Evidence map›Paper›PMID 35303195›Full record

SynthesisEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2022

A meta-analysis for the role of aminoglycosides and tigecyclines in combined regimens against colistin- and carbapenem-resistant Klebsiella pneumoniae bloodstream infections.

Yusuf Mert Demirlenk, Lal Sude Gücer, Duygu Uçku, Cem Tanrıöver, Merve Akyol, Zeynepgül Kalay, Erinç Barçın, Rüştü Emre Akcan, Füsun Can, Mehmet Gönen and 1 more

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 43% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Rising antimicrobial resistance in urinary tract infections in Türkiye: an urgent need for update on regional treatment strategies and for enhanced antimicrobial stewardship efforts.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  3. Article
  4. Heliyon · 2023
    Article
  5. 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

11 authors at 1 institution in 1 country.

Yusuf Mert DemirlenkSchool of Medicine, Koç University, Istanbul, Turkey.
Lal Sude GücerKoç University İşbank Center for Infectious Diseases (KUISCID), Istanbul, Turkey.
Duygu UçkuSchool of Medicine, Koç University, Istanbul, Turkey.
Cem TanrıöverSchool of Medicine, Koç University, Istanbul, Turkey.
Merve AkyolSchool of Medicine, Koç University, Istanbul, Turkey.
Zeynepgül KalaySchool of Medicine, Koç University, Istanbul, Turkey.
Erinç BarçınSchool of Medicine, Koç University, Istanbul, Turkey.
Rüştü Emre AkcanSchool of Medicine, Koç University, Istanbul, Turkey.
Füsun CanKoç University İşbank Center for Infectious Diseases (KUISCID), Istanbul, Turkey.
Mehmet GönenSchool of Medicine, Koç University, Istanbul, Turkey.
Önder ErgönülKoç University İşbank Center for Infectious Diseases (KUISCID), Istanbul, Turkey. oergonul@ku.edu.tr.
Koç University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to describe the effect of aminoglycosides and tigecycline to reduce the mortality in colistin- and carbapenem-resistant Klebsiella pneumoniae (ColR-CR-Kp) infections. We included the studies with defined outcomes after active or non-active antibiotic treatment of ColR-CR-Kp infections. The active treatment was defined as adequate antibiotic use for at least 3 days (72 h) after the diagnosis of ColR-CR-Kp infection by culture. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement and the checklist of PRISMA 2020 was applied. Crude and adjusted odds ratios (OR) with 95% confidence interval (CI) were calculated and pooled in the random effects model. Adding aminoglycosides to the existing treatment regimen reduced overall mortality significantly (OR 0.34, 95% CI 0.20-0.58). Overall mortality was 34% in patients treated with aminoglycoside-combined regimens and was 60% in patients treated with non-aminoglycoside regimens. Treatment with tigecycline is not found to reduce mortality (OR: 0.76, 95% CI: 0.47-1.23). Our results suggest that aminoglycoside addition to the existing regimen of colistin- and carbapenem-resistant Klebsiella pneumoniae infections reduces mortality significantly.

Indexed as

Carbapenem-Resistant EnterobacteriaceaeKlebsiella InfectionsSepsisAminoglycosidesAnti-Bacterial AgentsCarbapenemsColistinHumansKlebsiella pneumoniaeMicrobial Sensitivity TestsTigecyclineAminoglycosidesAnti-Bacterial AgentsCarbapenemsColistinTigecyclineAmikacinAminoglycosidesColistin- and carbapenem-resistant Klebsiella pneumoniaeCombined regimenGentamicinMeta-analysisTigecyclines

Identifiers

PMID35303195
OpenAlexW4221005819

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.