Evidence map›Paper›PMID 34563001›Full record

ArticleInfectious disease reports2021

Inadequate Cerebrospinal Fluid Concentrations of Available Salvage Agents Further Impedes the Optimal Treatment of Multidrug-Resistant

Eric Wenzler, Alina Adeel, Tiffany Wu, Michele Jurkovic, Jeremy Walder, Emily Ramasra, Maureen Campion, Jan Cerny, Nicole M Theodoropoulos

Open access · goldAbstract read
In one paragraph

Article in Infectious disease reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

13 citing papers in PubMed, 16 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Eric WenzlerCollege of Pharmacy, University of Illinois at Chicago, Chicago, IL 60612, USA.ORCID 0000-0003-3914-8400
Alina AdeelUMass Memorial Medical Center, Division of Infectious Diseases & Immunology, UMass Medical School, Worcester, MA 01605, USA.
Tiffany WuCollege of Pharmacy, University of Illinois at Chicago, Chicago, IL 60612, USA.
Michele JurkovicCollege of Pharmacy, University of Illinois at Chicago, Chicago, IL 60612, USA.
Jeremy WalderUMass Memorial Medical Center, Department of Internal Medicine, UMass Medical School, Worcester, MA 01605, USA.
Emily RamasraUMass Memorial Medical Center, Division of Infectious Diseases & Immunology, UMass Medical School, Worcester, MA 01605, USA.
Maureen CampionUMass Memorial Medical Center, Department of Pharmacy, Worcester, MA 01605, USA.
Jan CernyUMass Memorial Medical Center, Division of Hematology-Oncology, UMass Medical School, Worcester, MA 01605, USA.
Nicole M TheodoropoulosUMass Memorial Medical Center, Division of Infectious Diseases & Immunology, UMass Medical School, Worcester, MA 01605, USA.ORCID 0000-0003-3009-8232
University of Massachusetts Chan Medical School · USUniversity of Illinois Chicago · USUMass Memorial Health Care · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background

methodsWe present a complex case of a patient with relapsed acute myeloid leukemia who underwent allogenic hematopoietic stem cell transplantation complicated by persistent VRE bacteremia and meningitis. To optimize therapy, various blood and cerebrospinal fluid (CSF) samples were sent to a research laboratory for extensive susceptibility testing, pharmacokinetic analyses, and time-kill experiments.

resultsIn vitro testing revealed resistance to all first-line treatment options and CSF sampling demonstrated sub-optimal central nervous system concentrations achieved by each antimicrobial agent administered in relation to their respective MIC value. Time-kill analyses at observed CSF concentrations confirmed the lack of bactericidal activity despite use of a four-drug combination regimen.

conclusionsThis work is the first to report CSF concentrations of oritavancin and tedizolid in humans and adds to the limited data regarding in vitro susceptibility of new antimicrobial agents such as eravacycline, omadacycline, and lefamulin against VRE. Our study provides new insights into various aspects of treatment of extensively drug-resistant

Indexed as

case reportcentral nervous systemcerebrospinal fluidEnterococcus faeciummeningitispharmacokineticstime-kill analysisVRE

Identifiers

PMID34563001
PMCPMC8482274
OpenAlexW3197967445

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.