Evidence map›Paper›PMID 37314343›Full record

ArticleAntimicrobial agents and chemotherapy2023

Successful Use of Cefepime-Zidebactam (WCK 5222) as a Salvage Therapy for the Treatment of Disseminated Extensively Drug-Resistant New Delhi Metallo-β-Lactamase-Producing Pseudomonas aeruginosa Infection in an Adult Patient with Acute T-Cell Leukemia.

Praveen Kumar Tirlangi, Bala Saheb Wanve, Ramakanth Reddy Dubbudu, Boorgula Sushma Yadav, L Siva Kumar, Anand Gupta, Racha Amarthya Sree, Hari Priya Reddy Challa, P Naveen Reddy

Open access · greenAbstract readCase Reports
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 6% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. A Review ofInternational journal of microbiology · 2026
    Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. In vitro activity and resistance mechanisms of novel antimicrobial agents against metallo-β-lactamase producers.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Review
  12. Strategic re-engineering of antibiotics.Nature reviews bioengineering · 2025
    Article
  13. Difficult-to-TreatAntibiotics (Basel, Switzerland) · 2025
    Review
  14. Review
  15. New Agents Are Coming, and So Is the Resistance.Antibiotics (Basel, Switzerland) · 2024
    Review
  16. Article
  17. Burden and Management of Multi-Drug Resistant Organism Infections in Solid Organ Transplant Recipients Across the World: A Narrative Review.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Praveen Kumar TirlangiDepartment of Infectious Diseases, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID 0000-0002-5926-5885
Bala Saheb WanveDepartment of Hematology, AIG Hospitals, Hyderabad, Telangana, India.
Ramakanth Reddy DubbuduAIG Hospitals, Hyderabad, Telangana, India.
Boorgula Sushma YadavDepartment of Microbiology, AIG Hospitals, Hyderabad, Telangana, India.
L Siva KumarDepartment of Critical Care Medicine, AIG Hospitals, Hyderabad, Telangana, India.
Anand GuptaDepartment of Critical Care Medicine, AIG Hospitals, Hyderabad, Telangana, India.
Racha Amarthya SreeG. Pulla Reddy College of Pharmacy, Hyderabad, Telangana, India.
Hari Priya Reddy ChallaDepartment of Infectious Diseases, AIG Hospitals, Hyderabad, Telangana, India.
P Naveen ReddyDepartment of Medicine, AIG Hospitals, Hyderabad, Telangana, India.
CARE Hospitals · ING Pulla Reddy Dental College & Hospital · INManipal Academy of Higher Education · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With limited and often toxic treatment options, carbapenem-resistant Gram-negative infections are associated with significant mortality. Cefepime-zidebactam is a promising antibiotic option undergoing a phase 3 trial that has activity against diverse antibiotic-resistant mechanisms in Gram-negative pathogens due to its β-lactam enhancer mechanism, mediating multiple PBP binding. We report a case of disseminated infection caused by a New Delhi metallo-β-lactamase-producing, extensively drug-resistant Pseudomonas aeruginosa isolate in a patient with acute T-cell leukemia, successfully managed with cefepime-zidebactam as a salvage therapy.

Indexed as

Precursor T-Cell Lymphoblastic Leukemia-LymphomaPseudomonas InfectionsAdultAnti-Bacterial AgentsAzabicyclo Compoundsbeta-LactamasesCephalosporinsHumansMicrobial Sensitivity TestsPseudomonas aeruginosaSalvage TherapyAnti-Bacterial AgentsAzabicyclo Compoundsbeta-lactamase NDM-1beta-LactamasesCephalosporinscefepime-zidebactamdisseminated infectionsdrug resistancemetallo-β-lactamasepolymyxinssalvage therapyWCK 5222XDR Pseudomonas aeruginosa

Identifiers

PMID37314343
PMCPMC10433839
OpenAlexW4380577565

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.