Evidence map›Paper›PMID 36522526›Full record

ArticleInfectious diseases and therapy2023

Bloodstream Infection Due to a VIM-Metallo-β-Lactamase-Producing Klebsiella pneumoniae Treated with Cefiderocol in a Preterm Newborn.

Caterina Monari, Ferdinando Spagnuolo, Mariantonietta Pisaturo, Serena Ascione, Giovanna Donnarumma, Federica Calò, Elisabetta Caredda, Fortunato Montella, Anna Maietta, Paolo Montaldo and 4 more

Open access · goldAbstract read
In one paragraph

Article in Infectious diseases and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.9field-weighted citation impact, top 29% 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

12 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Observational
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  7. Combination Therapy for OXA-48 Carbapenemase-ProducingInfection and drug resistance · 2024
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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

14 authors at 1 institution in 1 country.

Caterina MonariDepartment of Mental Health and Public Medicine - Infectious Diseases Unit, University of Campania Luigi Vanvitelli, Via L. Armanni 5, 80131, Naples, Italy.
Ferdinando SpagnuoloNeonatal Intensive Care Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Mariantonietta PisaturoDepartment of Mental Health and Public Medicine - Infectious Diseases Unit, University of Campania Luigi Vanvitelli, Via L. Armanni 5, 80131, Naples, Italy.
Serena AscioneNeonatal Intensive Care Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Giovanna DonnarummaDepartment of Experimental Medicine, Microbiology Section, University of Campania "Luigi Vanvitelli", Naples, Italy.
Federica CalòDepartment of Mental Health and Public Medicine - Infectious Diseases Unit, University of Campania Luigi Vanvitelli, Via L. Armanni 5, 80131, Naples, Italy.
Elisabetta CareddaNeonatal Intensive Care Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Fortunato MontellaDepartment of Experimental Medicine, Microbiology Section, University of Campania "Luigi Vanvitelli", Naples, Italy.
Anna MaiettaNeonatal Intensive Care Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Paolo MontaldoNeonatal Intensive Care Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Umberto PuglieseNeonatal Intensive Care Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Massimiliano GaldieroDepartment of Experimental Medicine, Microbiology Section, University of Campania "Luigi Vanvitelli", Naples, Italy.
Mauro CarpentieriNeonatal Intensive Care Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Nicola CoppolaDepartment of Mental Health and Public Medicine - Infectious Diseases Unit, University of Campania Luigi Vanvitelli, Via L. Armanni 5, 80131, Naples, Italy. nicola.coppola@unicampania.it.
University of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of certain multidrug-resistant organisms (MDROs), especially Gram-negative bacteria, is dramatically increasing in patient care settings, including pediatric and neonatal units. However, most of the new drugs available for the treatment of MDROs have not yet been studied in children and newborns. CASE REPORT: We report the clinical case of a preterm neonate, born at 31 weeks gestation + 1 day of age by emergency Cesarean Section (CS), with a bloodstream infection (BSI) due to a Verona integron-borne metallo-β-lactamase (VIM)-producing Klebsiella pneumoniae. We successfully treated the infection with cefiderocol in an off-label regimen at the following dose: loading dose 60 mg/kg and then 40 mg/kg every 8 h in extended infusion for 9 days. The baby showed a quick clinical and biochemical improvement and tolerated well the treatment. Follow-up blood cultures at 48 h after the start of cefiderocol were negative.

conclusionsAntimicrobial-resistant pathogens are of increasing concern in neonatal settings. More studies in this unique population are necessary to better describe the pharmacokinetic and pharmacodynamic profile of the new drugs against MDROs, such as cefiderocol, and to define a proper effective dose.

Indexed as

Antimicrobial stewardship program (ASP)CefiderocolInfection prevention and control (IPC)MDROsNewborn

Identifiers

PMID36522526
PMCPMC9925637
OpenAlexW4311668599

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.