Evidence map›Paper›PMID 29110143›Full record

SynthesisInfection2018

Pharmacological aspects and spectrum of action of ceftazidime-avibactam: a systematic review.

Felipe Francisco Tuon, Jaime L Rocha, Marcelo R Formigoni-Pinto

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Infection, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Difficult-to-TreatAntibiotics (Basel, Switzerland) · 2025
    Review
  4. Article
  5. Carbapenem-ResistantMedicina (Kaunas, Lithuania) · 2024
    Review
  6. Review
  7. Review
  8. What to Do with the New Antibiotics?Antibiotics (Basel, Switzerland) · 2023
    Review
  9. Article
  10. Article
  11. Evaluation ofOman medical journal · 2022
    Article
  12. Article
  13. Article
  14. Review
  15. Ceftazidime-avibactam.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2022
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Emerging Strategies to Combat β-Lactamase Producing ESKAPE Pathogens.International journal of molecular sciences · 2020
    Review
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

3 authors at 2 institutions in 2 countries.

Felipe Francisco TuonDepartment of Medicine, School of Health and Biosciences, Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil. tuon@ufpr.br.ORCID http://orcid.org/0000-0003-3471-1786
Jaime L RochaDepartment of Medicine, School of Health and Biosciences, Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil.
Marcelo R Formigoni-PintoScientific Medical Division, AstraZeneca, São Paulo, SP, Brazil.
Pontifícia Universidade Católica do Paraná · BRAstraZeneca (Brazil) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCeftazidime-avibactam is an antimicrobial association active against several Enterobacteriaceae species, including those resistant to carbapenem. Considering the importance of this drug in the current panorama of multidrug-resistant bacteria, we performed a systematic review about ceftazidime-avibactam with emphasis on clinical and pharmacological published data.

methodsA systematic search of the medical literature was performed. The databases searched included MEDLINE, EMBASE and Web of Science (until September 2017). The search terms used were 'avibactam', 'NXL104' and 'AVE1330A'. Bibliographies from those studies were also reviewed. Ceftazidime was not included as a search term, once relevant studies about avibactam in association with other drugs could be excluded. Only articles in English were selected. No statistical analysis or quality validation was included in this review.

resultsA total of 151 manuscripts were included. Ceftazidime-avibactam has limited action against anaerobic bacteria. Avibactam is a potent inhibitor of class A, class C, and some class D enzymes, which includes KPC-2. The best pharmacodynamic profile of ceftazidime-avibactam is ƒT > MIC, validated in an animal model of soft tissue infection. Three clinical trials showed the efficacy of ceftazidime-avibactam in patients with intra-abdominal and urinary infections. Ceftazidime-avibactam has been evaluated versus meropenem/doripenem in hospitalized adults with nosocomial pneumonia, neutropenic patients and pediatric patients.

conclusionCeftazidime-avibactam has a favorable pharmacokinetic profile for severe infections and highly active against carbapenemases of KPC-2 type.

Indexed as

Anti-Bacterial AgentsAzabicyclo CompoundsCeftazidimebeta-Lactam ResistanceDrug CombinationsEnterobacteriaceaeEnterobacteriaceae InfectionsHumansIntraabdominal InfectionsMicrobial Sensitivity TestsUrinary Tract InfectionsAnti-Bacterial Agentsavibactam, ceftazidime drug combinationAzabicyclo CompoundsCeftazidimeDrug CombinationsAvibactamCeftazidimeCephalosporinPharmacology

Identifiers

PMID29110143
OpenAlexW2767880428

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.