Evidence map›Paper›PMID 36943617›Full record

ArticleInfectious diseases and therapy2023

Real-Life Data on the Effectiveness and Safety of Cefiderocol in Severely Infected Patients: A Case Series.

Ángel Marcos Fendian, Marta Albanell-Fernández, Montse Tuset, Cristina Pitart, Pedro Castro, Dolors Soy, Marta Bodro, Alex Soriano, Ana Del Río, José Antonio Martínez

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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
5.6field-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.

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, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Effectiveness and safety of cefiderocol treatment in patients with Gram-negative bacterial infections in Spain in the early access programme: results of the PERSEUS study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  4. Addressing carbapenemase-producing extensively drug-resistant Pseudomonas aeruginosa: the potential of cefiderocol and ceftazidime/avibactam plus aztreonam therapy.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
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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

10 authors at 3 institutions in 1 country.

Ángel Marcos Fendian *Pharmacy Service, Division of Medicines, Hospital Clinic of Barcelona, Barcelona, Spain. amfendian@gmail.com.ORCID http://orcid.org/0000-0003-2595-5906
Marta Albanell-Fernández *Pharmacy Service, Division of Medicines, Hospital Clinic of Barcelona, Barcelona, Spain.ORCID http://orcid.org/0000-0002-3223-670X
Montse TusetPharmacy Service, Division of Medicines, Hospital Clinic of Barcelona, Barcelona, Spain.
Cristina PitartDepartment of Microbiology, Hospital Clinic, University of Barcelona, ISGLOBAL, Barcelona, Spain.
Pedro CastroMedical Intensive Care Unit, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain.
Dolors SoyPharmacy Service, Division of Medicines, Hospital Clinic of Barcelona, Barcelona, Spain.
Marta BodroDepartment of Infectious Diseases, Hospital Clinic of Barcelona, Barcelona, Spain.
Alex SorianoDepartment of Infectious Diseases, Hospital Clinic of Barcelona, Barcelona, Spain.
Ana Del RíoDepartment of Infectious Diseases, Hospital Clinic of Barcelona, Barcelona, Spain.
José Antonio MartínezDepartment of Infectious Diseases, Hospital Clinic of Barcelona, Barcelona, Spain.
Hospital Clínic de Barcelona · ESConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionReal-life data about cefiderocol use to treat extensively drug-resistant bacteria are scarce. We aim to report our early experience in patients with difficult-to-treat infections and limited therapeutic options.

methodsPatients treated with cefiderocol from March 2018 to April 2022 in a tertiary-care hospital in Spain were included. Demographic, clinical, and microbiological data were collected up to 90 days after the end of treatment or until death. Survival status was recorded at 30 and 90 days.

resultsTen patients were included, seven of them critically ill. Ventilator-associated pneumonia (40%) and bacteremia (40%) were the main infections. Multidrug-resistant or extensively drug-resistant P. aeruginosa was the most frequently isolated pathogen (70%, of which six patients were infected with bacteria with difficult-to-treat resistance), followed by A. baumannii, E. coli, and A. xylosoxidans (10% each). Seven patients received combination therapy. Clinical and microbiological cures were achieved in 90% and 80% of patients, respectively. Two previously susceptible strains (20%) developed resistance to cefiderocol. Overall, 30-day and 90-day mortality rates were 10% and 50%, respectively, although two out of five patients died due to the infection. No serious adverse events were reported, except for one patient who developed thrombocytopenia.

conclusionCefiderocol seems to be an effective and safe rescue therapy for patients infected with difficult-to-treat pathogens, although there is a definite risk of the emergence of resistance.

Indexed as

Acinetobacter baumanniiCefiderocolCritically ill patientsGram-negative bacteriaMultidrug resistancePseudomonas aeruginosa

Identifiers

PMID36943617
PMCPMC10029777
OpenAlexW4328048553

What OpenQuestion holds

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LicenceCC BY-NC
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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.