Evidence map›Paper›PMID 39612160›Full record

ArticleInfectious diseases and therapy2025

Real-World Experience of Imipenem-Relebactam Treatment as Salvage Therapy in Difficult-to-Treat Pseudomonas aeruginosa Infections (IMRECOR Study).

Isabel Machuca, Arantxa Dominguez, Rosario Amaya, Cristina Arjona, Irene Gracia-Ahufinger, Maravillas Carralon, Rosa Giron, Isabel Gea, Natividad De Benito, Andres Martin and 9 more

Abstract read
In one paragraph

Article in Infectious diseases and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Effectiveness of imipenem-relebactam for multidrug-resistantAntimicrobial agents and chemotherapy · 2025
    Observational
  3. Review
  4. Observational
  5. Review
  6. Article
  7. 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

19 authors.

Isabel MachucaInfectious Diseases Service, Hospital Universitario Reina Sofía, Córdoba, Spain.
Arantxa DominguezAnesthesiology Service, Hospital Universitario Reina Sofía, Córdoba, Spain.
Rosario AmayaCritical Care Service, Hospital Universitario Virgen del Rocio, Seville, Spain.
Cristina ArjonaInstituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain.
Irene Gracia-AhufingerInstituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain.
Maravillas CarralonInternal Medicine Service, Hospital Quirón de Pozuelo, Madrid, Spain.
Rosa GironPneumology Service, Hospital La Princesa, Madrid, Spain.
Isabel GeaInfectious Diseases Service, Hospital de Jaén, Jaén, Spain.
Natividad De BenitoInfectious Diseases Service, Hospital Santa Creu y Sant Pau, Barcelona, Spain.
Andres MartinInfectious Diseases Service, Hospital Puerta del Mar, Cádiz, Spain.
Fatima GalanMicrobiology Unit, Hospital Puerta del Mar, Cádiz, Spain.
Jose Antonio MartinezInfectious Diseases Service, Hospital Clinic, Barcelona, Spain.
Rayden IglesiasCritical Care Service, Hospital de Granollers, Barcelona, Spain.
Jaume RevueltoCritical Care Service, Hospital Puerta del Mar, Cádiz, Barcelona, Spain.
Juan Jose CastonInfectious Diseases Service, Hospital Universitario Reina Sofía, Córdoba, Spain.
Angela CanoInfectious Diseases Service, Hospital Universitario Reina Sofía, Córdoba, Spain.
Elisa Ruiz-ArabiInfectious Diseases Service, Hospital Universitario Reina Sofía, Córdoba, Spain.
Luis Martínez-MartínezInstituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain. luis.martinez.martinez.sspa@juntadeandalucia.es.ORCID http://orcid.org/0000-0002-6091-4045
Julian Torre-CisnerosInfectious Diseases Service, Hospital Universitario Reina Sofía, Córdoba, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDifficult-to-treat-resistant (DTR) infections caused by Pseudomonas aeruginosa represent a global public health threat, prioritizing the search and development of new antibiotics for this microorganism.

methodsWe present the real-life experience of the compassionate use of imipenem/cilastatin/relebactam in a descriptive study involving 14 patients with DTR-P. aeruginosa infection and limited treatment options.

resultsThe primary source of infection was skin and soft tissue infection, 57.1% (8/14), followed by respiratory infection-pneumonia, 28.6% (4/14). At the onset of infection, 71.4% (10/14) of patients were in the intensive care unit (ICU). All our patients had a Charlson Score of ≥ 3. Septic shock was observed in 64.3% (9/14) of patients. The median treatment duration was 15 days, and no patient experienced an adverse event that required treatment interruption. All-cause 30-day mortality was observed in 42.9% of cases (6/14), while clinical efficacy and microbiological success were observed in 64.3% (9/14).

conclusionsImipenem/cilastatin/relebactam may represent a treatment option for patients with DTR-P. aeruginosa infections, which should be validated in prospective clinical trials.

Indexed as

CarbapenemCilastatinImipenemMultidrugPseudomonas aeruginosaRelebactamResistant

Identifiers

PMID39612160
PMCPMC11782751

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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.