Evidence map›Paper›PMID 34409786›Full record

ArticleInfection & chemotherapy2021

Colistin plus Sulbactam or Fosfomycin against Carbapenem-Resistant

Weerayuth Saelim, Dhitiwat Changpradub, Sudaluck Thunyaharn, Piraporn Juntanawiwat, Parnrada Nulsopapon, Wichai Santimaleeworagun

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Infection & chemotherapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06440304 (Therapeutic Strategies for Carbapenem-Resistant Acinetobacter Baumannii Infections), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 24% 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.

NCT06440304 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

Therapeutic Strategies for Carbapenem-Resistant Acinetobacter Baumannii Infections: Study Protocol

TypeinterventionalSponsorClinical Hospital Centre ZagrebRan2025 to 2027Enrolled108ConditionsInfections, Bacterial, Sepsis BacterialArmsFosfomycin, Eravacycline, ampicillin/sulbactam
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Prosthetic Valve Endocarditis byPathogens (Basel, Switzerland) · 2026
    Pooled it
  2. Trial
  3. Review
  4. Article
  5. Microbiology spectrum · 2025
    Article
  6. Article
  7. Article
  8. The Mortality of Colistin MonotherapyInfection & chemotherapy · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. The efficacy of mesenchymal stem cell treatment and colistin-fosfomycin combination on colistin-resistant Acinetobacter baumannii sepsis model.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2023
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
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 4 institutions in 2 countries.

Weerayuth SaelimDepartment of Pharmacy, Faculty of Pharmacy, Silpakorn University, Nakhon Pathom, Thailand.ORCID https://orcid.org/0000-0001-5839-440X
Dhitiwat ChangpradubDivision of Infectious Diseases, Department of Medicine, Phramongkutklao Hospital, Bangkok, Thailand.ORCID https://orcid.org/0000-0001-7939-6834
Sudaluck ThunyaharnFaculty of Medical Technology, Nakhonratchasima College, Nakhon Ratchasima, Thailand.ORCID https://orcid.org/0000-0002-6836-8755
Piraporn JuntanawiwatDivision of Microbiology, Department of Clinical Pathology, Phramongkutklao Hospital, Bangkok, Thailand.ORCID https://orcid.org/0000-0002-8543-8428
Parnrada NulsopaponDepartment of Pharmacy, Faculty of Pharmacy, Silpakorn University, Nakhon Pathom, Thailand.ORCID https://orcid.org/0000-0002-0738-214X
Wichai SantimaleeworagunDepartment of Pharmacy, Faculty of Pharmacy, Silpakorn University, Nakhon Pathom, Thailand.ORCID https://orcid.org/0000-0001-9974-957X
CNR de la Résistance aux Antibiotiques · FRPhramongkutklao Hospital · THMaharat Nakhon Ratchasima Hospital · THSilpakorn University · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMATERIALS AND

methodsClinical CRAB isolates were obtained from patients admitted to Phramongkutklao Hospital in 2014 and 2015. The minimum inhibitory concentration (MIC) of colistin for each CRAB isolate was determined using the broth dilution method, whereas those of sulbactam and fosfomycin were determined using the agar dilution method. Each drug regimen was simulated using the Monte Carlo technique to calculate the probability of target attainment (PTA) and the cumulative fraction of response (CFR). Nephrotoxicity based on RIFLE (Risk, Injury, Failure, Loss of kidney function, and End-stage kidney disease) criteria was indicated by colistin trough concentration exceeding ≥3.3 μg/mL.

resultsA total of 50 CRAB isolates were included. The MIC

conclusionColistin monotherapy at the maximum recommended dose might not cover some CRAB isolates. Colistin combination therapy appears appropriate for achieving the pharmacokinetic/pharmacodynamic targets of CRAB treatment.

Indexed as

ColistimethateColistin resistanceCombinationSynergism

Identifiers

PMID34409786
PMCPMC8032916
OpenAlexW3144816264

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.