Evidence map›Paper›PMID 34169905›Full record

ArticleIndian journal of pharmacology

Effect of combined colistin and meropenem against meropenem resistant

Anitha Gunalan, Dhandapani Sarumathi, Apurba Sankar Sastry, Venkateswaran Ramanathan, Sathish Rajaa, Sujatha Sistla

Open access · greenAbstract read
In one paragraph

Article in Indian journal of pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 51% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Viruses · 2025
    Article
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  4. Article
  5. Review
  6. Article
  7. 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

6 authors at 1 institution in 1 country.

Anitha GunalanDepartment of Microbiology, JIPMER, Puducherry, India.
Dhandapani SarumathiDepartment of Microbiology, JIPMER, Puducherry, India.
Apurba Sankar SastryDepartment of Microbiology, JIPMER, Puducherry, India.
Venkateswaran RamanathanDepartment of General Medicine, JIPMER, Puducherry, India.
Sathish RajaaDepartment of Community Medicine, JIPMER, Puducherry, India.
Sujatha SistlaDepartment of Microbiology, JIPMER, Puducherry, India.
Jawaharlal Institute of Post Graduate Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMeropenem-resistant Acinetobacter baumannii and Pseudomonas aeruginosa are the two most common nosocomial pathogens causing ventilator-associated pneumonia. To combat this resistance, different combinations of antibiotics have been evaluated for their efficacy in laboratories as well as in clinical situations.

aimThe aim of the study was to investigate the effect of combined colistin and meropenem against meropenem-resistant isolates of A. baumannii and P. aeruginosa by checkerboard method. MATERIALS AND

methodsFifty meropenem-resistant isolates of A. baumannii (n = 25) and P. aeruginosa (n = 25) from endotracheal aspirates were studied. The MIC of colistin and meropenem was found using the microbroth dilution method. The fractional inhibitory concentration was calculated for the combination of antibiotics by checkerboard assay and the antibiotic interactions were assessed. Fisher's exact test was carried out for statistical comparison of categorical variables.

resultsA synergistic effect between colistin and meropenem was observed in 18/25 (72%) and 6/25 (24%) isolates of Acinetobacter baumannnii and P. Aeruginosa, respectively, with fractional inhibitory concentration indices of ≤0.5. None of the tested isolates exhibited antagonism.

conclusionOur results showed that combinations of colistin and meropenem are associated with improvement in minimum inhibitory concentration and may be a promising strategy in treating meropenem-resistant A. baumannii respiratory tract infections.

Indexed as

Acinetobacter baumanniiAnti-Bacterial AgentsColistinCross-Sectional StudiesDrug CombinationsDrug Resistance, Multiple, BacterialDrug SynergismHumansMeropenemMicrobial Sensitivity TestsPseudomonas aeruginosaAnti-Bacterial AgentsColistinDrug CombinationsMeropenemCheckerboard assayClinical Laboratory Standards Institutefractional inhibitory concentration indicesminimum inhibitory concentrationventilator-associated pneumonia

Identifiers

PMID34169905
PMCPMC8262418
OpenAlexW3175884527

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.