Evidence map›Paper›PMID 42703604›Full record

ArticleJAC-antimicrobial resistance2026

Yamuna Devi Bakthavatchalam, Robert Bonomo, Adrian Egli, Rosmi Puthan, Abirami Shankar, Soniya Krishnamoorthy, Vasant Nagvekar, Rajni Sabharwal Ekadashi, Sudharsana J, Sneha Rajan and 4 more

Abstract read
In one paragraph

Article in JAC-antimicrobial resistance, 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

14 authors.

Yamuna Devi BakthavatchalamDepartment of Clinical Microbiology, Christian Medical College, Vellore, India.
Robert BonomoDepartment of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA.ORCID https://orcid.org/0000-0002-3299-894X
Adrian EgliInstitute of Medical Microbiology, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-3564-8603
Rosmi PuthanDepartment of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Abirami ShankarDepartment of Clinical Microbiology, Christian Medical College, Vellore, India.
Soniya KrishnamoorthyDepartment of Clinical Microbiology, Christian Medical College, Vellore, India.
Vasant NagvekarDepartment of Infectious Disease, Lilavati Hospital & Research Centre, Mumbai, India.
Rajni Sabharwal EkadashiDepartment of Microbiology, Mahatma Gandhi Medical College & Hospital, Puducherry, India.
Sudharsana JDepartment of Microbiology, Baby Memorial Hospital, Kozhikode, India.
Sneha RajanDepartment of Microbiology, Narayani Hospital and Research Centre, Vellore, India.
Camilla RodriguesDepartment of Microbiology, P. D. Hinduja Hospital and Medical Research Centre, Mumbai, India.
Rangineni JayapradaDepartment of Microbiology, Sri Venkateswara Institute of Medical Sciences, Tirupati, India.
Abi ManeshDepartment of Infectious Disease, Christian Medical College, Vellore, India.
Balaji VeeraraghavanDepartment of Clinical Microbiology, Christian Medical College, Vellore, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objectives: Ertapenem is well suited for outpatient parenteral antimicrobial therapy (OPAT) due to its once-daily dosing and favourable safety profile; however, increasing enzyme-mediated resistance limits its clinical utility. Ertapenem/zidebactam (WCK 6777) is a novel β-lactam/β-lactam enhancer combination in which zidebactam exhibits high-affinity binding to penicillin-binding protein 2 (PBP2), augmenting ertapenem activity and overcoming β-lactamase-mediated resistance. We evaluated the Methods: MICs of ertapenem/zidebactam and comparator agents (carbapenems, imipenem/relebactam, ceftazidime/avibactam and aztreonam/avibactam) were determined by broth microdilution method. Carbapenemase genes and PBP3 insertions were identified using PCR. Results: Ertapenem/zidebactam demonstrated potent activity against Conclusions: The enhanced activity of ertapenem/zidebactam is attributed to zidebactam's dual mechanism, β-lactamase inhibition and high-affinity PBP2 binding, enabling effective coverage despite complex resistance mechanisms. Its once-daily dosing supports its potential as an OPAT-enabling therapeutic option and warrant further clinical development.

Identifiers

PMID42703604
PMCPMC13546785

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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.