Evidence map›Paper›PMID 41102622›Full record

ArticleBMC infectious diseases2025

Cefiderocol therapy among immunocompromised adult patients: a descriptive analysis from a prospective, multicentre cohort study.

Andrea Lombardi, Daniele Roberto Giacobbe, Davide Mangioni, Bianca Mariani, Antonio Muscatello, Marco Muccio, Chiara Aldieri, Federica Briano, Bruno Cacopardo, Alessandra Calabresi and 40 more

Abstract readMulticenter Study
In one paragraph

Article in BMC infectious diseases, 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. Article
  2. Review
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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

50 authors.

Andrea LombardiDepartment of Pathophysiology and Transplantation, University of Milano, Milan, Italy.ORCID http://orcid.org/0000-0002-0383-9579
Daniele Roberto GiacobbeDepartment of Health Sciences (DISSAL), University of Genoa, Genoa, Italy and Clinica Malattie Infettive, IRCCS Ospedale Policlinico San Martino, Genoa, Italy. danieleroberto.giacobbe@unige.it.ORCID http://orcid.org/0000-0003-2385-1759
Davide MangioniInfectious Diseases Unit, IRCCS Ca' Granda Ospedale Maggiore Policlinico Foundation, Milan, Italy.
Bianca MarianiInfectious Diseases Unit, IRCCS Ca' Granda Ospedale Maggiore Policlinico Foundation, Milan, Italy.
Antonio MuscatelloInfectious Diseases Unit, IRCCS Ca' Granda Ospedale Maggiore Policlinico Foundation, Milan, Italy.
Marco MuccioClinica Malattie Infettive, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Chiara AldieriInfectious Diseases Unit, S. Croce E Carle Hospital, Cuneo, Italy.
Federica BrianoSC Malattie Infettive E Tropicali, Ospedale San Paolo Savona, Savona, Italy.
Bruno CacopardoDepartment of Clinical and Experimental Medicine, Unit of Infectious Diseases, ARNAS Garibaldi Hospital, University of Catania, Catania, Italy.
Alessandra CalabresiAOU SS Antonio, Biagio e Cesare Arrigo, Alessandria, Italy.
Federico Capra MarzaniSC AR1-Terapia Intensiva Generale, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Anna CarrettaDepartment of Medical and Surgical Sciences, Infectious Diseases Unit, University of Foggia, Foggia, Italy.
Annamaria CattelanInfectious and Tropical Diseases Unit, Padua University Hospital, Padua, Italy.
Luca CeccarelliDepartment of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Giovanni CenderelloDepartment of Infectious Diseases, Sanremo Hospital, Sanremo, Italy.
Silvia CorcioneDepartment of Medical Sciences, Infectious Diseases, University of Turin, Turin, Italy.
Andrea CortegianiDepartment of Precision Medicine in Medical, Surgical and Critical Care Area (Me.Pre.C.C.), University of Palermo, Palermo, Italy.
Rosario CultreraDepartment of Translational Medicine, University of Ferrara, Ferrara, Italy.
Francesco Giuseppe De RosaDepartment of Medical Sciences, Infectious Diseases, University of Turin, Turin, Italy.
Valerio Del BonoInfectious Diseases Unit, S. Croce E Carle Hospital, Cuneo, Italy.
Filippo Del PuenteDepartment of Infectious Diseases, Galliera Hospital, Genoa, Italy.
Chiara FanelliDepartment of Medicine, Surgery and Pharmacy, University of Sassari, Sassari, Italy.
Fiorenza FavaAnestesia E Terapia Intensiva Cardiotoracica, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Daniela FrancisciDepartment of Medicine, Infectious Diseases Clinic, Santa Maria Della Misericordia Hospital, University of Perugia, Perugia, Italy.
Nicholas GeremiaUnit of Infectious Diseases, Department of Clinical Medicine, Ospedale "Dell'Angelo", Venice, Italy.
Lucia GrazianiDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Angela Raffaella LositoDipartimento Di Scienze Mediche E Chirurgiche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, UOC Malattie Infettive, Rome, Italy.
Ivana MaidaDepartment of Medicine, Surgery and Pharmacy, University of Sassari, Sassari, Italy.
Andrea MarinoDepartment of Clinical and Experimental Medicine, Unit of Infectious Diseases, ARNAS Garibaldi Hospital, University of Catania, Catania, Italy.
Maria MazzitelliInfectious and Tropical Diseases Unit, Padua University Hospital, Padua, Italy.
Marco MerliASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Roberta MonardoUniversità Vita-Salute San Raffaele, Milan, Italy.
Alessandra MularoniIRCCS-ISMETT, Palermo, Italy.
Chiara OltoliniASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Carlo PallottoDepartment of Medicine, Infectious Diseases Clinic, Santa Maria Della Misericordia Hospital, University of Perugia, Perugia, Italy.
Emanuele PontaliDepartment of Infectious Diseases, Galliera Hospital, Genoa, Italy.
Francesca RaffaelliDipartimento Di Scienze Mediche E Chirurgiche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, UOC Malattie Infettive, Rome, Italy.
Matteo RinaldiDepartment of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Marco RipaUniversità Vita-Salute San Raffaele, Milan, Italy.
Teresa Antonia SantantonioDepartment of Medical and Surgical Sciences, Infectious Diseases Unit, University of Foggia, Foggia, Italy.
Francesco Saverio SerinoAzienda ULSS4 Veneto Orientale, UOS Malattie Infettive, UOC Medicina Generale Portogruaro, Portogruaro, Italy.
Michele SpinicciDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Carlo TortiDipartimento Di Scienze Mediche E Chirurgiche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, UOC Malattie Infettive, Rome, Italy.
Enrico Maria TrecarichiDepartment of Life Science, Health, and Health Professions, Link Campus University, Rome, Italy.
Mario TumbarelloDepartment of Medical Biotechnologies, University of Siena, Siena, Italy.
Malgorzata MikulskaDepartment of Health Sciences (DISSAL), University of Genoa, Genoa, Italy and Clinica Malattie Infettive, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Antonio VenaDepartment of Health Sciences (DISSAL), University of Genoa, Genoa, Italy and Clinica Malattie Infettive, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Alessandra BanderaDepartment of Pathophysiology and Transplantation, University of Milano, Milan, Italy.
Matteo BassettiDepartment of Health Sciences (DISSAL), University of Genoa, Genoa, Italy and Clinica Malattie Infettive, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
CEFI-SITA investigators

