Evidence map›Paper›PMID 41467217›Full record

ArticleTherapeutic advances in infectious disease

Plazomicin in multidrug-resistant complicated urinary tract infections: a scoping review.

Subhash Todi, Rajeev Soman, Yatin Mehta, V Ramasubramanian, Veeraraghavan Balaji, Sanjay Pandey, Senthur Nambi, Rohit Malabade, Vaishali Gupte, Senthilnathan Mohanasundaram and 1 more

Abstract read
In one paragraph

Article in Therapeutic advances in infectious disease. 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. Review
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

11 authors.

Subhash TodiCritical Care and Emergency Medicine, Academics & Health Research at AMRI Hospitals, Kolkata, West Bengal, India.
Rajeev SomanDepartment of Infectious Disease, Jupiter Hospital, Pune, Maharashtra, India.
Yatin MehtaMedanta Institute of Critical Care and Anesthesiology, Medanta - The Medicity, Gurgaon, Haryana, India.
V RamasubramanianDepartment of Infectious Disease and Tropical Medicine, Apollo Hospitals, Chennai, Tamil Nadu, India.
Veeraraghavan BalajiThe Hilda Lazarus Core Research Chair, Christian Medical College & Hospital, Vellore, Tamil Nadu, India.
Sanjay PandeyAndrology & Reconstructive Urology, Kokilaben Hospital, Mumbai, Maharashtra, India.
Senthur NambiDepartment of Infectious Diseases, Apollo Hospitals, Chennai, Tamil Nadu, India.
Rohit MalabadeMedical Affairs, Cipla Ltd, Mumbai, Maharashtra, India.
Vaishali GupteMedical Affairs, Cipla Ltd, 289, Bellasis Rd, opposite Sahil Hotel, Navjeen society, Dalal Estate, Mumbai Central, Mumbai, Maharashtra 400008, India.ORCID https://orcid.org/0009-0008-3459-2629
Senthilnathan MohanasundaramMedical Affairs, Cipla Ltd, Mumbai, Maharashtra, India.
Jaideep GogtayMedical Affairs, Cipla Ltd, Mumbai, Maharashtra, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Complicated urinary tract infections (cUTIs) cause significant morbidity and mortality. Multidrug-resistant (MDR) organisms complicate cUTI management, highlighting the need for effective antimicrobials. Objective: This scoping review was conducted to assess the role of plazomicin in managing cUTIs. Eligibility criteria: This review included observational studies, clinical trials, qualitative studies, and in vitro studies published between 01 January 2018 and 15 July 2025. Source of evidence: Searches were conducted on PubMed, MEDLINE, EMBASE, and Google Scholar. Method: The screening process involved reviewing titles and abstracts, followed by full-text evaluation. Results: Thirty studies were included in this review. Compared with meropenem, plazomicin demonstrated superior microbiological eradication at the test of cure (TOC; 89.5%), composite cure rate at the TOC (81.7%), and comparable clinical cure rates both at the TOC (89%) and end of intravenous therapy (96.3%). Adverse events, observed in 19.5% of patients, primarily included diarrhea, nausea, and renal dysfunction, indicating a favorable safety profile. In vitro data showed susceptibility rates for plazomicin ranging from 87% to 99.8% against Enterobacteriaceae, with superior activity over gentamicin, amikacin, and tobramycin. Plazomicin demonstrated synergistic effects with colistin, meropenem, and fosfomycin against extensively drug-resistant isolates and carbapenem-resistant Enterobacteriaceae. Conclusion: This review underscores plazomicin as a promising treatment for MDR cUTIs. However, limited data from low- and middle-income countries like India highlight the need for real-world studies on its efficacy, safety, and cost-effectiveness in such countries.

Indexed as

acute pyelonephritisantimicrobial resistanceMDRplazomicinurinary tract infections

Identifiers

PMID41467217
PMCPMC12743788

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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.