Evidence map›Paper›PMID 32862306›Full record

ArticleInfection2021

Continuous infusion of ceftolozane-tazobactam resulted in high cerebrospinal fluid concentrations of ceftolozane in a patient with multidrug-resistant Pseudomonas aeruginosa meningitis.

S Alexander Winans, Richelle L Guerrero-Wooley, Susie H Park, Garret Hino, Steven C Forland

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 30% 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

8 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Review
  6. Observational
  7. Review
  8. 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

5 authors at 2 institutions in 1 country.

S Alexander WinansDepartment of Pharmacy, Loma Linda University Medical Center, 11223 Campus Street, Loma Linda, CA, 92354, USA. swinans25@gmail.com.ORCID http://orcid.org/0000-0001-5453-2799
Richelle L Guerrero-WooleyLoma Linda University School of Medicine, Loma Linda, CA, USA.
Susie H ParkDepartment of Pharmacy Practice, Loma Linda University School of Pharmacy, Loma Linda, CA, USA.
Garret HinoDepartment of Pharmacy Practice, Loma Linda University School of Pharmacy, Loma Linda, CA, USA.
Steven C ForlandDepartment of Pharmacy, Loma Linda University Medical Center, 11223 Campus Street, Loma Linda, CA, 92354, USA.
Loma Linda University · USLoma Linda University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multidrug-resistant Pseudomonas aeruginosa has limited treatment options. Treatment of healthcare-associated meningitis requires agents active against the organism in vitro and able to penetrate the cerebrospinal fluid adequately. Ceftolozane-tazobactam has been recently approved to treat various Gram-negative organisms, including Pseudomonas aeruginosa; however, ceftolozane's penetration into human cerebrospinal fluid is unknown. Here, we present a case of a patient with multidrug-resistant Pseudomonas aeruginosa meningitis treated with a continuous infusion of ceftolozane-tazobactam. Samples of both serum and cerebrospinal fluid were analyzed for ceftolozane concentration on continuous infusion. Cerebrospinal fluid concentrations of ceftolozane were 83% of that in serum. Treatment with ceftolozane-tazobactam, along with combinations of other antibiotics, resulted in clearance of organism from the patient's cerebrospinal fluid and marked decrease in inflammatory cells. Studies are warranted to determine the efficacy of ceftolozane-tazobactam for patients with healthcare-associated meningitis.

Indexed as

MeningitisPseudomonas InfectionsAnti-Bacterial AgentsCephalosporinsDrug Resistance, Multiple, BacterialHumansMicrobial Sensitivity TestsPenicillanic AcidPseudomonas aeruginosaTazobactamAnti-Bacterial AgentsceftolozaneCephalosporinsPenicillanic AcidTazobactamCeftolozane-tazobactamCerebrospinal fluidMeningitisPseudomonas aeruginosa

Identifiers

PMID32862306
OpenAlexW3082689161

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.