Evidence map›Paper›PMID 35435707›Full record

ArticleAntimicrobial agents and chemotherapy2022

Imipenem/Relebactam Resistance in Clinical Isolates of Extensively Drug Resistant Pseudomonas aeruginosa: Inhibitor-Resistant β-Lactamases and Their Increasing Importance.

Andrea M Hujer, Christopher R Bethel, Magdalena A Taracila, Steven H Marshall, Laura J Rojas, Marisa L Winkler, Ronald E Painter, T Nicholas Domitrovic, Richard R Watkins, Ayman M Abdelhamed and 8 more

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Global epidemiology of carbapenem-resistantJAC-antimicrobial resistance · 2026
    Review
  2. Article
  3. Review
  4. Observational
  5. Frontiers in microbiology · 2026
    Article
  6. Article
  7. CombattingAntibiotics (Basel, Switzerland) · 2025
    Review
  8. Rapid prediction of carbapenemases inJournal of clinical microbiology · 2025
    Article
  9. Identification ofVeterinary world · 2024
    Article
  10. Article
  11. Reviewing novel treatment options for carbapenem-resistantExpert review of anti-infective therapy
    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

18 authors at 6 institutions in 1 country.

Andrea M Hujer *Department of Medicine, Case Western Reserve Universitygrid.67105.35 School of Medicine, Cleveland, Ohio, USA.
Christopher R Bethel *Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA.
Magdalena A TaracilaDepartment of Medicine, Case Western Reserve Universitygrid.67105.35 School of Medicine, Cleveland, Ohio, USA.
Steven H MarshallLouis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA.
Laura J RojasDepartment of Medicine, Case Western Reserve Universitygrid.67105.35 School of Medicine, Cleveland, Ohio, USA.
Marisa L WinklerLouis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA.
Ronald E PainterMerck & Co., Inc., Kenilworth, New Jersey, USA.
T Nicholas DomitrovicDepartment of Medicine, Case Western Reserve Universitygrid.67105.35 School of Medicine, Cleveland, Ohio, USA.
Richard R WatkinsDivision of Infectious Diseases, Cleveland Clinic Akron General, Akron, Ohio, USA.
Ayman M AbdelhamedDepartment of Pathology, Case Western Reserve Universitygrid.67105.35, Cleveland, Ohio, USA.
Roshan D'SouzaJ. Craig Venter Institute, Rockville, Maryland, USA.ORCID 0000-0002-6576-7574
Andrew R MackDepartment of Molecular Biology and Microbiology, Case Western Reserve Universitygrid.67105.35 School of Medicine, Cleveland, Ohio, USA.ORCID 0000-0002-0131-7996
Richard C WhiteJ. Craig Venter Institute, Rockville, Maryland, USA.
Thomas ClarkeJ. Craig Venter Institute, Rockville, Maryland, USA.
Derrick E FoutsJ. Craig Venter Institute, Rockville, Maryland, USA.ORCID 0000-0003-4323-7668
Michael R JacobsDepartment of Pathology, Case Western Reserve Universitygrid.67105.35, Cleveland, Ohio, USA.ORCID 0000-0002-4235-7855
Katherine YoungMerck & Co., Inc., Kenilworth, New Jersey, USA.
Robert A BonomoDepartment of Medicine, Case Western Reserve Universitygrid.67105.35 School of Medicine, Cleveland, Ohio, USA.ORCID 0000-0002-3299-894X
Louis Stokes Cleveland VA Medical Center · USJ. Craig Venter Institute · USMerck & Co., Inc., Rahway, NJ, USA (United States) · USUniversity Hospitals of Cleveland · USCleveland Clinic · USUniversity School · US

Funding

The J. Craig Venter Institute Genome Center for Infectious DiseasesU19AI110819 · NIAID · J. CRAIG VENTER INSTITUTE, INC. · PI TAN, GENE · 2014 to 2018
$29.7M
Understanding ceftazidime resistance in SHV B-LactamasesR01AI063517 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI BONOMO, ROBERT A. · 2005 to 2023
$4.9M
The Continuing Challenge of Carbapenemases in K. pneumoniae: KPC-2 & NDM-1I01BX001974 · VA · LOUIS STOKES CLEVELAND VA MEDICAL CENTER · PI BONOMO, ROBERT A. · 2013 to 2024
–
BLRD VA I01 BX001974HHS | NIH | National Institute of Allergy and Infectious Diseases (NIAID) R01AI063517NIAID NIH HHS R01 AI063517NIAID NIH HHS U19 AI110819U.S. Department of Health and Human Services (HHS) U19AI110819
6 · The paper itself

Abstract

Multidrug-resistant (MDR) Pseudomonas aeruginosa infections are a major clinical challenge. Many isolates are carbapenem resistant, which severely limits treatment options; thus, novel therapeutic combinations, such as imipenem-relebactam (IMI/REL), ceftazidime-avibactam (CAZ/AVI), ceftolozane-tazobactam (TOL/TAZO), and meropenem-vaborbactam (MEM/VAB) were developed. Here, we studied two extensively drug-resistant (XDR) P. aeruginosa isolates, collected in the United States and Mexico, that demonstrated resistance to IMI/REL. Whole-genome sequencing (WGS) showed that both isolates contained acquired GES β-lactamases, intrinsic PDC and OXA β-lactamases, and disruptions in the genes encoding the OprD porin, thereby inhibiting uptake of carbapenems. In one isolate (ST17), the entire C terminus of OprD deviated from the expected amino acid sequence after amino acid G388. In the other (ST309), the entire

Indexed as

Pseudomonas aeruginosaPseudomonas InfectionsAmino AcidsAnti-Bacterial AgentsAzabicyclo Compoundsbeta-LactamasesDrug CombinationsHumansImipenemMicrobial Sensitivity TestsPorinsUnited StatesAmino AcidsAnti-Bacterial AgentsAzabicyclo Compoundsbeta-LactamasesDrug CombinationsImipenemPorinsrelebactamGES-19GES-20GES β-lactamaseimipenemOprD deficientOXA β-lactamasePseudomonas aeruginosarelebactamrelebactam resistance

Identifiers

PMID35435707
PMCPMC9112901
OpenAlexW4224059215

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.