotmail.com.
Natalia Veneranda Ortiz ZacaríasCentre for Human Drug Research, Leiden, 2333 CL, The Netherlands. n.v.ortiz.zacarias@lacdr.leidenuniv.nl.
Jacobus BurggraafCentre for Human Drug Research, Leiden, 2333 CL, The Netherlands. kb@chdr.nl.
Johan Willem MoutonDepartment of Medical Microbiology, Radboud University Medical Center, Nijmegen, 6500 HB, The Netherlands. j.stevens@umcg.nl.
Erik Bert WilmsHospital Pharmacy, The Hague Hospitals, The Hague, 2545 AB, The Netherlands. jwmouton@gmail.com.
Cees van NieuwkoopDepartment of Internal Medicine, Haga Teaching Hospital, The Hague, 2566 MJ, The Netherlands. e.wilms@ahz.nl.
Daniel Johannes TouwGroningen Research Institute for Asthma and COPD, Department of Clinical Pharmacy and Pharmacology, University Medical Center Groningen, University of Groningen, Groningen, 9713 GZ, The Netherlands. c.vannieuwkoop@hagaziekenhuis.nl.ORCID 0000-0003-0734-0844
Jasper StevensCentre for Human Drug Research, Leiden, 2333 CL, The Netherlands. d.j.touw@umcg.nl.ORCID 0000-0002-1429-4789
Ingrid Maria Catharina KamerlingCentre for Human Drug Research, Leiden, 2333 CL, The Netherlands. annekedijkmans@hotmail.com.
Centre for Human Drug Research · NLApotheek Haagse Ziekenhuizen · NLAlbert Schweitzer Ziekenhuis · NLRadboud University Nijmegen · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fosfomycin is a bactericidal, low-molecular weight, broad-spectrum antibiotic, with putative activity against several bacteria, including multidrug-resistant Gram-negative bacteria, by irreversibly inhibiting an early stage in cell wall synthesis. Evidence suggests that fosfomycin has a synergistic effect when used in combination with other antimicrobial agents that act via a different mechanism of action, thereby allowing for reduced dosages and lower toxicity. Fosfomycin does not bind to plasma proteins and is cleared via the kidneys. Due to its extensive tissue penetration, fosfomycin may be indicated for infections of the CNS, soft tissues, bone, lungs, and abscesses. The oral bioavailability of fosfomycin tromethamine is <50%; therefore, oral administration of fosfomycin tromethamine is approved only as a 3-gram one-time dose for treating urinary tract infections. However, based on published PK parameters, PK/PD simulations have been performed for several multiple-dose regimens, which might lead to the future use of fosfomycin for treating complicated infections with multidrug-resistant bacteria. Because essential pharmacological information and knowledge regarding mechanisms of resistance are currently limited and/or controversial, further studies are urgently needed, and fosfomycin monotherapy should be avoided.

Indexed as

antimicrobial activityfosfomycinmultidrug resistancepharmacokinetics

Identifiers

PMID29088073
PMCPMC5745467
OpenAlexW2765397874

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.