Funding

Shionogi 2021-IIR-000047
6 · The paper itself

Abstract

purposeThe global rise in infections due to multidrug-resistant Gram-negative bacteria (MDRGNB) infections has disproportionately impacted immunocompromised (IC) hosts. Cefiderocol, a novel siderophore cephalosporin, exhibits potent activity against MDRGNB, but limited data exist on its use in IC patients. This study aimed to describe cefiderocol use in IC patients.

methodsPatients and therapy characteristics were descriptively reported, and outcomes were compared between IC and non-IC patients. Cox regression models were used to identify factors associated with mortality.

resultsAmong 185 patients, 84 (45.4%) were IC. Similar descriptive rates were observed in IC and non-IC groups regarding indications for cefiderocol use, choice of monotherapy versus combination therapy, or empirical versus targeted treatment. The 28-day clinical cure rates were similar across patients receiving targeted cefiderocol therapy for infection due to Pseudomonas aeruginosa (81%, 17/21), Enterobacterales (77.3%, 17/22) and Acinetobacter baumannii (42%, 21/50). Thirty-day mortality was comparable between IC and non-IC patients (40.8%, 95% confidence interval [CI] 27.9–56.8 vs 33.3%, 95% CI 22.9–46.9; p = 0.5430). In multivariable analysis IC status was not associated with higher mortality.

conclusionCefiderocol use in IC patients resulted in clinical outcomes comparable to non-IC patients when treating MDRGNB infections. IC status was not associated with an increased mortality, emphasising the importance of effective antimicrobial therapy. Further investigation is needed to clarify the relative impact of the administered treatment vs. the patients’ clinical condition in influencing the prognosis of Acinetobacter baumannii infections.

Indexed as

Anti-Bacterial AgentsCephalosporinsGram-Negative Bacterial InfectionsImmunocompromised HostAdultAgedAged, 80 and overCefiderocolDrug Resistance, Multiple, BacterialFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeAnti-Bacterial AgentsCefiderocolCephalosporinsAntibiotic therapyAntimicrobial resistanceCefiderocolMortalitySOT

Identifiers

PMID41102622
PMCPMC12532878

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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.