Evidence map›Paper›PMID 31993456›Full record

ArticleOpen forum infectious diseases2020

In Vitro Pharmacodynamic Analyses Help Guide the Treatment of Multidrug-Resistant

Eric Wenzler, Maressa Santarossa, Kevin A Meyer, Amanda T Harrington, Gail E Reid, Nina M Clark, Fritzie S Albarillo, Zackery P Bulman

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 53% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Linezolid in the Focus of Antimicrobial Resistance ofInternational journal of molecular sciences · 2025
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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

8 authors at 2 institutions in 1 country.

Eric WenzlerCollege of Pharmacy, University of Illinois at Chicago, Chicago, Illinois, USA.ORCID 0000-0003-3914-8400
Maressa SantarossaLoyola University Medical Center, Maywood, Illinois, USA.
Kevin A MeyerCollege of Pharmacy, University of Illinois at Chicago, Chicago, Illinois, USA.
Amanda T HarringtonLoyola University Medical Center, Maywood, Illinois, USA.
Gail E ReidLoyola University Medical Center, Maywood, Illinois, USA.
Nina M ClarkLoyola University Medical Center, Maywood, Illinois, USA.
Fritzie S AlbarilloLoyola University Medical Center, Maywood, Illinois, USA.
Zackery P BulmanCollege of Pharmacy, University of Illinois at Chicago, Chicago, Illinois, USA.ORCID 0000-0002-5396-911X
Loyola University Medical Center · USUniversity of Illinois Chicago · US

Funding

Strengthening Stakeholder Engagement in Human Research Protections.UL1TR002003 · NCATS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI KARNIK, NIRANJAN SUBHASH, MERMELSTEIN, ROBIN J. · 2016 to 2024
$33.7M
Institutional Career DevelopmentKL2TR002002 · NCATS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI PHILLIPS, SHANE A · 2016 to 2024
$6.8M
NCATS NIH HHS KL2 TR002002NCATS NIH HHS UL1 TR002003
6 · The paper itself

Abstract

backgroundInfections due to multidrug-resistant pathogens are particularly deadly and difficult to treat in immunocompromised patients, where few data exist to guide optimal antimicrobial therapy. In the absence of adequate clinical data, in vitro pharmacokinetic (PK)/pharmacodynamic (PD) analyses can help to design treatment regimens that are bactericidal and may be clinically effective.

methodsWe report a case in which in vitro pharmacodynamic analyses were utilized to guide the treatment of complex, recurrent bacteremias due to vancomycin-, daptomycin-, and linezolid-resistant

resultsWhole-genome sequencing revealed unique underlying resistance mechanisms and explained the rapid evolution of phenotypic resistance and complicated intrahost genomic dynamics observed in vivo. Performing this comprehensive genotypic and phenotypic testing and time-kill analyses, along with knowledge of institution and patient-specific factors, allowed us to use precision medicine to design a treatment regimen that maximized PK/PD.

conclusionsThis work provides a motivating example of clinicians and scientists uniting to optimize care in the era of escalating antimicrobial resistance.

Indexed as

combination therapyCREEnterobacter cloacaeEnterococcus faeciumVRE

Identifiers

PMID31993456
PMCPMC6978998
OpenAlexW2997208506

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.