Evidence map›Paper›PMID 36157152›Full record

ArticleJournal of clinical and experimental hepatology

Ceftazidime-Avibactam for the Treatment of Carbapenem-Resistant

Shani Feldman, Alessandro Russo, Giancarlo Ceccarelli, Cristian Borrazzo, Chiara Madge, Mario Venditti, Manuela Merli

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical and experimental hepatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Co-evolution of resistance and virulence inFrontiers in cellular and infection microbiology · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Antibiotic treatment in cirrhotic patients.World journal of clinical cases · 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

7 authors at 1 institution in 1 country.

Shani FeldmanDivision of Gastroenterology, Department of Translational and Precision Medicine, "Sapienza" University of Rome, Viale Dell'Università 37, 00185 Rome, Italy.
Alessandro RussoDepartment of Public Health and Infectious Diseases, "Sapienza" University of Rome, Viale Dell'Università 37, 00185, Rome, Italy.
Giancarlo CeccarelliDepartment of Public Health and Infectious Diseases, "Sapienza" University of Rome, Viale Dell'Università 37, 00185, Rome, Italy.
Cristian BorrazzoDepartment of Public Health and Infectious Diseases, "Sapienza" University of Rome, Viale Dell'Università 37, 00185, Rome, Italy.
Chiara MadgeDivision of Gastroenterology, Department of Translational and Precision Medicine, "Sapienza" University of Rome, Viale Dell'Università 37, 00185 Rome, Italy.
Mario VendittiDepartment of Public Health and Infectious Diseases, "Sapienza" University of Rome, Viale Dell'Università 37, 00185, Rome, Italy.
Manuela MerliDivision of Gastroenterology, Department of Translational and Precision Medicine, "Sapienza" University of Rome, Viale Dell'Università 37, 00185 Rome, Italy.
Sapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Carbapenem-resistant Aims: To evaluate treatment failure and in-hospital mortality in two cohorts of patients with cirrhosis and with CRKP infections treated with antibiotic regimens including or excluding Ceftazidime-avibactam. Methods: Data from hospitalized patients with liver cirrhosis and CRKP infections were extracted and retrospectively analyzed. Results: During the study period, 39 cirrhotic patients with confirmed invasive CRKP infections were enrolled. Overall, the median age was 60 years with a median MELD score of 16 points. Urinary tract infections were diagnosed in 46%, followed by pneumonia in 23%, and primary bacteremia in 18% of patients. Treatment failure was reported in 10 patients (26%), while in-hospital mortality in 15 patients (38%). A monotherapy was used in 8 patients (20.5%), while a combination therapy was required in 31 patients (79.5%). Ceftazidime-avibactam therapy was associated with lower rates of treatment failure (7% vs. 38%, Conclusion: Treatment including ceftazidime-avibactam was associated with a lower rate of treatment failure in cirrhotic patients with CRKP infections. Considering the favorable efficacy and outcomes of ceftazidime-avibactam, this drug should be considered for the treatment of these severe infections in patients with liver cirrhosis, though further investigation is required.

Indexed as

ACLF, Acute-on-Chronic Liver FailureAKI, Acute Kidney Injuryantibiotic therapybacterial infectionscarbapenem-resistant strainsCAZ-AVI, Ceftazidime-AvibactamCOPD, Chronic Obstructive Pulmonary DiseaseCRKP, Carbapenem-Resistant Klebsiella PneumoniaeDCT, Double-Carbapenem TherapyEASL-CLIF, European Association for the Study of the Liver- Chronic Liver FailureEcdc, European Centre for Disease Prevention and ControlEUCAST, EUropean Committee for Antimicrobial Susceptibility TestingHCC, Hepatocellular CarcinomaHRS, Hepatorenal Syndromeliver cirrhosisMDR, Multi-Drug ResistantMELD, Model for End-stage Liver DiseaseMIC, Minimum Inhibitory ConcentrationNASH, Non-Alcoholic SteatohepatitisTIPS, Transjugular Intrahepatic Portosystemic Shunt

Identifiers

PMID36157152
PMCPMC9499843
OpenAlexW4224285046

What OpenQuestion holds

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Registered trials

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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.