Evidence map›Paper›PMID 36763243›Full record

ArticleInfectious diseases and therapy2023

The Use and Effectiveness of Ceftazidime-Avibactam in Real-World Clinical Practice: EZTEAM Study.

Alex Soriano, Philippe Montravers, Matteo Bassetti, Galina Klyasova, George Daikos, Paurus Irani, Gregory Stone, Richard Chambers, Pascale Peeters, Mitesh Shah and 13 more

Registry-linked trialOpen 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. It is linked to trial NCT03923426 (REAL-WORLD OBSERVATIONAL STUDY OF ZAVICEFTA), which is not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 4% 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.

NCT03923426 completednot on this map

Real-world observational study of zavicefta (registered) (ceftazidime-avibactam) to characterize use patterns, effectiveness and safety - ezteam study

TypeobservationalSponsorPfizerRan2018 to 2022Enrolled572ConditionsInfectionArmsZavicefta Treatment
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Indian Society of Critical Care Medicine Guidelines on Evidence-based Recommendations for the Treatment of Carbapenem-resistant Enterobacterales, Carbapenem-resistantIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
  5. Article
  6. ASP-COMPLEX: redefining antimicrobial stewardship to improve outcomes in high-risk patients with severe infections.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    Review
  7. Article
  8. Observational
  9. Review
  10. Ceftazidime-Avibactam in Multidrug-ResistantAntibiotics (Basel, Switzerland) · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Ceftazidime-avibactam use in hematology patients: single-center experience.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  17. Review
  18. Article
  19. Article
  20. 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

23 authors at 19 institutions in 11 countries.

Alex SorianoDepartment of Infectious Diseases, Hospital Clínic, Helios Building, Villarroel 170, Barcelona, Spain.
Philippe MontraversDepartment of Anaesthesiology and Surgical Critical Care Unit, CHU Bichat Claude Bernard, Assistance Publique-Hôpitaux de Paris, Université de Paris-Cité, Paris, France.
Matteo BassettiClinica Malattie Infettive, San Martino IST- IRCCS, Ospedale Policlinico, Genoa, Italy.
Galina KlyasovaNational Medical Research Center for Hematology, Moscow, Russian Federation.
George Daikos, Piniou 10, Attiki, 15235, Vrilissia, Greece.
Paurus IraniPfizer Ltd, Tadworth, UK.
Gregory StonePfizer, Groton, USA.
Richard ChambersPfizer Inc, New York, USA.
Pascale PeetersIQVIA Real-World Solutions, Courbevoie, France.
Mitesh ShahIQVIA Real-World Solutions, Bengaluru, India.
Claire HulinIQVIA Real-World Solutions, Courbevoie, France.
Natalia AlbuquerqueHospital Felício Rocho, Belo Horizonte, Brazil.
Efim BasinRegional Clinical Hospital #1, Krasnodar, Russia.
Benjamin GaboritDepartment of Infectious Diseases, University Hospital of Nantes and Centre d'Investigation Clinique 413, INSERM, Nantes, France.
Irene KourbetiGeneral Hospital of Athens Laiko, Athens, Greece.
Francesco MenichettiAzienda Ospedaliero Universitaria Pisana, Pisa, Italy.
María Teresa Perez-RodriguezGalicia Sur Health Research Institute, Complexo Hospitalario Universitario de Vigo, Vigo, Spain.
Mathias W PletzInstitute for Infectious Diseases and Infection Control, Jena University Hospital, Jena, Germany.
Marisa SanchezHospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.
Ivan TrompaIPS Universitaria, Medellin, Colombia.
Anita VermaKings College Hospital NHS Foundation Trust, London, UK.
Maria Lavinea N de FigueiredoGlobal Medical Affairs, Pfizer, Sao Paulo, Brazil.
Claudie CharbonneauPatient and Health Impact, Global Team Lead, Pfizer P.I.O., Paris, France. Claudie.Charbonneau@pfizer.com.
IQVIA (France) · FRPfizer (United States) · USAzienda Ospedaliera Universitaria Pisana · ITComplexo Hospitalario Universitario A Coruña · ESFederal State Institution Hematology Research Center · RUHospital Clínic de Barcelona · ESHospital Felício Rocho · BRHospital Italiano de Buenos Aires · ARInserm · FRIQVIA (India) · INJena University Hospital · DEKing's College Hospital NHS Foundation Trust · GBKrasnoyarsk Regional Clinical Hospital · RULaiko General Hospital of Athens · GRNational and Kapodistrian University of Athens · GROspedale Policlinico San Martino · ITPfizer (France) · FRPfizer (United Kingdom) · GBUniversité Claude Bernard Lyon 1 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCeftazidime-avibactam has proven activity against multidrug-resistant (MDR) bacteria in clinical trials and real-world studies. This study was conducted to describe the patterns of use of ceftazidime-avibactam (including indications and associated antibiotics), and the effectiveness and safety of ceftazidime-avibactam in real-world clinical practice.

methodsThis non-interventional medical chart review study was conducted in 11 countries across the European and Latin American (LATAM) regions. Consecutive patients treated in clinical practice with at least one dose of ceftazidime-avibactam for an approved indication per country label since 01 January 2018 (or launch date in the country if posterior) were enrolled. Effectiveness analyses were conducted in patients treated with ceftazidime-avibactam for at least 72 h.

resultsOf the 569 eligible patients enrolled, 516 (90.7%) were treated for at least 72 h (354 patients from Europe and 162 patients from LATAM); 390 patients (75.7%) had switched from another antibiotic line for Gram-negative coverage. Infection sources were intra-abdominal, urinary, respiratory, bloodstream infections, and other infections (approximately 20% each). K. pneumoniae was the most common microorganism identified in the latest microbiological evaluation before starting ceftazidime-avibactam (59.3%). Two-thirds of microorganisms tested for susceptibility were MDR, of which 89.3% were carbapenem-resistant. The common MDR mechanisms for K. pneumoniae were carbapenemase (33.9%), oxacillinase 48 (25.2%), extended-spectrum beta-lactamase (21.5%), or metallo-beta-lactamase (14.2%) production. Without prior patient exposure, 17 isolates (mostly K. pneumoniae) were resistant to ceftazidime-avibactam. Treatment success was achieved in 77.3% of patients overall (88.3% among patients with urinary infection), regardless of first or second treatment line. In-hospital mortality rate was 23.1%. Adverse events were reported for six of the 569 patients enrolled.

conclusionThis study provides important real-world evidence on treatment patterns, effectiveness, and safety of ceftazidime-avibactam in clinical practice through its recruitment in the European and LATAM regions. Ceftazidime-avibactam is one of the antibiotics to consider for treatment of MDR bacteria.

trial registrationClinicalTrials.gov identifier, NCT03923426.

Indexed as

Bloodstream infectionCeftazidime–avibactamEuropeIntra-abdominal infectionK. pneumoniaeLATAMMultidrug-resistantRespiratory infectionUrinary infection

Identifiers

PMID36763243
PMCPMC9912999
OpenAlexW4319812734

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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.