Evidence map›Paper›PMID 37496600›Full record

ArticleOpen forum infectious diseases2023

Carbapenem-Resistant

Maddalena Giannella, Stefano Verardi, Andreas Karas, Hasania Abdel Hadi, Hervé Dupont, Alex Soriano, Anne Santerre Henriksen, Andrew Cooper, Marco Falcone, ARES Study Group

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 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
2.5field-weighted citation impact, top 9% 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, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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
  4. New Insights intoPathogens (Basel, Switzerland) · 2026
    Review
  5. Risk factors for carbapenem-resistantJAC-antimicrobial resistance · 2026
    Article
  6. Review
  7. Carbapenem-resistantFrontiers in medicine · 2026
    Article
  8. 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
  9. Article
  10. Review
  11. Risk factors for infection after carbapenem-resistant Acinetobacter baumannii colonization.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Observational
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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

10 authors at 7 institutions in 4 countries.

Maddalena GiannellaInfectious Diseases Unit, Istituto di Ricovero e Cura a Carattere Scientifico - Policlinico di Sant'Orsola, Bologna, Italy.ORCID https://orcid.org/0000-0001-8273-7601
Stefano VerardiMedical Affairs, Shionogi B.V., London, United Kingdom.
Andreas KarasMedical Affairs, Shionogi B.V., London, United Kingdom.
Hasania Abdel HadiUnidad de Cuidados Intensivos, Hospital General Universitario, Ciudad Real, Spain.
Hervé DupontAnesthesiology and Critical Care Medicine, Centre Hospitalier Universitaire d'Amiens Picardie, Amiens, France.
Alex SorianoDepartment of Infectious Diseases, Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.
Anne Santerre HenriksenMedical Affairs, Shionogi B.V., London, United Kingdom.
Andrew CooperGlobal Epidemiology and Real-World Evidence, Shionogi B.V., London, United Kingdom.
Marco FalconeInfectious Diseases Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.ORCID https://orcid.org/0000-0003-3813-8796
ARES Study Group
University of Bologna · ITUniversity of Pisa · ITHospital General Universitario de Ciudad Real · ESAzienda USL di Bologna · ITCentre Hospitalier Universitaire Amiens-Picardie · FRCentro de Investigación Biomédica en Red · ESDiagnostics for the Real World (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Carbapenem-resistant Methods: A retrospective, observational cohort study in patients receiving cefiderocol via Shionogi's early access program for Results: Overall, 147 patients were included. Primary infection sites were respiratory (65.3%) and bloodstream (unknown source [15.6%]; catheter-related [10.9%]); 24.5% of patients had polymicrobial infection. Of 136 patients in intensive care (92.5%), 85.3% (116/136) received mechanical ventilation. Septic shock (55.6% [70/126]) and coronavirus disease 2019 (COVID-19) (81.6%) were prevalent. Prior to cefiderocol, 85.0% of patients received gram-negative treatment, 61.2% received ≥2 antimicrobials, and most received colistin (58.5%; median duration, 11.5 days). Cefiderocol monotherapy was used in 30.6% of patients. Clinical success rate was 53.1% and was higher in patients without septic shock (62.5%), without COVID-19 (77.8%), and with lower Sequential Organ Failure Assessment (SOFA) scores (quartile 1 [median, 3; range, 0-5]: 82.9%). Day 28 survival was 44.9% and was higher in patients without septic shock (60.7%), without COVID-19 (59.3%), with lower SOFA score (quartile 1: 82.9%), and receiving first-line cefiderocol (68.2% [15/22]). Resolution of infection at day 14 occurred in 39.5% of patients. Conclusions: Despite use in complex patients with limited treatment options and high septic shock/COVID-19 rates, cefiderocol treatment was associated with an overall clinical success rate of 53%.

Indexed as

AcinetobactercefiderocolCOVID-19mortalityseptic shock

Identifiers

PMID37496600
PMCPMC10368198
OpenAlexW4383337841

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.