Evidence map›Paper›PMID 35491836›Full record

ArticleAntimicrobial agents and chemotherapy2022

James A Karlowsky, Sibylle H Lob, C Andrew DeRyke, David W Hilbert, Michael T Wong, Katherine Young, Fakhar Siddiqui, Mary R Motyl, Daniel F Sahm

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 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.7field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 38 citations in OpenAlex.

  1. Sulbactam-Durlobactam for Carbapenem-resistantIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
  2. A Ten-Year Trend of Antimicrobial Resistance inOpen forum infectious diseases · 2026
    Article
  3. Article
  4. Antibiotic Choice for Carbapenem-resistantIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
  5. Article
  6. Effectiveness of imipenem-relebactam for multidrug-resistantAntimicrobial agents and chemotherapy · 2025
    Observational
  7. Review
  8. TargetingAntimicrobial agents and chemotherapy · 2025
    Article
  9. Microbiology spectrum · 2025
    Article
  10. β-Lactamase diversity inAntimicrobial agents and chemotherapy · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. Characterization ofAntimicrobial agents and chemotherapy · 2023
    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 2 countries.

James A KarlowskyIHMA, Schaumburg, Illinois, USA.
Sibylle H LobIHMA, Schaumburg, Illinois, USA.ORCID 0000-0002-6829-0302
C Andrew DeRykeMerck & Co., Inc., Kenilworth, New Jersey, USA.
David W HilbertMerck & Co., Inc., Kenilworth, New Jersey, USA.
Michael T WongMerck & Co., Inc., Kenilworth, New Jersey, USA.
Katherine YoungMerck & Co., Inc., Kenilworth, New Jersey, USA.
Fakhar SiddiquiMerck & Co., Inc., Kenilworth, New Jersey, USA.
Mary R MotylMerck & Co., Inc., Kenilworth, New Jersey, USA.
Daniel F SahmIHMA, Schaumburg, Illinois, USA.
Merck & Co., Inc., Rahway, NJ, USA (United States) · USUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ceftolozane-tazobactam (C/T), imipenem-relebactam (IMR), and ceftazidime-avibactam (CZA) were tested against 2,531 P. aeruginosa strains isolated from patients in the United States from 2018 to 2020 as part of the SMART (Study for Monitoring Antimicrobial Resistance Trends) surveillance program. MICs were determined by CLSI broth microdilution and interpreted using CLSI M100 (2021) breakpoints. Imipenem-, IMR-, or C/T-nonsusceptible isolates were screened for β-lactamase genes: 96.4% of all isolates and ≥70% of multidrug-resistant (MDR), pan-β-lactam-nonsusceptible, and difficult-to-treat resistance (DTR) isolates were C/T-susceptible; 52.2% of C/T-nonsusceptible isolates remained susceptible to IMR compared to 38.9% for CZA; and 1.7% of isolates tested were nonsusceptible to both C/T and IMR versus 2.2% of isolates with a C/T-nonsusceptible and CZA-resistant phenotype (a difference of 12 isolates). C/T and IMR modal MICs for pan-β-lactam-nonsusceptible isolates remained at or below their respective susceptible MIC breakpoints from 2018 to 2020, while the modal MIC for CZA increased 2-fold from 2018 to 2019 and exceeded the CZA-susceptible MIC breakpoint in both 2019 and 2020. Only six of 802 molecularly characterized isolates carried a metallo-β-lactamase, and two isolates carried a GES carbapenemase. Most P. aeruginosa isolates were C/T-susceptible, including many with MDR, pan-β-lactam-nonsusceptible, DTR, CZA-resistant, and IMR-nonsusceptible phenotypes. While C/T was the most active antipseudomonal agent, IMR demonstrated greater activity than CZA against isolates nonsusceptible to C/T.

Indexed as

Pseudomonas aeruginosaPseudomonas InfectionsAnti-Bacterial AgentsAzabicyclo Compoundsbeta-LactamasesCeftazidimeCephalosporinsDrug CombinationsHospitalsHumansImipenemMicrobial Sensitivity TestsTazobactamUnited StatesAnti-Bacterial Agentsavibactam, ceftazidime drug combinationAzabicyclo Compoundsbeta-LactamasesCeftazidimeceftolozaneCephalosporinsDrug CombinationsImipenemrelebactamTazobactamceftazidime-avibactamceftolozane-tazobactamimipenem-relebactamPseudomonas aeruginosaSMARTsurveillanceUnited States

Identifiers

PMID35491836
PMCPMC9112925
OpenAlexW4225275122

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.