Evidence map›Paper›PMID 38156051›Full record

ArticleOpen forum infectious diseases2023

Real-life Data on Cefiderocol Efficacy and Safety to Treat Multidrug-Resistant

Laura Campogiani, Angela Maria Antonia Crea, Maria Letizia Minardi, Lorenzo Ansaldo, Luigi Coppola, Mirko Compagno, Pietro Vitale, Ilaria Spalliera, Vincenzo Malagnino, Elisabetta Teti and 7 more

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 43% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. 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

17 authors at 2 institutions in 1 country.

Laura CampogianiInfectious Diseases Clinic, Policlinico Tor Vergata, Rome, Italy.ORCID https://orcid.org/0000-0002-7462-169X
Angela Maria Antonia CreaInfectious Diseases Clinic, Policlinico Tor Vergata, Rome, Italy.ORCID https://orcid.org/0000-0002-4978-7057
Maria Letizia MinardiDepartment of Systems Medicine, Tor Vergata University, Rome, Italy.
Lorenzo AnsaldoDepartment of Systems Medicine, Tor Vergata University, Rome, Italy.ORCID https://orcid.org/0000-0003-1597-3393
Luigi CoppolaInfectious Diseases Clinic, Policlinico Tor Vergata, Rome, Italy.
Mirko CompagnoInfectious Diseases Clinic, Policlinico Tor Vergata, Rome, Italy.ORCID https://orcid.org/0000-0002-6372-5434
Pietro VitaleInfectious Diseases Clinic, Policlinico Tor Vergata, Rome, Italy.ORCID https://orcid.org/0009-0009-9563-0964
Ilaria SpallieraInfectious Diseases Clinic, Policlinico Tor Vergata, Rome, Italy.
Vincenzo MalagninoInfectious Diseases Clinic, Policlinico Tor Vergata, Rome, Italy.ORCID https://orcid.org/0000-0002-6561-5298
Elisabetta TetiInfectious Diseases Clinic, Policlinico Tor Vergata, Rome, Italy.ORCID https://orcid.org/0000-0002-0785-9120
C D'agostiniLaboratory of Clinical Microbiology, Policlinico Tor Vergata, Rome, Italy.
Chiara PennacchiottiHospital Pharmacy, Policlinico Tor Vergata, Rome, Italy.
Davide Natale AbateHospital Pharmacy, Policlinico Tor Vergata, Rome, Italy.
Maria Grazia CelesteHospital Pharmacy, Policlinico Tor Vergata, Rome, Italy.
Massimo AndreoniInfectious Diseases Clinic, Policlinico Tor Vergata, Rome, Italy.ORCID https://orcid.org/0000-0002-3205-9758
Marco IannettaInfectious Diseases Clinic, Policlinico Tor Vergata, Rome, Italy.ORCID https://orcid.org/0000-0002-6938-8627
Loredana SarmatiInfectious Diseases Clinic, Policlinico Tor Vergata, Rome, Italy.ORCID https://orcid.org/0000-0003-1452-0333
University of Rome Tor Vergata · ITPoliclinico Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The objective of this study was to expand Methods: This was a retrospective monocentric study including patients hospitalized (>24 hours) at Policlinico Tor Vergata, Rome, Italy, between May 1, 2021, and September 1, 2022, treated with cefiderocol (>48 hours). The primary objective was early clinical improvement at 48-72 hours from cefiderocol start; secondary objectives were clinical success (composite outcome of infection resolution and 14-day survival), breakthrough infection, overall 30-day mortality, and cefiderocol-related adverse events. Results: Eleven patients were enrolled; 91% males (10/11), with a median age (interquartile range [IQR]) of 69 (59-71) years, 91% had ≥1 comorbidity, and 72.7% (8/11) were hospitalized in internal medicine wards. Six patients with bloodstream infection (54.5%; 4 primary, 2 central line-associated), 2 with pneumonia (18.2%), 2 with urinary tract infections (18.2%), and 1 with intra-abdominal infection (9.1%) were treated. Four patients (36.3%) presented with septic shock at cefiderocol start. Cefiderocol was used as monotherapy in 3/11 patients (27.3%), was combined with colistin in all the other 8 cases, and was used in triple combination with tigecycline in 2 patients. The median duration of treatment (IQR) was 12 (10-14) days. Early clinical improvement was documented in 8/11 patients (72.7%), clinical success in 8/11 patients (72.7%). Overall 30-day mortality was 27.3% (3/11), with death occurring a median (IQR) of 19 (17.5-20.5) days after the start of therapy. No cefiderocol-related adverse events were documented. Conclusions: Cefiderocol seems to be a safe and effective option for multidrug-resistant

Indexed as

Acinetobacter baumanniiantimicrobial resistancecefiderocolgram-negativereal-life

Identifiers

PMID38156051
PMCPMC10753918
OpenAlexW4390126884

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.