Evidence map›Paper›PMID 39382274›Full record

ArticleAntimicrobial agents and chemotherapy2024

Assessment of the activity and mechanisms of resistance to cefiderocol and combinations of β-lactams and the novel β-lactamase inhibitors avibactam, taniborbactam, zidebactam, nacubactam, xeruborbactam, and ANT3310 in emerging double-carbapenemase-producing Enterobacterales.

Tania Blanco-Martín, Inmaculada López-Hernández, Belén Aracil, Lucía González-Pinto, Pablo Aja-Macaya, Isaac Alonso-García, Salud Rodríguez-Pallares, Lucía Sánchez-Peña, Michelle Outeda-García, María Pérez-Vázquez and 8 more

Abstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. JAC-antimicrobial resistance · 2026
    Article
  5. Carbapenem and colistin-resistantJAC-antimicrobial resistance · 2026
    Article
  6. Disarming carbapenemase-producingAntimicrobial agents and chemotherapy · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. [Beta-lactams and beta-lactamase inhibitors-current developments].Innere Medizin (Heidelberg, Germany) · 2025
    Review
  12. Review
  13. Article
  14. Article
  15. In vitro activity and resistance mechanisms of novel antimicrobial agents against metallo-β-lactamase producers.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Review
  16. Double carbapenemases inAntimicrobial agents and chemotherapy · 2025
    Article
  17. Review
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

18 authors.

Tania Blanco-Martín *Servicio de Microbiología Clínica e Instituto de Investigación Biomédica A Coruña (INIBIC), Complexo Hospitalario Universitario A Coruña, A Coruña, Spain.ORCID 0009-0003-1636-6429
Inmaculada López-Hernández *Laboratorio de Referencia para tipado molecular y detección de mecanismos de resistencia a antimicrobianos de Andalucía (PIRASOA). Unidad de Gestión Clínica de Microbiología y Enfermedades Infecciosas, Hospital Universitario Virgen Macarena. Instituto de Biomedicina de Sevilla (IBIS), CSIC, Universidad de Sevilla, Seville, Spain.
Belén Aracil *CIBER de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain.
Lucía González-PintoServicio de Microbiología Clínica e Instituto de Investigación Biomédica A Coruña (INIBIC), Complexo Hospitalario Universitario A Coruña, A Coruña, Spain.
Pablo Aja-MacayaServicio de Microbiología Clínica e Instituto de Investigación Biomédica A Coruña (INIBIC), Complexo Hospitalario Universitario A Coruña, A Coruña, Spain.
Isaac Alonso-GarcíaServicio de Microbiología Clínica e Instituto de Investigación Biomédica A Coruña (INIBIC), Complexo Hospitalario Universitario A Coruña, A Coruña, Spain.
Salud Rodríguez-PallaresServicio de Microbiología Clínica e Instituto de Investigación Biomédica A Coruña (INIBIC), Complexo Hospitalario Universitario A Coruña, A Coruña, Spain.
Lucía Sánchez-PeñaServicio de Microbiología Clínica e Instituto de Investigación Biomédica A Coruña (INIBIC), Complexo Hospitalario Universitario A Coruña, A Coruña, Spain.
Michelle Outeda-GarcíaServicio de Microbiología Clínica e Instituto de Investigación Biomédica A Coruña (INIBIC), Complexo Hospitalario Universitario A Coruña, A Coruña, Spain.
María Pérez-VázquezCIBER de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain.
Juan Carlos Vázquez-UchaServicio de Microbiología Clínica e Instituto de Investigación Biomédica A Coruña (INIBIC), Complexo Hospitalario Universitario A Coruña, A Coruña, Spain.
Alejandro BeceiroServicio de Microbiología Clínica e Instituto de Investigación Biomédica A Coruña (INIBIC), Complexo Hospitalario Universitario A Coruña, A Coruña, Spain.ORCID 0000-0002-6340-7815
Álvaro PascualLaboratorio de Referencia para tipado molecular y detección de mecanismos de resistencia a antimicrobianos de Andalucía (PIRASOA). Unidad de Gestión Clínica de Microbiología y Enfermedades Infecciosas, Hospital Universitario Virgen Macarena. Instituto de Biomedicina de Sevilla (IBIS), CSIC, Universidad de Sevilla, Seville, Spain.
Germán BouServicio de Microbiología Clínica e Instituto de Investigación Biomédica A Coruña (INIBIC), Complexo Hospitalario Universitario A Coruña, A Coruña, Spain.ORCID 0000-0001-8837-0062
Lorena López-Cerero *Laboratorio de Referencia para tipado molecular y detección de mecanismos de resistencia a antimicrobianos de Andalucía (PIRASOA). Unidad de Gestión Clínica de Microbiología y Enfermedades Infecciosas, Hospital Universitario Virgen Macarena. Instituto de Biomedicina de Sevilla (IBIS), CSIC, Universidad de Sevilla, Seville, Spain.ORCID 0000-0001-8950-4384
Jesús Oteo-Iglesias *CIBER de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain.
Jorge Arca-Suárez *Servicio de Microbiología Clínica e Instituto de Investigación Biomédica A Coruña (INIBIC), Complexo Hospitalario Universitario A Coruña, A Coruña, Spain.ORCID 0000-0002-4248-503X
GEMARA-SEIMC/CIBERINFEC Study Group on the activity and resistance mechanisms to new β-lactams and β-lactamase inhibitors (PROTECT)

