Evidence map›Paper›PMID 41196281›Full record

ArticleAntimicrobial agents and chemotherapy2026

Variations in ventricular distribution of polymyxin B following intraventricular administration in patients with central nervous system infections.

Huifang Jiang, Yangmin Hu, Jing Cai, Jiali Zhang, Meng Chen, Lvfeng Hu, Xuben Yu, Kai Wei, Haibin Dai, Wei Yan

Abstract readCase Reports
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Huifang JiangDepartment of Pharmacy, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID 0009-0001-1772-0659
Yangmin HuDepartment of Pharmacy, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Jing CaiDepartment of Neuroscience Care Unit, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Jiali ZhangDepartment of Pharmacy, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Meng ChenDepartment of Pharmacy, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Lvfeng HuDepartment of Pharmacy, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Xuben YuDepartment of Pharmacy, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Kai WeiDepartment of Imaging, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Haibin Dai *Department of Pharmacy, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID 0000-0002-5768-2714
Wei Yan *Department of Neurosurgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID 0000-0002-1123-0835

Funding

Zhejiang Pharmaceutical Association Hospital Pharmacy Special Research Grant Project 2023ZYY14
6 · The paper itself

Abstract

Polymyxin B (PMB) demonstrates activity against multidrug-resistant Gram-negative pathogens. Intraventricular administration is considered when systemic therapy yields suboptimal cerebrospinal fluid (CSF) levels. We describe two cases of carbapenem-resistant gram-negative meningoencephalitis successfully treated with intraventricular PMB, in which unilateral PMB administration appeared to achieve bilateral ventricular distribution, with higher concentrations on the administration side. A potential association was observed between reduced CSF drainage and increased PMB concentrations. These findings may offer preliminary insights into optimizing PMB dosing strategies for CNS infections.

Indexed as

Anti-Bacterial AgentsCentral Nervous System InfectionsMeningoencephalitisPolymyxin BAdultAgedFemaleHumansInjections, IntraventricularMaleMicrobial Sensitivity TestsMiddle AgedAnti-Bacterial AgentsPolymyxin Bcarbapenem-resistant gram-negative bacteriacentral nervous system infectiongram-negative bacteriaintraventricularpolymyxin B

Identifiers

PMID41196281
PMCPMC12959133

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Registered trials

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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.