Evidence map›Paper›PMID 37807834›Full record

ArticleThe Journal of antimicrobial chemotherapy2023

Cefiderocol use for the treatment of infections by carbapenem-resistant Gram-negative bacteria: an Italian multicentre real-life experience.

Matteo Piccica, Michele Spinicci, Annarita Botta, Vincenzo Bianco, Filippo Lagi, Lucia Graziani, Alessandro Faragona, Roberto Parrella, Tommaso Giani, Andrea Bartolini and 6 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
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  7. Activity of cefiderocol againstMicrobiology spectrum · 2025
    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
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  10. Microorganisms · 2025
    Review
  11. Frontiers in microbiology · 2025
    Article
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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

16 authors at 6 institutions in 1 country.

Matteo PiccicaDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Michele SpinicciDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Annarita BottaDepartment of Infectious Disease and Infectious Emergencies, AORN dei Colli, Cotugno Hospital, Naples, Italy.
Vincenzo BiancoDepartment of Infectious Disease and Infectious Emergencies, AORN dei Colli, Cotugno Hospital, Naples, Italy.
Filippo LagiInfectious and Tropical Diseases Unit, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Lucia GrazianiDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Alessandro FaragonaDepartment of Biomedical Sciences and Public Health, Università Politecnica delle Marche, Ancona, Italy.
Roberto ParrellaDepartment of Infectious Disease and Infectious Emergencies, AORN dei Colli, Cotugno Hospital, Naples, Italy.
Tommaso GianiDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Andrea BartoliniDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Gianluca MorroniClinic of Infectious Diseases, Azienda Ospedaliero-Universitaria delle Marche, Ancona, Italy.ORCID 0000-0003-0772-0214
Mariano BernardoMicrobiology Unit, AORN Ospedali dei Colli-Monaldi Hospital, Naples, Italy.
Gian Maria RossoliniDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.ORCID 0000-0002-9386-0434
Marcello TavioUnit of Emerging and Immunosuppressed Infectious Diseases, Department of Gastroenterology and Transplantation, Azienda Ospedaliero-Universitaria 'Ospedali Riuniti', Ancona, Italy.
Andrea GiacomettiDepartment of Biomedical Sciences and Public Health, Università Politecnica delle Marche, Ancona, Italy.
Alessandro BartoloniDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Azienda Ospedaliero-Universitaria Careggi · ITOspedale D. Cotugno · ITUniversity of Florence · ITAzienda Ospedaliero Universitaria Ospedali Riuniti · ITMarche Polytechnic University · ITOspedale Monaldi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCefiderocol is a novel siderophore cephalosporin with promising activity against most carbapenem-resistant Gram-negative bacteria (CRGNB). However, extensive postmarketing experiences are lacking. This study aimed to analyse the early experience on cefiderocol postmarketing use at three tertiary care hospitals in Italy.

methodsWe retrospectively included patients with infections caused by CRGNB treated with cefiderocol at three Italian tertiary care hospitals from 1 March 2021 to 30 June 2022. A multivariate Cox model was used to identify predictors of 30 day mortality. A propensity score (PS) analysis with inverse probability weighting (IPW) was also performed to compare the treatment effect of cefiderocol monotherapy (CM) versus combination regimens (CCRs).

resultsThe cohort included 142 patients (72% male, median age 67 years, with 89 cases of Acinetobacter baumannii infection, 22 cases of Klebsiella pneumoniae, 27 cases of Pseudomonas aeruginosa and 4 of other pathogens). The 30 day all-cause mortality was 37% (52/142). We found no association between bacterial species and mortality. In multivariate analysis, a Charlson Comorbidity Index >3 was an independent predictor of mortality (HR 5.02, 95% CI 2.37-10.66, P < 0.001). In contrast, polymicrobial infection (HR 0.41, 95% CI 0.21-0.82, P < 0.05) was associated with lower mortality. There was no significant difference in mortality between patients receiving CM (n = 70) and those receiving a CCR (n = 72) (33% versus 40%, respectively), even when adjusted for IPW-PS (HR 1.11, 95% CI 0.63-1.96, P = 0.71).

conclusionsReal-life data confirm that cefiderocol is a promising option against carbapenem-resistant Gram-negative infections, even as monotherapy.

Indexed as

Acinetobacter InfectionsGram-Negative Bacterial InfectionsAgedAnti-Bacterial AgentsCarbapenemsCefiderocolCephalosporinsFemaleGram-Negative BacteriaHumansMaleRetrospective StudiesAnti-Bacterial AgentsCarbapenemsCefiderocolCephalosporins

Identifiers

PMID37807834
PMCPMC10631827
OpenAlexW4387439388

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.