Evidence map›Paper›PMID 37378372›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2023

Ceftazidime-avibactam with or without Aztreonam vs Polymyxin-based Combination Therapy for Carbapenem-resistant Enterobacteriaceae: A Retrospective Analysis.

Parikshit S Prayag, Sampada A Patwardhan, Shweta Panchakshari, Ramya Sambasivam, Surabhi Dhupad, Rajeev N Soman, Amrita P Prayag

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 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
1.3field-weighted citation impact, top 21% 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. Article
  2. 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
  3. Review
  4. Observational
  5. Article
  6. Review
  7. Article
  8. The Characterisation of Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2024
    Article
  9. The Rise of Irrational Antimicrobial Combinations: Need for Clinical Jurisprudence?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  10. Management of CRE Infections: High Time for an RCT?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  11. The Comparative Efficacy of Ceftazidime-Avibactam with or without Aztreonam vs Polymyxins for Carbapenem-resistant Enterobacteriaceae Infections: A Prospective Observational Cohort Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
    Article
  12. Xpert Carba-R Assay on Flagged Blood Culture Samples: Clinical Utility in Intensive Care Unit Patients with Bacteremia Caused byIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 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.

Parikshit S PrayagDepartment of Infectious Diseases, Deenanath Mangeshkar Hospital, Pune, India.ORCID https://orcid.org/0000-0003-2102-7627
Sampada A PatwardhanDepartment of Microbiology, Deenanath Mangeshkar Hospital, Pune, India.ORCID https://orcid.org/0000-0003-0998-5742
Shweta PanchakshariDepartment of Infectious Diseases, Deenanath Mangeshkar Hospital, Pune, India.ORCID https://orcid.org/0000-0002-5708-3287
Ramya SambasivamDepartment of Infectious Diseases, Deenanath Mangeshkar Hospital, Pune, India.ORCID https://orcid.org/0000-0003-0673-5684
Surabhi DhupadDepartment of Infectious Diseases, Deenanath Mangeshkar Hospital, Pune, India.ORCID https://orcid.org/0000-0003-4251-6411
Rajeev N SomanDepartment of Infectious Diseases, Jupiter Hospital, Pune, India.ORCID https://orcid.org/0000-0003-1578-9932%0D
Amrita P PrayagDepartment of In House Research, Deenanath Mangeshkar Hospital, Pune, India.ORCID https://orcid.org/0000-0002-2498-9576%0D
Deenanath Mangeshkar Hospital and Research Center · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Gram-negative sepsis remains one of the most difficult to treat infections in intensive care units (ICUs). Carbapenems are often considered to be robust and reliable options for treating infections due to Gram-negative bacteria. The dominance of carbapenem-resistant enterobacteriaceae (CRE) has emerged as one of the greatest challenges faced by the medical community today. Carbapenem-resistant enterobacteriaceae may be resistant to all beta lactam antimicrobials including carbapenems and often, are even resistant to other classes of drugs. There are limited studies comparing polymyxin-based therapies with ceftazidime-avibactam (CAZ-AVI)-based therapies for treating infections caused by CRE. Methods: A retrospective study comparing outcomes between patients with bacteremia caused by CRE treated with polymyxin-based combination therapy and CAZ-AVI-based therapy (with or without aztreonam). Results: Of total 104 patients, 78 (75%) were in the CAZ-AVI group. There was no significant difference in the underlying comorbidities between the two groups. The incidence of nephrotoxicity was significantly higher in the polymyxin group ( Conclusion: Ceftazidime-avibactam-based therapy may be a superior option to polymyxin-based therapy for infections caused by CRE. This can have significant practical applications, in terms of optimizing therapy for the individual patient as well as sparing polymyxins and reducing the use of polymyxins in our hospitals. How to cite this article: Prayag PS, Patwardhan SA, Panchakshari S, Sambasivam R, Dhupad S, Soman RN,

Indexed as

Carbapenem-resistant enterobacteriaceaeCarbapenemsCeftazidime-avibactamGram-negative sepsisPolymyxin

Identifiers

PMID37378372
PMCPMC10291660
OpenAlexW4378908054

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.