Evidence map›Paper›PMID 38626241›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2024

Amoxicillin-Clavulanate Breakpoints Against Enterobacterales: Rationale for Revision by the Clinical and Laboratory Standards Institute.

Navaneeth Narayanan, Amy J Mathers, Eric Wenzler, Nicholas M Moore, Christian G Giske, Rodrigo E Mendes, Paul H Edelstein

Open access · greenAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-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

9 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Biofilm Formation and the Pore ProteinsAntibiotics (Basel, Switzerland) · 2026
    Article
  3. Gut check: antimicrobial stewardship opportunities in intra-abdominal infections.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026
    Review
  4. False equivalence: differences in theJAC-antimicrobial resistance · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Amoxicillin-Clavulanate Breakpoints Against Haemophilus influenzae: Rationale for Revision by the Clinical and Laboratory Standards Institute2.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    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 7 institutions in 3 countries.

Navaneeth NarayananDepartment of Pharmacy Practice and Administration, Ernest Mario School of Pharmacy, Rutgers University, Piscataway, New Jersey, USA.ORCID 0000-0001-5071-9193
Amy J MathersDepartment of Medicine and Pathology, University of Virginia, Charlottesville, Virginia, USA.ORCID 0000-0002-3533-6351
Eric WenzlerRoche Diagnostics Corporation, Indianapolis, Indiana, USA.ORCID 0000-0003-3914-8400
Nicholas M MooreDepartments of Internal Medicine and Pathology, Rush University Medical Center, Chicago, Illinois, USA.ORCID 0000-0002-9734-8905
Christian G GiskeDivision of Clinical Microbiology, Department of Laboratory Medicine, Karolinska University Hospital and Karolinska Institute, Stockholm, Sweden.ORCID 0000-0003-4327-6122
Rodrigo E MendesJMI Laboratories, North Liberty, Iowa, USA.ORCID 0000-0002-8648-1137
Paul H EdelsteinDepartment Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-4069-5279
JMI Laboratories · USKarolinska University Hospital · SERoche (United States) · USRush University Medical Center · USRutgers, The State University of New Jersey · USUniversity of Cambridge · GBUniversity of Virginia · US

Funding

Gut Microbiome and Pharmacokinetic Variability in Tuberculosis and DiabetesK23AI159396 · NIAID · RUTGERS, THE STATE UNIV OF N.J. · PI Navaneeth Narayanan · 2022 to 2026
$998k
NIAID NIH HHS K23 AI159396NIH HHS
6 · The paper itself

Abstract

Amoxicillin-clavulanate (AMC) is among the most frequently prescribed antibiotics globally. It has broad antibacterial activity against gram-positive, gram-negative, and anaerobic bacteria and has been used to treat infections caused by a broad range of pathogens. AMC breakpoints against Enterobacterales were initially set in the 1980s. However, since that time, increases in antibiotic resistance, advances in pharmacokinetic/pharmacodynamic analyses, and publication of additional clinical data prompted a reassessment by the Clinical and Laboratory Standards Institute (CLSI) Subcommittee on Antimicrobial Susceptibility Testing. Based on this contemporary reappraisal, the CLSI retained the Enterobacterales breakpoints but revised comments regarding dosing associated with use of the AMC breakpoints in the 2022 supplement of M100. This viewpoint provides insight into the CLSI breakpoint reevaluation process and summarizes the data and rationale used to support these revisions to the AMC Enterobacterales breakpoint.

Indexed as

Amoxicillin-Potassium Clavulanate CombinationAnti-Bacterial AgentsEnterobacteriaceaeMicrobial Sensitivity TestsEnterobacteriaceae InfectionsHumansAmoxicillin-Potassium Clavulanate CombinationAnti-Bacterial Agentsamoxicillin clavulanateantimicrobial susceptibility testingCLSIpharmacodynamicspharmacokinetics

Identifiers

PMID38626241
PMCPMC11327796
OpenAlexW4394856981

What OpenQuestion holds

Textmetadata
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.