Evidence map›Paper›PMID 39984645›Full record

Articlenpj antimicrobials and resistance2025

Flash optimization of drug combinations for Acinetobacter baumannii with IDentif.AI-AMR.

Kui You, Nurhidayah Binte Mohamed Yazid, Li Ming Chong, Lissa Hooi, Peter Wang, Isaiah Zhuang, Stephen Chua, Ethan Lim, Alrick Zi Xin Kok, Kalisvar Marimuthu and 5 more

Abstract read
In one paragraph

Article in npj antimicrobials and resistance, 2025. 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
–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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  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

15 authors.

Kui You *Department of Biomedical Engineering, College of Design and Engineering, National University of Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0003-1450-4528
Nurhidayah Binte Mohamed Yazid *National Centre for Infectious Diseases (NCID), Singapore, Singapore.
Li Ming Chong *Department of Biomedical Engineering, College of Design and Engineering, National University of Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0002-3742-2704
Lissa Hooi *Cancer Science Institute of Singapore, National University of Singapore, Singapore, Singapore.
Peter Wang *Department of Biomedical Engineering, College of Design and Engineering, National University of Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0002-4925-1738
Isaiah ZhuangInstitute for Digital Medicine (WisDM), Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Stephen ChuaDepartment of Biomedical Engineering, College of Design and Engineering, National University of Singapore, Singapore, Singapore.
Ethan LimInstitute for Digital Medicine (WisDM), Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Alrick Zi Xin KokDepartment of Biomedical Engineering, College of Design and Engineering, National University of Singapore, Singapore, Singapore.
Kalisvar MarimuthuNational Centre for Infectious Diseases (NCID), Singapore, Singapore. kalisvar_marimuthu@ttsh.com.sg.
Shawn VasooNational Centre for Infectious Diseases (NCID), Singapore, Singapore. shawn_vasoo@ncid.sg.
Oon Tek NgNational Centre for Infectious Diseases (NCID), Singapore, Singapore. oon_tek_ng@ncid.sg.
Conrad E Z ChanNational Centre for Infectious Diseases (NCID), Singapore, Singapore. conrad_ez_chan@ncid.org.
Edward Kai-Hua ChowDepartment of Biomedical Engineering, College of Design and Engineering, National University of Singapore, Singapore, Singapore. edwardkchow@nus.edu.sg.
Dean HoDepartment of Biomedical Engineering, College of Design and Engineering, National University of Singapore, Singapore, Singapore. biedh@nus.edu.sg.

Funding

Agency for Science, Technology and Research (A*STAR) A20G8b0102/A-0002199-02-00Ministry of Education - Singapore (MOE) R-397-000-333-114MOH | National Medical Research Council (NMRC) MOH-OFLCG18May-0028National Research Foundation Singapore (National Research Foundation-Prime Minister's office, Republic of Singapore) AISG GC 2019 002
6 · The paper itself

Abstract

Antimicrobial resistance (AMR) is an emerging threat to global public health. Specifically, Acinetobacter baumannii (A. baumannii), one of the main pathogens driving the rise of nosocomial infections, is a Gram-negative bacillus that displays intrinsic resistance mechanisms and can also develop resistance by acquiring AMR genes from other bacteria. More importantly, it is resistant to nearly 90% of standard of care (SOC) antimicrobial treatments, resulting in unsatisfactory clinical outcomes and a high infection-associated mortality rate of over 30%. Currently, there is a growing challenge to sustainably develop novel antimicrobials in this ever-expanding arms race against AMR. Therefore, a sustainable workflow that properly manages healthcare resources to ultra-rapidly design optimal drug combinations for effective treatment is needed. In this study, the IDentif.AI-AMR platform was harnessed to pinpoint effective regimens against four A. baumannii clinical isolates from a pool of nine US FDA-approved drugs. Notably, IDentif.AI-pinpointed ampicillin-sulbactam/cefiderocol and cefiderocol/polymyxin B/rifampicin combinations were able to achieve 93.89 ± 5.95% and 92.23 ± 11.89% inhibition against the bacteria, respectively, and they may diversify the reservoir of treatment options for the indication. In addition, polymyxin B in combination with rifampicin exhibited broadly applicable efficacy and strong synergy across all tested clinical isolates, representing a potential treatment strategy for A. baumannii. IDentif.AI-pinpointed combinations may potentially serve as alternative treatment strategies for A. baumannii.

Identifiers

PMID39984645
PMCPMC11845484

What OpenQuestion holds

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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.