Evidence map›Paper›PMID 41627487›Full record

ReviewArchives of microbiology2026

Therapeutic milestones against multidrug resistant Acinetobacter baumannii: from legacy antibiotics to Zosurabalpin.

Jaya Malik, Shilpy Singh, Dharmsheel Shrivastav, Ved Vrat Verma, Ravi Kant Pal, Manoj Kumar Mishra, Varun Kumar Sharma

Abstract readReview
PubMed Publisher
In one paragraph

Review in Archives of microbiology, 2026. 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. Virulence · 2026
    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

7 authors.

Jaya Malik *Department of Biotechnology & Microbiology, School of Sciences, Noida International University-NIU, Gautam Budh Nagar-201308, Uttar Pradesh, Greater Noida, India.
Shilpy Singh *Department of Biotechnology & Microbiology, School of Sciences, Noida International University-NIU, Gautam Budh Nagar-201308, Uttar Pradesh, Greater Noida, India.
Dharmsheel ShrivastavDepartment of Biotechnology & Microbiology, School of Sciences, Noida International University-NIU, Gautam Budh Nagar-201308, Uttar Pradesh, Greater Noida, India.
Ved Vrat VermaDepartment of Biotechnology, School of Engineering and Technology, Noida International University-NIU, Gautam Budh Nagar-201308, Uttar Pradesh, Greater Noida, India.
Ravi Kant PalNational Institute of Immunology, Aruna Asaf Ali Marg, New Delhi, 110067, India.
Manoj Kumar MishraDepartment of Biotechnology, SR Institute of Management & Technology, Lucknow, Uttar Pradesh, India.
Varun Kumar SharmaDepartment of Biotechnology & Microbiology, School of Sciences, Noida International University-NIU, Gautam Budh Nagar-201308, Uttar Pradesh, Greater Noida, India. varungenetics@gmail.com.ORCID http://orcid.org/0000-0001-8575-6939

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antimicrobial resistance (AMR) in Acinetobacter baumannii represents a critical global health challenge, particularly in intensive care settings where the pathogen causes severe, refractory infections. As a leading member of the ESKAPE group, A. baumannii has accumulated extensive resistance to multiple antibiotic classes, including carbapenems, resulting in the widespread emergence of multidrug-resistant (MDR), extensively drug-resistant (XDR), and pan-drug-resistant (PDR) strains. This review provides a chronological overview of the evolution of antimicrobial therapies used against A. baumannii, spanning the early era of penicillins and tetracyclines to contemporary agents such as eravacycline and ceftazidime-avibactam. We delineate the molecular mechanisms underlying resistance development, including carbapenemase production, robust RND efflux systems, horizontal gene transfer, biofilm formation, and the global dissemination of high-risk international clones (IC1-IC9). The compounding impact of the COVID-19 pandemic on the spread of carbapenem-resistant A. baumannii (CRAB) is also examined. A special emphasis is placed on Zosurabalpin, a first-in-class macrocyclic peptide antibiotic with a unique mechanism of action that targets the LptB

Indexed as

Acinetobacter baumanniiAcinetobacter InfectionsAnti-Bacterial AgentsDrug Resistance, Multiple, BacterialBiofilmsCarbapenemsHumansAnti-Bacterial AgentsCarbapenemsAcinetobacter baumanniiAntimicrobial resistanceCarbapenem-resistant A. baumannii (CRAB)Hospital-acquired infectionsMultidrug-resistant organismsZosurabalpin

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.