Evidence map›Paper›PMID 41334121›Full record

ArticleGerms2025

One-year surveillance of last-resort antimicrobial resistance patterns in carbapenemase-producing

Mihai Octavian Dan, Dragoş Florea, Alexandru Rafila, Mihai Turcitu, Dan Florin Turcitu, Daniela Tălăpan

Abstract read
In one paragraph

Article in Germs, 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. Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2026
    Article
  3. Article
  4. Insights intoFrontiers in microbiology · 2025
    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.

Mihai Octavian DanStudent, Carol Davila University of Medicine and Pharmacy, Bucharest and Center for Innovation and eHealth (CieH), Carol Davila University of Medicine and Pharmacy, 020021, Bucharest, Romania.
Dragoş FloreaMD, PhD, Carol Davila University of Medicine and Pharmacy, 020021, Bucharest and National Institute for Infectious Disease "Prof. Dr. Matei Balş", 021105, Bucharest, Romania.
Alexandru RafilaMD, PhD, Carol Davila University of Medicine and Pharmacy, 020021, Bucharest and National Institute for Infectious Disease "Prof. Dr. Matei Balş", 021105, Bucharest, Romania.
Mihai TurcituDVM, PhD, Omnigen SRL, 011752, Bucharest, Romania.
Dan Florin TurcituMD, Mioveni City Hospital, 115400, Mioveni, Romania.
Daniela TălăpanMD, PhD, Carol Davila University of Medicine and Pharmacy, 020021, Bucharest and National Institute for Infectious Disease "Prof. Dr. Matei Balş", 021105, Bucharest, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Antimicrobial resistance is a significant public health issue worldwide, associated with limited treatment options and with major consequences for healthcare systems. Our study aims to assess rates and patterns of resistance to five last-resort antimicrobials in a cohort of carbapenemase-producing Methods: This prospective observational study evaluated Results: A total of 139 non-duplicate strains were isolated, with 129 (92.8%) being carbapenemase producers. These 129 strains were phenotypically diverse: 29 (22.5%) were NDM, 12 (9.3%) OXA-48 type, 8 (6.2%) KPC, while most of them (62.0%) were double carbapenemase producers: 79 (61.2%) NDM and OXA-48-type, and one strain was NDM and KPC. Forty-six strains were resistant to cefiderocol (35.7%), 108 (83.7%) to ceftazidime/avibactam, 127 (98.4%) to ceftolozane/tazobactam, 116 (90.0%) to imipenem/relebactam and 127 (98.4%) to aztreonam. The association of aztreonam with ceftazidime/avibactam demonstrated a synergistic effect in 127 (98.5%) strains, while aztreonam with imipenem/relebactam was efficient in vitro against 103 (79.8%) strains. Conclusions: Antimicrobial resistance remains a concerning phenomenon among Enterobacterales, especially when considering the increasing resistance rates even against salvage therapy antimicrobials.

Indexed as

antimicrobial resistancecarbapenemsKlebsiella pneumoniaelast-resort antimicrobialsresistance mechanismssalvage therapy

Identifiers

PMID41334121
PMCPMC12642962

What OpenQuestion holds

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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.