Evidence map›Paper›PMID 42482988›Full record

ArticleFrontiers in cellular and infection microbiology2026

Carbapenemase-directed therapy: optimizing antibiotic combinations against carbapenem-resistant

Wen-Bo Xu, Yi-Fei Wei, Yu-Ying Zhang, Qing-Li Guo, Lin Shi, Peng-Li Fan, Shan-Mei Wang

Abstract read
In one paragraph

Article in Frontiers in cellular and infection microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

7 authors.

Wen-Bo Xu *Department of Clinical Microbiology, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, Zhengzhou, Henan, China.
Yi-Fei Wei *Department of Clinical Laboratory, Henan University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
Yu-Ying Zhang *Department of Pharmacology and Toxicology, College of Veterinary Medicine, Henan Agricultural University, Zhengzhou, Henan, China.
Qing-Li GuoDepartment of Clinical Laboratory, Xuchang People's Hospital, Xuchang, Henan, China.
Lin ShiDepartment of Clinical Microbiology, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, Zhengzhou, Henan, China.
Peng-Li FanDepartment of Pharmacy, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
Shan-Mei WangDepartment of Clinical Microbiology, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, Zhengzhou, Henan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Given the limited therapeutic options for infections caused by carbapenem-resistant Methods: The Results: Among CZA-resistant KPC-CRKP isolates, combinations of CZA with β-lactams exhibited high synergy rates (79.7-86.5%). In PMB-resistant KPC-CRKP, PMB + CZA demonstrated substantially higher synergy rates (53.2%) than conventional PMB-carbapenem combinations (≤3.8%). Against NDM-CRKP, CZA + aztreonam (ATM) showed synergistic activity in 83.3% of isolates. Notably, in KN-CRKP, CZA + ATM produced synergistic or additive effects in all isolates, despite resistance to the individual agents. SBPI analysis further suggested substantial antimicrobial enhancement in some combinations classified as indifferent by FICI, including PMB + tigecycline (TGC). Conclusions: Carbapenemase profiles substantially influence the efficacy of combination therapies against CRKP. CZA-based combinations, particularly those combined with β-lactams or ATM, demonstrated favorable

Indexed as

Anti-Bacterial AgentsBacterial Proteinsbeta-LactamasesCarbapenem-Resistant EnterobacteriaceaeKlebsiella pneumoniaeAzabicyclo CompoundsCarbapenemsCeftazidimeDrug CombinationsDrug Resistance, Multiple, BacterialDrug SynergismDrug Therapy, CombinationHumansKlebsiella InfectionsMicrobial Sensitivity TestsPolymyxin BAnti-Bacterial Agentsavibactam, ceftazidime drug combinationAzabicyclo CompoundsBacterial Proteinsbeta-LactamasescarbapenemaseCarbapenemsCeftazidimeDrug CombinationsPolymyxin Bcarbapenem-resistant Klebsiella pneumoniaeceftazidime-avibactamcombination susceptibility testingKPC enzymeNDM enzymepolymyxin B

Identifiers

PMID42482988
PMCPMC13384889

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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.