Evidence map›Paper›PMID 38902935›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2025

Rates of Resistance to Ceftazidime-Avibactam and Ceftolozane-Tazobactam Among Patients Treated for Multidrug-Resistant Pseudomonas aeruginosa Bacteremia or Pneumonia.

Sunish Shah, Ellen G Kline, Ghady Haidar, Kevin M Squires, Jason M Pogue, Erin K McCreary, Justin Ludwig, Lloyd G Clarke, Madison Stellfox, Daria Van Tyne and 1 more

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Variable phage susceptibility ofbioRxiv : the preprint server for biology · 2026
    Article
  4. Article
  5. Article
  6. Challenges and opportunities in the management of severe pneumonia. Key concepts from the Seventh Annual Meeting of Spanish Experts 2025.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    Review
  7. Ceftazidime-avibactam resistance evolution inAntimicrobial agents and chemotherapy · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Mechanisms ofMedicina (Kaunas, Lithuania) · 2026
    Review
  12. New Antibiotics Against Multidrug-Resistant Gram-Negative Bacteria in Lung Transplantation: Clinical Evidence, Safety, and PK/PD Properties.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Review
  13. TheFrontiers in cellular and infection microbiology · 2026
    Article
  14. Article
  15. Review
  16. Effectiveness of imipenem-relebactam for multidrug-resistantAntimicrobial agents and chemotherapy · 2025
    Observational
  17. Therapeutic management of health care-associated pneumonia.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2025
    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

11 authors.

Sunish ShahAntibiotic Management Program, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Ellen G KlineDepartment of Medicine, Division of Infectious Diseases, University of Pittsburgh, Pittsburgh Pennsylvania, USA.
Ghady HaidarDepartment of Medicine, Division of Infectious Diseases, University of Pittsburgh, Pittsburgh Pennsylvania, USA.
Kevin M SquiresDepartment of Medicine, Division of Infectious Diseases, University of Pittsburgh, Pittsburgh Pennsylvania, USA.
Jason M PogueDepartment of Pharmacy, University of Michigan College of Pharmacy, Ann Arbor, Michigan, USA.
Erin K McCrearyDepartment of Medicine, Division of Infectious Diseases, University of Pittsburgh, Pittsburgh Pennsylvania, USA.
Justin LudwigOffice of Quality and Clinical Research Innovation, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Lloyd G ClarkeAntibiotic Management Program, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Madison StellfoxDepartment of Medicine, Division of Infectious Diseases, University of Pittsburgh, Pittsburgh Pennsylvania, USA.
Daria Van TyneDepartment of Medicine, Division of Infectious Diseases, University of Pittsburgh, Pittsburgh Pennsylvania, USA.
Ryan K ShieldsAntibiotic Management Program, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-9794-5665

Funding

The Gut Microbiome in Carbapenem-Resistant Enterobacteriaceae Colonization, Persistence, Infection, and Tolerance after Lung or Liver TransplantationK23AI154546 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HAIDAR, GHADY · 2021 to 2025
$896k
Genetic and phenotypic adaptations of vancomycin-resistant Enterococcus faecium during recurrent bloodstream infectionK08AI185312 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Madison Elaine Stellfox · 2024 to 2026
$513k
Use of site-specific pharmacokinetics to optimize antibiotic combinations and prevent the emergence of resistance against CRER21AI151363 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SHIELDS, RYAN K · 2021 to 2022
$431k
NIAID NIH HHS K08 AI185312NIAID NIH HHS K23 AI154546NIAID NIH HHS R21 AI151363
6 · The paper itself

Abstract

Among consecutive patients with multidrug-resistant Pseudomonas aeruginosa bacteremia or pneumonia we found those treated with ceftazidime-avibactam were more likely to develop resistance (defined as ≥4-fold increased MIC) than those treated with ceftolozane-tazobactam (40% vs 10%; P = .002). Ceftazidime-avibactam resistance was associated with new mutations in ampC and efflux regulatory pathways.

Indexed as

Anti-Bacterial AgentsAzabicyclo CompoundsBacteremiaCeftazidimeCephalosporinsDrug Resistance, Multiple, BacterialPenicillanic AcidPneumonia, BacterialPseudomonas aeruginosaPseudomonas InfectionsAgedAged, 80 and overBacterial Proteinsbeta-LactamasesDrug CombinationsFemaleAnti-Bacterial Agentsavibactam, ceftazidime drug combinationAzabicyclo CompoundsBacterial Proteinsbeta-LactamasesCeftazidimeceftolozane, tazobactam drug combinationCephalosporinsDrug CombinationsPenicillanic AcidTazobactamceftazidime-avibactamceftolozane-tazobactamMDRPseudomonasresistance

Identifiers

PMID38902935
PMCPMC12057557

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.