Evidence map›Paper›PMID 42153039›Full record

ReviewCureus2026

Innovations in the Treatment of Antibiotic-Resistant Infections in Internal Medicine.

Sofia Almeida, Pedro M Neves, Vital Da Silva Domingues

Abstract readReview
In one paragraph

Review in Cureus, 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

3 authors.

Sofia AlmeidaInternal Medicine, Unidade Local de Saúde de Santo António, Porto, PRT.
Pedro M NevesInternal Medicine, Unidade Local de Saúde de Santo António, Porto, PRT.
Vital Da Silva DominguesInternal Medicine, Unidade Local de Saúde de Santo António, Porto, PRT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antimicrobial resistance (AMR) is one of the major contemporary challenges in internal medicine, impairing the effectiveness of empirical antibiotic regimens and increasing mortality, hospital length of stay, and healthcare costs. The rising prevalence of multidrug-resistant Gram-negative organisms calls for a clinical response grounded in therapeutic innovation, antimicrobial rationalisation, and institutional reorganisation. We conducted a narrative review of the literature from 2020 to 2025, integrating recommendations from international guidelines, including the Infectious Diseases Society of America (IDSA) and the European Society of Clinical Microbiology and Infectious Diseases (ESCMID), epidemiological data from the European Centre for Disease Prevention and Control (ECDC) and the Portuguese PPCIRA (Programa de Prevenção e Controlo de Infeções e de Resistência aos Antimicrobianos) programme, and institutional implementation examples from Portuguese hospitals. Several newly approved antibiotics were identified with documented efficacy against resistant pathogens (e.g., ceftazidime-avibactam, meropenem-vaborbactam, and cefiderocol), along with promising therapeutic approaches such as bacteriophage therapy and immunomodulation. Clinical decision support tools (algorithms, dashboards, checklists) and institutional models demonstrated positive impact on key indicators such as time to active therapy, de-escalation rates, and reduced use of reserve antibiotics. Managing resistant infections in internal medicine requires an integrated, patient-centred approach supported by updated evidence. Internists must take a strategic role in therapeutic decision-making, clinical governance, and the implementation of tailored protocols, actively contributing to AMR containment and improved clinical outcomes.

Indexed as

antimicrobial resistanceclinical protocolsinternal medicinemultidrug-resistant infectionsnovel antibioticsstewardship

Identifiers

PMID42153039
PMCPMC13180258

What OpenQuestion holds

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LicenceCC BY
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.