Evidence map›Paper›PMID 41201734›Full record

ReviewInfection2026

Antibacterial therapy in central nervous system infections - breakpoints versus minimal inhibitory concentrations related to body fluid levels.

Roland Nau, Jana Seele, Utz Reichard, Fritz Sörgel

Abstract readReview
In one paragraph

Review in Infection, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Roland NauInstitute of Neuropathology, University Medical Center, Göttingen, Germany. rnau@gwdg.de.ORCID https://orcid.org/0000-0001-8316-995X
Jana SeeleInstitute of Neuropathology, University Medical Center, Göttingen, Germany.
Utz ReichardAmedes MVZ for Laboratory Medicine, Medical Microbiology and Infectiology, Göttingen, Germany.
Fritz SörgelInstitute for Biomedical and Pharmaceutical Research (IBMP), Nürnberg- Heroldsberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breakpoints to define the susceptibility of pathogens to antibiotics are becoming increasingly popular as guidance for antimicrobial therapy. Some breakpoints consider divergent concentrations of antibiotics in different compartments, others list one breakpoint for infections at all sites. Compared to the determination of exact minimal inhibitory concentrations (MICs) and relation of these MICs to concentrations achievable in ventricular CSF, the exclusive use of breakpoints for central nervous system (CNS) infections is a setback. The lack of the determination of exact MICs may be a risk, particularly when no clinical breakpoints for CNS infections have been defined. Moreover, the current practice of MIC determination of β-lactam/β-lactamase inhibitor combinations with fixed β-lactamase inhibitor concentrations ignores that often these β-lactamase inhibitor concentrations are not attained in CSF with established antibiotic regimens. In CNS infections, we strongly recommend the exact determination of MICs and their interpretation in relation to the true antibiotic concentrations in the infected compartment.

Indexed as

Anti-Bacterial AgentsBody FluidsCentral Nervous System Infectionsbeta-Lactamase InhibitorsHumansMicrobial Sensitivity TestsAnti-Bacterial Agentsbeta-Lactamase InhibitorsAntibioticsBreakpointCerebrospinal fluidMeningitisMinimum bactericidal concentration (MBC)Minimum inhibitory concentration (MIC)PharmacodynamicsPharmacokineticsVentriculitis

Identifiers

PMID41201734
PMCPMC13190492

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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.