Funding

Axencia Galega de Innovación (GAIN) IN606A 2023/023Axencia Galega de Innovación (GAIN) IN606B 2022/009Axencia Galega de Innovación (GAIN) IN607A 2016/22Axencia Galega de Innovación (GAIN) IN607D 2021/12Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC) CB21/13/00012Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC) CB21/13/00055Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC) CB21/13/00095MEC | Instituto de Salud Carlos III (ISCIII) CM21/00076MEC | Instituto de Salud Carlos III (ISCIII) CM23/00095MEC | Instituto de Salud Carlos III (ISCIII) CM23/00104MEC | Instituto de Salud Carlos III (ISCIII) FI23/00074MEC | Instituto de Salud Carlos III (ISCIII) JR21/00026MEC | Instituto de Salud Carlos III (ISCIII) JR23/00036MEC | Instituto de Salud Carlos III (ISCIII) PI20/00686MEC | Instituto de Salud Carlos III (ISCIII) PI20/01212MEC | Instituto de Salud Carlos III (ISCIII) PI21/00704MEC | Instituto de Salud Carlos III (ISCIII) PI22/01212MEC | Instituto de Salud Carlos III (ISCIII) PI23/00851MEC | Instituto de Salud Carlos III (ISCIII) PMP22/00092
6 · The paper itself

Abstract

We aimed to investigate the activity of and mechanisms of resistance to cefiderocol and innovative β-lactam/β-lactamase inhibitor combinations in a nationwide collection of double-carbapenemase-producing Enterobacterales. In all, 57 clinical isolates co-producing two carbapenemases collected from Spanish hospitals during the period 2017-2022 were analyzed. Minimum inhibitory concentration (MIC) values for ceftazidime, ceftazidime/avibactam, aztreonam, aztreonam/avibactam, aztreonam/nacubactam, cefiderocol, cefepime, cefepime/taniborbactam, cefepime/zidebactam, cefepime/nacubactam, imipenem, imipenem/relebactam, meropenem, meropenem/vaborbactam, meropenem/xeruborbactam, and meropenem/ANT3310 were determined by reference broth microdilution. Genetic drivers of resistance were analyzed by whole-genome sequencing (WGS). The collection covered nine carbapenemase associations: VIM + OXA-48 (21/57), NDM + OXA-48 (11/57), KPC + VIM (10/57), KPC + OXA-48 (6/57), IMP + OXA-48 (3/57), NDM + KPC (2/57), NDM + VIM (2/57), NDM + GES (1/57), and KPC + IMP (1/57). Ceftazidime/avibactam, imipenem/relebactam, and meropenem/vaborbactam were the least active options. Aztreonam/avibactam and aztreonam/nacubactam were active against the whole collection and yielded MIC

Indexed as

Anti-Bacterial AgentsAzabicyclo CompoundsBacterial Proteinsbeta-Lactamase Inhibitorsbeta-LactamasesCefiderocolCephalosporinsHeterocyclic Compounds, 1-RingMicrobial Sensitivity TestsAztreonambeta-LactamsBorinic AcidsBoronic AcidsCarbapenem-Resistant EnterobacteriaceaeCarboxylic AcidsCefepimeAnti-Bacterial Agentsavibactamavibactam, ceftazidime drug combinationAzabicyclo CompoundsAztreonamBacterial Proteinsbeta-Lactamase Inhibitorsbeta-Lactamasesbeta-LactamsBorinic AcidsBoronic AcidscarbapenemaseCarboxylic AcidsCefepimeCefiderocolCeftazidimeCephalosporinsCyclooctanesDrug CombinationsHeterocyclic Compounds, 1-RingLactamsnacubactamPiperidinestaniborbactamzidebactamantimicrobial resistancecarbapenemasecefiderocoldouble carbapenemaseEnterobacteralesβ-lactamaseβ-lactamase inhibitor

Identifiers

PMID39382274
PMCPMC11539232

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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.