Evidence map›Paper›PMID 42795457›Full record

ReviewMicroorganisms2026

Cefepime 2.0: Upgrading β-Lactamase Inhibitor Use.

Francesco Giuseppe De Rosa, Tommaso Lupia, Valentina Fornari, Davide Vita, Marco Casarotto, Silvia Corcione, Alessandra Oliva

Abstract readReview
In one paragraph

Review in Microorganisms, 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

7 authors.

Francesco Giuseppe De RosaDepartment of Medical Sciences, Infectious Diseases, University of Turin, 10126 Turin, Italy.ORCID 0000-0001-8338-0130
Tommaso LupiaInfectious Diseases, University Hospital Città Della Salute e Della Scienza di Torino, 10126 Turin, Italy.ORCID 0000-0002-3865-9519
Valentina FornariDepartment of Medical Sciences, Infectious Diseases, University of Turin, 10126 Turin, Italy.
Davide VitaDepartment of Medical Sciences, Infectious Diseases, University of Turin, 10126 Turin, Italy.ORCID 0000-0003-4353-8815
Marco CasarottoDepartment of Medical Sciences, Infectious Diseases, University of Turin, 10126 Turin, Italy.ORCID 0009-0002-7352-5353
Silvia CorcioneDepartment of Medical Sciences, Infectious Diseases, University of Turin, 10126 Turin, Italy.
Alessandra OlivaDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Roma, Italy.ORCID 0000-0003-0832-7975

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antimicrobial resistance (AMR) in Gram-negative pathogens represents a critical global health challenge. Combining cefepime with novel β-lactamase inhibitors (enmetazobactam, taniborbactam, zidebactam, and nacubactam) revitalizes the role of this fourth-generation cephalosporin in contemporary therapy. We present a narrative review according to the Scale for the Assessment of Narrative Review Articles (SANRA) criteria, summarizing the existing literature regarding new cefepime combinations with β-lactamase inhibitors. Based on 68 identified studies, data were structured by molecule. Each section explores in vitro activity, preclinical in vivo data, PK/PD parameters, clinical evidence, and dosage. Findings demonstrate that these inhibitors successfully restore cefepime's efficacy against diverse resistance mechanisms, notably ESBLs, AmpC, KPC, OXA-48, and metallo-β-lactamases. "Cefepime 2.0" therapies expand the therapeutic armamentarium against severe multidrug-resistant infections, offering vital carbapenem-sparing strategies. Because they possess distinct microbiological spectra, these agents serve complementary rather than interchangeable roles. Their clinical success demands targeted integration into antimicrobial stewardship programs to optimize efficacy and safely reduce carbapenem dependence.

Indexed as

antimicrobial resistanceantimicrobial stewardshipcefepime

Identifiers

PMID42795457
PMCPMC13609339

What OpenQuestion holds

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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.