Evidence map›Paper›PMID 40137705›Full record

ArticlePathogens (Basel, Switzerland)2025

Are New β-Lactam/β-Lactamase Inhibitor Combinations Promising Against Carbapenem-Resistant

Ayşe Nur Ceylan, Selda Kömeç, Kamuran Şanlı, Beyza Öncel, Mehmet Akif Durmuş, Abdurrahman Gülmez

Abstract read
In one paragraph

Article in Pathogens (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Novel Antibiotics and Emerging Resistance: Infectious diseases & clinical microbiology · 2026
    Article
  5. Article
  6. Article
  7. Revisiting the Metallo-International journal of microbiology · 2025
    Review
  8. 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

6 authors.

Ayşe Nur CeylanDepartment of Medical Microbiology, Basaksehir Çam and Sakura City Hospital, University of Health Science, Istanbul 34480, Türkiye.ORCID 0000-0002-0049-6873
Selda KömeçDepartment of Medical Microbiology, Basaksehir Çam and Sakura City Hospital, University of Health Science, Istanbul 34480, Türkiye.ORCID 0000-0002-6726-0048
Kamuran ŞanlıDepartment of Medical Microbiology, Basaksehir Çam and Sakura City Hospital, University of Health Science, Istanbul 34480, Türkiye.ORCID 0000-0003-0814-5637
Beyza ÖncelDepartment of Medical Microbiology, Basaksehir Çam and Sakura City Hospital, University of Health Science, Istanbul 34480, Türkiye.
Mehmet Akif DurmuşDepartment of Medical Microbiology, Basaksehir Çam and Sakura City Hospital, University of Health Science, Istanbul 34480, Türkiye.ORCID 0000-0002-3637-6451
Abdurrahman GülmezMedical Microbiology Laboratory, Aydın Ataturk State Hospital, Aydın 09020, Türkiye.ORCID 0000-0003-3953-5267

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesCarbapenem-resistant

methodsBetween October 2021 and June 2022, a total of 504 CRKP isolates were grown from patient samples in intensive care units. When duplicate patient samples were removed, the remaining 89 isolates were included in the study. Bacterial identification and antimicrobial susceptibility testing were per-formed using MALDI-TOF, Phoenix M50, and disk diffusion methods, following EUCAST guidelines. PCR analyses identified carbapenemase genes such as OXA-48, NDM, and KPC.

resultsThe most prevalent carbapenemase gene was OXA-48 (79.8%), followed by NDM (21.4%) and KPC (17.9%). The susceptibility rate to CZA was 82.0%, significantly higher than MEV (10.1%). All isolates were resistant to piperacillin/tazobactam and ceftolozane/tazobactam. Among MEV-resistant isolates, most carried the OXA-48 gene, while NDM was common in CZA-resistant isolates.

conclusionsCZA demonstrates high efficacy against OXA-48-producing CRKP, making it a viable treatment option in settings where OXA-48 predominates. The limited activity of MEV in this study underscores the need for molecular surveillance of resistance mechanisms to guide empirical therapy.

Indexed as

Anti-Bacterial Agentsbeta-Lactamase InhibitorsCarbapenem-Resistant EnterobacteriaceaeKlebsiella InfectionsKlebsiella pneumoniaeAzabicyclo CompoundsBacterial Proteinsbeta-Lactamasesbeta-LactamsBoronic AcidsCarbapenemsCeftazidimeDrug CombinationsHeterocyclic Compounds, 1-RingHumansMeropenemAnti-Bacterial Agentsavibactam, ceftazidime drug combinationAzabicyclo CompoundsBacterial Proteinsbeta-Lactamase Inhibitorsbeta-Lactamasesbeta-LactamsBoronic AcidscarbapenemaseCarbapenemsCeftazidimeDrug CombinationsHeterocyclic Compounds, 1-RingMeropenemmeropenem and vaborbactamcarbapenem-resistant Klebsiella pneumoniaeceftazidime/avibactamKPCmeropenem/vaborbactamNDMOXA-48

Identifiers

PMID40137705
PMCPMC11944681

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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.