Evidence map›Paper›PMID 37627683›Full record

ReviewAntibiotics (Basel, Switzerland)2023

Antibiotic Therapy Strategies for Treating Gram-Negative Severe Infections in the Critically Ill: A Narrative Review.

Alberto Corona, Vincenzo De Santis, Andrea Agarossi, Anna Prete, Dario Cattaneo, Giacomina Tomasini, Graziella Bonetti, Andrea Patroni, Nicola Latronico

Open access · goldAbstract readReview
In one paragraph

Review in Antibiotics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.6field-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

20 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
  2. Comorbidities and mortality in colistin-resistant gram-negative infections among hospitalized patients in Qassim, Saudi Arabia.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2026
    Article
  3. Review
  4. Article
  5. Negamycin: Nature's Forgotten Antibiotic.ACS infectious diseases · 2026
    Review
  6. Unusual case ofFrontiers in cellular and infection microbiology · 2026
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Viruses · 2025
    Article
  13. Article
  14. Difficult-to-TreatAntibiotics (Basel, Switzerland) · 2025
    Review
  15. Potential Use of Selected Natural Compounds with Anti-Biofilm Activity.International journal of molecular sciences · 2025
    Review
  16. Article
  17. New Agents Are Coming, and So Is the Resistance.Antibiotics (Basel, Switzerland) · 2024
    Review
  18. Article
  19. Article
  20. 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

9 authors at 3 institutions in 1 country.

Alberto CoronaAccident, Emergency and ICU Department and Surgical Theatre, ASST Valcamonica, University of Brescia, 25043 Breno, Italy.ORCID 0000-0003-2594-3278
Vincenzo De SantisAUSL Romagna, Umberto I Hospital, 48022 Lugo, Italy.
Andrea AgarossiAccident, Emergency and ICU Department, ASST Santi Paolo Carlo, 20142 Milan, Italy.ORCID 0000-0001-6583-8670
Anna PreteAUSL Romagna, Umberto I Hospital, 48022 Lugo, Italy.
Dario CattaneoUnit of Clinical Pharmacology, ASST Fatebenefratelli Sacco University Hospital, Via GB Grassi 74, 20157 Milan, Italy.ORCID 0000-0003-1512-6530
Giacomina TomasiniUrgency and Emergency Surgery and Medicine Division ASST Valcamonica, 25123 Brescia, Italy.
Graziella BonettiClinical Pathology and Microbiology Laboratory, ASST Valcamonica, 25123 Brescia, Italy.ORCID 0000-0002-3755-8919
Andrea PatroniMedical Directorate, Infection Control Unit, ASST Valcamonica, 25123 Brescia, Italy.
Nicola LatronicoDepartment of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy.ORCID 0000-0002-2521-5871
University of Brescia · ITASST Fatebenefratelli Sacco · ITOspedale San Carlo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNot enough data exist to inform the optimal duration and type of antimicrobial therapy against GN infections in critically ill patients.

methodsNarrative review based on a literature search through PubMed and Cochrane using the following keywords: "multi-drug resistant (MDR)", "extensively drug resistant (XDR)", "pan-drug-resistant (PDR)", "difficult-to-treat (DTR) Gram-negative infection," "antibiotic duration therapy", "antibiotic combination therapy" "antibiotic monotherapy" "Gram-negative bacteremia", "Gram-negative pneumonia", and "Gram-negative intra-abdominal infection".

resultsCurrent literature data suggest adopting longer (≥10-14 days) courses of synergistic combination therapy due to the high global prevalence of ESBL-producing (45-50%), MDR (35%), XDR (15-20%), PDR (5.9-6.2%), and carbapenemases (CP)/metallo-β-lactamases (MBL)-producing (12.5-20%) Gram-negative (GN) microorganisms (i.e.,

conclusionsDespite the strategies of therapy described in the results, clinicians must remember that all treatment decisions are dynamic, requiring frequent reassessments depending on both the clinical and microbiological responses of the patient.

Indexed as

antibiotic therapycombinationcritically ill patientsGram-negativeinfectionmonotherapyresistancestrategy

Identifiers

PMID37627683
PMCPMC10451333
OpenAlexW4385429630

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.