Evidence map›Paper›PMID 41490412›Full record

ArticlePloS one2026

Safety and therapeutic potential evaluation of Cefotaxime plus Polymyxin B against polymyxin-carbapenem resistant Klebsiella pneumoniae in a murine model.

Mariana Carvalho Sturaro, Nathalia da Silva Damaceno, Gleyce Hellen de Almeida de Souza, José Eduardo Souza Echeverria, Ediane Bortolotte Cornelius, Luccas Pereira Pires, Pedro Vinícius Dias Bassetto Silva, Bárbara Maria Cristaldo Gomes, Thiago Leite Fraga, Osmar Nascimento Silva and 2 more

Abstract read
In one paragraph

Article in PloS one, 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

12 authors.

Mariana Carvalho SturaroLaboratory of Research in Health Science, Federal University of Grande Dourados, Dourados, Mato Grosso do Sul, Brazil.
Nathalia da Silva DamacenoLaboratory of Research in Health Science, Federal University of Grande Dourados, Dourados, Mato Grosso do Sul, Brazil.
Gleyce Hellen de Almeida de SouzaLaboratory of Research in Health Science, Federal University of Grande Dourados, Dourados, Mato Grosso do Sul, Brazil.
José Eduardo Souza EcheverriaLaboratory of Research in Health Science, Federal University of Grande Dourados, Dourados, Mato Grosso do Sul, Brazil.
Ediane Bortolotte CorneliusLaboratory of Research in Health Science, Federal University of Grande Dourados, Dourados, Mato Grosso do Sul, Brazil.
Luccas Pereira PiresLaboratory of Research in Health Science, Federal University of Grande Dourados, Dourados, Mato Grosso do Sul, Brazil.
Pedro Vinícius Dias Bassetto SilvaLaboratory of Research in Health Science, Federal University of Grande Dourados, Dourados, Mato Grosso do Sul, Brazil.
Bárbara Maria Cristaldo GomesUniversity Center of Grande Dourados - UNIGRAN, Dourados, Mato Grosso do Sul, Brazil.
Thiago Leite FragaUniversity Center of Grande Dourados - UNIGRAN, Dourados, Mato Grosso do Sul, Brazil.
Osmar Nascimento SilvaEvangelical University of Goiás, Anápolis, Goiás, Brazil.
Luana RossatoLaboratory of Research in Health Science, Federal University of Grande Dourados, Dourados, Mato Grosso do Sul, Brazil.
Simone SimionattoLaboratory of Research in Health Science, Federal University of Grande Dourados, Dourados, Mato Grosso do Sul, Brazil.ORCID https://orcid.org/0000-0003-2367-0915

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to evaluate the toxicity and antibacterial efficacy of Cefotaxime/Polymyxin B combination (CTX/PMB) against a polymyxin-carbapenem-resistant (PC-R) Klebsiella pneumoniae strain, using a mice model. METHODS AND

resultsA single-dose toxicity assay was conducted in BALB/c mice, divided into control and CTX/PMB-treated groups receiving low, medium, or high CTX doses. Body weight, food, and water intake were monitored for 14 days. After euthanasia, organ weights and plasma biochemical markers were analyzed. Medium- and high-dose groups maintained stable weight and intake. High-dose mice exhibited reduced right kidney and liver weights and elevated urea levels. Creatinine was at the upper limit in all groups, including one control mouse. For antimicrobial efficacy, BALB/c neutropenic mice infected with PC-R K. pneumoniae K18 were assigned to naïve, mock-treated, CTX, PMB, or CTX/PMB groups. Treatments were given every 12 h, and after 24 h, blood was collected to quantify bacterial load. CTX/PMB significantly reduced blood bacterial load and improved clinical condition compared to other groups.

conclusionCTX/PMB showed therapeutic potential in treating PC-R K. pneumoniae. However higher CTX doses may potentiate PMB-associated toxicity. These findings encourage further investigation in advanced preclinical models and clinical settings to fully elucidate CTX/PMB therapeutic potential and optimize dosing regimens.

Indexed as

Anti-Bacterial AgentsCefotaximeKlebsiella InfectionsKlebsiella pneumoniaePolymyxin BAnimalsCarbapenemsDisease Models, AnimalFemaleMiceMice, Inbred BALB CMicrobial Sensitivity TestsAnti-Bacterial AgentsCarbapenemsCefotaximePolymyxin B

Identifiers

PMID41490412
PMCPMC12768368

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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.