Evidence map›Paper›PMID 32663440›Full record

ArticleThe Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases

Activity of ceftolozane-tazobactam and comparators against gram-negative bacilli: Results from the study for monitoring antimicrobial resistance trends (SMART - Brazil; 2016-2017).

Elisa Maria Beirão, Suellen da Silva Rodrigues, Tarik Klain de Andrade, Fernando Brandão Serra, Marina Della Negra de Paula, Thales Jose Bueno Polis, Ana Cristina Gales

Open access · goldAbstract read
In one paragraph

Article in The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 32% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Microbiology spectrum · 2025
    Article
  4. Review
  5. Extended-Spectrum Beta-Lactamases ProducingInfection and drug resistance · 2022
    Review
  6. Article
  7. Article
  8. Prevalence ofPathogens (Basel, Switzerland) · 2021
    Article
  9. Article
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 3 institutions in 1 country.

Elisa Maria BeirãoConjunto Hospitalar do Mandaqui, São Paulo, SP, Brazil. Electronic address: elisa.m.beirao@gmail.com.
Suellen da Silva RodriguesGlobal Medical Affairs, MSD in Brazil, São Paulo, SP, Brazil.
Tarik Klain de AndradeGlobal Medical Affairs, MSD in Brazil, São Paulo, SP, Brazil.
Fernando Brandão SerraGlobal Medical Affairs, MSD in Brazil, São Paulo, SP, Brazil.
Marina Della Negra de PaulaGlobal Medical Affairs, MSD in Brazil, São Paulo, SP, Brazil.
Thales Jose Bueno PolisGlobal Medical Affairs, MSD in Brazil, São Paulo, SP, Brazil.
Ana Cristina GalesUniversidade Federal de São Paulo (UNIFESP), Laboratório Alerta, Divisão de Doenças Infecciosas, São Paulo, SP, Brazil.
Microsoft (Brazil) · BRHospital São Paulo · BRUniversidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multi-drug resistant Gram-negative bacilli (GNB) have been reported as cause of serious hospital-acquired infections worldwide. The aim of this study was to investigate the in vitro activity of ceftolozane-tazobactam compared to other agents against GNB isolated from patients admitted to Brazilian medical centers between the years 2016 and 2017. Presence of β-lactamase encoding genes was also evaluated.

methodsAntimicrobial susceptibility testing of GNB isolated from intra-abdominal (IAI), respiratory (RTI), and urinary tract infections (UTI) was performed according to ISO 227-1 guidelines and interpreted following CLSI and BrCAST/EUCAST guidelines. Qualifying Enterobacteriaceae isolates were screened for the presence of β-lactamase genes by PCR followed by DNA sequencing.

results1748 GNB collected from UTI (45.2%), IAI (25.7%) and RTI (29.1%) were evaluated. Ceftolozane-tazobactam remained highly active (94.7%) against E. coli isolates. Among K. pneumoniae, susceptibility rates were 85.9% and 85.4% for amikacin and colistin, whereas ceftolozane-tazobactam (44.1% susceptible) and carbapenems (55.2-62.2% susceptible) showed poor activity due to bla

conclusionCeftolozane-tazobactam was very active against E. coli, P. mirabilis and P. aeruginosa isolates and could constitute an excellent therapeutic option including for those isolates resistant to extended-spectrum cephalosporins and carbapenems but not producers of carbapenemases.

Indexed as

Drug Resistance, BacterialEnterobacteriaceae InfectionsPseudomonas InfectionsAnti-Bacterial AgentsBrazilCephalosporinsEscherichia coliHumansMicrobial Sensitivity TestsPseudomonas aeruginosaTazobactamAnti-Bacterial AgentsceftolozaneCephalosporinsTazobactamBrazilCetolozane-TazobactamSMART

Identifiers

PMID32663440
PMCPMC9392090
OpenAlexW3041076662

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.