Evidence map›Paper›PMID 34316172›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2021

Clinical Outcome of Patients on Ceftazidime-Avibactam and Combination Therapy in Carbapenem-resistant Enterobacteriaceae.

Vasant Nagvekar, Anand Shah, Vrajeshkumar P Unadkat, Amol Chavan, Ruhi Kohli, Shailendra Hodgar, Aashita Ashpalia, Niranjan Patil, Rahul Kamble

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06419296 (Mortality of MBL-producing Enterobacteriaceae Bacteremias with the Combined Use of Ceftazidime-avibactam and Aztreonam Vs. Other Active Antibiotics. a Multicenter Target Trial Emulation.), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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.

NCT06419296 completednot on this mapstarted 2024, after this paper: background citation

Mortality of MBL-producing Enterobacteriaceae Bacteremias with the Combined Use of Ceftazidime-avibactam and Aztreonam Vs. Other Active Antibiotics. a Multicenter Target Trial Emulation.

TypeobservationalSponsorHospital Italiano de Buenos AiresRan2024 to 2024Enrolled265ConditionsBacteremia
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  13. The Comparative Efficacy of Ceftazidime-Avibactam with or without Aztreonam vs Polymyxins for Carbapenem-resistant Enterobacteriaceae Infections: A Prospective Observational Cohort Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
    Article
  14. Xpert Carba-R Assay on Flagged Blood Culture Samples: Clinical Utility in Intensive Care Unit Patients with Bacteremia Caused byIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
    Article
  15. Ceftazidime-avibactam with or without Aztreonam vs Polymyxin-based Combination Therapy for Carbapenem-resistant Enterobacteriaceae: A Retrospective Analysis.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
    Article
  16. Article
  17. Review
  18. Treatment of Severe Infections Due to Metallo-BetalactamasesAntibiotics (Basel, Switzerland) · 2022
    Review
  19. Therapeutic Options for the Treatment of Carbapenem-resistant Enterobacteriaceae Infections: Hope in the Times of Hype and Despair.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021
    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

9 authors at 2 institutions in 1 country.

Vasant NagvekarLilavati Hospital and Research Centre, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0002-5603-9102
Anand ShahLilavati Hospital and Research Centre, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0002-0079-8716
Vrajeshkumar P UnadkatDepartment of Pathology, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0002-5147-6944
Amol ChavanLilavati Hospital and Research Centre, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0002-7803-8872
Ruhi KohliLilavati Hospital and Research Centre, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0002-6563-6101
Shailendra HodgarLilavati Hospital and Research Centre, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0003-3547-7020
Aashita AshpaliaGlobal Hospital, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0001-8970-6584
Niranjan PatilLilavati Hospital and Research Centre, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0001-8427-0355
Rahul KambleLilavati Hospital and Research Centre, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0003-3293-7554
Lilavati Hospital & Research Centre · INGlobal Hospitals · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCarbapenem-resistant Enterobacteriaceae (CRE) infections have a major effect on mortality as well as healthcare cost. Intensive care units (ICUs) in India, the epicenters for multidrug-resistant organisms, are facing a "postantibiotic era" because of very limited treatment options. A latest beta-lactam/beta-lactamase inhibitor ceftazidime-avibactam (CZA) new has a broad-spectrum antibacterial activity. CZA inhibits class-A and class-C beta-lactamases (as well MATERIALS AND

methodsThis retrospective study reviews the experience recorded and analyzed at two tertiary care centers including only adult patients with CRE infection who had received CZA alone or in combination with other antibiotics over a period between February 2019 and January 2020.

resultsIn the period from February 2019 to January 2020, 119 culture-confirmed CRE isolates were tested for Xpert Carba-R. The predominant genetic mechanism was a combination of

conclusionWith overall mortality of 21%, these data suggest that CZA is a viable option for patients with CRE infections. To our knowledge, this is the first Indian study reporting CZA data in CRE infections. HOW TO CITE THIS ARTICLE: Nagvekar V, Shah A, Unadkat VP, Chavan A, Kohli R, Hodgar S,

Indexed as

Carbapenem-resistant EnterobacteriaceaeCombination therapyICU mortality

Identifiers

PMID34316172
PMCPMC8286375
OpenAlexW3175780706

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.