Evidence map›Paper›PMID 29165604›Full record

ReviewClinical infectious diseases : an official publication of the Infectious Diseases Society of America2018

Carbapenemase-Producing Organisms: A Global Scourge.

Robert A Bonomo, Eileen M Burd, John Conly, Brandi M Limbago, Laurent Poirel, Julie A Segre, Lars F Westblade

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06811727 (CONTinuous Infusion Versus Intermittent Dosing of ceftaZidime/AVIbactam in Critically Ill Patients With Klebsiella Pneumoniae OXA-48 or Pseudomonas Aeruginosa Infections), which is not on this map. Cited by 351 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
351citing papers in PubMed, 2 pooled it
12.7field-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.

NCT06811727 phase4not yet recruitingnot on this mapstarted 2025, after this paper: background citation

CONTinuous Infusion Versus Intermittent Dosing of ceftaZidime/AVIbactam in Critically Ill Patients With Klebsiella Pneumoniae OXA-48 or Pseudomonas Aeruginosa Infections: A Single-centre Randomized Open-label Trial (ZAVICONT)

TypeinterventionalSponsorIvan Šitum, MDRan2025 to 2027Enrolled140ConditionsSevere InfectionArmsContinuos ceftazidime/avibactam infusion, Intermitent dosing as per SMPC
3 · Its place in the literature

Who cites it

351 citing papers in PubMed, 2 syntheses or guidelines pooled it, 627 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Prevalence of antimicrobial-resistantOne health (Amsterdam, Netherlands) · 2026
    Article
  4. Article
  5. Article
  6. The PRECISE framework: a structured approach to antibiogram interpretation for antimicrobial optimization at the bedside.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Carbapenemase-Producing Enterobacterales in Pets: A New Threat From Veterinary Clinics.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. JAC-antimicrobial resistance · 2026
    Article
  18. Advances in CRISPR-Cas for Diagnosis and Treatment ofPathogens (Basel, Switzerland) · 2026
    Review
  19. Healthcare-associated infections and antimicrobial resistance in Canadian acute care hospitals, 2020-2024.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2026
    Article
  20. Article

291 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

7 authors at 7 institutions in 3 countries.

Robert A BonomoMedical Service, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio.
Eileen M BurdDepartment of Pathology and Laboratory Medicine, Atlanta, Georgia.
John ConlyDepartments of Medicine, Pathology and Laboratory Medicine, Microbiology, Calgary, Alberta, Canada.
Brandi M LimbagoDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Laurent PoirelMedical and Molecular Microbiology Unit, Department of Medicine, Faculty of Science, University of Fribourg, Switzerland.
Julie A SegreMicrobial Genomics Section, Translational and Functional Genomics Branch, National Human Genome Research Institute, Bethesda, Maryland.
Lars F WestbladeDepartment of Pathology and Laboratory Medicine, New York, New York.
Alberta Health Services · CACenters for Disease Control and Prevention · USEmory University · USLouis Stokes Cleveland VA Medical Center · USNational Human Genome Research Institute · USUniversity of Fribourg · CHWeill Cornell Medicine · US

Funding

Microbial genomics of hospital-associated pathogensZIAHG200382 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI SEGRE, JULIA ANGELA · 2012 to 2025
$9.1M
Intramural CDC HHS CC999999
6 · The paper itself

Abstract

The dramatic increase in the prevalence and clinical impact of infections caused by bacteria producing carbapenemases is a global health concern. Carbapenemase production is especially problematic when encountered in members of the family Enterobacteriaceae. Due to their ability to readily spread and colonize patients in healthcare environments, preventing the transmission of these organisms is a major public health initiative and coordinated international effort are needed. Central to the treatment and control of carbapenemase-producing organisms (CPOs) are phenotypic (growth-/biochemical-dependent) and nucleic acid-based carbapenemase detection tests that identify carbapenemase activity directly or their associated molecular determinants. Importantly, bacterial isolates harboring carbapenemases are often resistant to multiple antibiotic classes, resulting in limited therapy options. Emerging agents, novel antibiotic combinations and treatment regimens offer promise for management of these infections. This review highlights our current understanding of CPOs with emphasis on their epidemiology, detection, treatment, and control.

Indexed as

Anti-Bacterial AgentsBacterial Proteinsbeta-LactamasesCarbapenem-Resistant EnterobacteriaceaeCarbapenemsEnterobacteriaceaeEnterobacteriaceae InfectionsGlobal HealthHumansPrevalenceAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasescarbapenemaseCarbapenems

Identifiers

PMID29165604
PMCPMC5884739
OpenAlexW2769199871

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.