Evidence map›Paper›PMID 40211971›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2025

The importance of monitoring a new antibiotic: ceftazidime/avibactam usage and resistance experience from England, 2016 to 2020.

Rebecca L Guy, Katie L Hopkins, Emma L Budd, Kate Wilson, Holly Fountain, Danièle Meunier, Rachel Pike, Sarah M Gerver, Roshina Gnanadurai, Colin S Brown and 2 more

Abstract read
In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Rebecca L GuyAMR & HCAI Division, UK Health Security Agency, London, United Kingdom.
Katie L HopkinsAntimicrobial Resistance and Healthcare Associated Infections (AMRHAI) Reference Unit, UK Health Security Agency, London, United Kingdom.
Emma L BuddAMR & HCAI Division, UK Health Security Agency, London, United Kingdom.
Kate WilsonAMR & HCAI Division, UK Health Security Agency, London, United Kingdom.
Holly FountainAMR & HCAI Division, UK Health Security Agency, London, United Kingdom.
Danièle MeunierAntimicrobial Resistance and Healthcare Associated Infections (AMRHAI) Reference Unit, UK Health Security Agency, London, United Kingdom.
Rachel PikeAntimicrobial Resistance and Healthcare Associated Infections (AMRHAI) Reference Unit, UK Health Security Agency, London, United Kingdom.
Sarah M GerverAMR & HCAI Division, UK Health Security Agency, London, United Kingdom.
Roshina GnanaduraiBacterial Reference Department, UK Health Security Agency, London, United Kingdom.
Colin S BrownAMR & HCAI Division, UK Health Security Agency, London, United Kingdom.
Susan HopkinsAMR & HCAI Division, UK Health Security Agency, London, United Kingdom.
Berit Muller-PebodyAMR & HCAI Division, UK Health Security Agency, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundCeftazidime/avibactam, launched in the United Kingdom (UK) in March 2017, is an antibiotic against multidrug-resistant Gram-negative pathogens. It was selected for the government's subscription model pilot, for incentivising new antibiotic development, which began in December 2020.AimAhead of the pilot, we assessed ceftazidime/avibactam testing, resistance (2016-2020) and usage (2017-2020) levels in England, as baselines for future surveillance.MethodsFrom routine surveillance samples, we retrieved reported ceftazidime/avibactam resistance categorisation. From reference laboratory samples, we reviewed minimum inhibitory concentration (MICs) and molecular data. Among surveillance samples, per cent resistance was estimated. Referred samples' MICs, by carbapenemase gene presence, were investigated. Ceftazidime/avibactam hospital use was measured in defined daily doses (DDDs).ResultsOverall, 6.3% (4,200/66,914; 95% confidence interval (95%CI): 6.1-6.4%) of surveillance-reported ceftazidime/avibactam-tested Gram-negative bacteria were resistant. Percentage resistance per bacterial species varied over time, somewhat stabilising as testing was established, with between April 2019 and March 2020, 1.3%

Indexed as

Anti-Bacterial AgentsAzabicyclo CompoundsCeftazidimeDrug Resistance, Multiple, BacterialGram-Negative BacteriaGram-Negative Bacterial InfectionsBacterial Proteinsbeta-LactamasesDrug CombinationsEnglandHumansKlebsiella pneumoniaeMicrobial Sensitivity TestsAnti-Bacterial Agentsavibactam, ceftazidime drug combinationAzabicyclo CompoundsBacterial Proteinsbeta-LactamasescarbapenemaseCeftazidimeDrug CombinationsAMRAMSAMUcarbapenemaseceftazidime/avibactamCPEemerging resistanceEnterobacteralesnew antimicrobial

Identifiers

PMID40211971
PMCPMC11987491

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.