Evidence map›Paper›PMID 33993226›Full record

ReviewClinical infectious diseases : an official publication of the Infectious Diseases Society of America2021

Current Paradigms of Combination Therapy in Methicillin-Resistant Staphylococcus aureus (MRSA) Bacteremia: Does it Work, Which Combination, and For Which Patients?

Warren Rose, Michael Fantl, Matthew Geriak, Victor Nizet, George Sakoulas

Open access · greenAbstract readReview
In one paragraph

Review in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 8% 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
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  5. Observational
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  12. Combination therapy with fosfomycin forJAC-antimicrobial resistance · 2025
    Review
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  17. Current drug discovery technologies · 2025
    Article
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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

5 authors at 3 institutions in 1 country.

Warren RoseSchool of Pharmacy, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Michael FantlSchool of Pharmacy, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Matthew GeriakPharmacy Department, Sharp Memorial Hospital, San Diego, California, USA.
Victor NizetDivision of Host-Microbe Systems and Therapeutics, Center for Immunity, Infection and Inflammation, University of California-San Diego School of Medicine, La Jolla, California, USA.
George SakoulasDivision of Host-Microbe Systems and Therapeutics, Center for Immunity, Infection and Inflammation, University of California-San Diego School of Medicine, La Jolla, California, USA.
University of California, San Diego · USUniversity of Wisconsin–Madison · USSharp Memorial Hospital · US

Funding

Surprising Efficacy of Discounted Antibiotics vs. MDR Gram-Negative Pathogens Occurring Through Innate Immune SensitizationR01AI145310 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KUMARASWAMY, MONIKA, NIZET, VICTOR · 2020 to 2023
$1.9M
NIAID NIH HHS R01 AI145310
6 · The paper itself

Abstract

The last several years have seen an emergence of literature documenting the utility of combination antimicrobial therapy, particularly in the salvage of refractory methicillin-resistant Staphylococcus aureus (MRSA) bacteremia. Recent clinical data are shaping conundrums of which regimens may be more beneficial, which can be potentially harmful, and which subset of patients stand to benefit from more aggressive treatment regimens than called for by current standards. In addition, the incorporation of combination therapy for MRSA bacteremia should be accompanied by the reminder that antimicrobial therapy does not need to be uniform for the entire duration, with an early intensive phase in high inoculum infections (eg, with combination therapy), followed by a consolidation phase (ie, monotherapy). This review and perspective consolidates the recent data on this subject and directs future goals in filling the knowledge gaps to methodically move forward towards improving patient outcomes.

Indexed as

BacteremiaMethicillin-Resistant Staphylococcus aureusStaphylococcal InfectionsAnti-Bacterial AgentsHumansSalvage TherapyAnti-Bacterial Agentsbacteremiacombination therapyMRSA

Identifiers

PMID33993226
PMCPMC8826002
OpenAlexW3161750288

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.