Evidence map›Paper›PMID 42876900›Full record

ReviewJAC-antimicrobial resistance2026

The global epidemiology and treatment of metallo-β-lactamase-producing gram-negative pathogens.

Erin K McCreary, Emily L Heil, Samuel L Aitken, Maria F Mojica, Jason M Pogue, Alejandro J Vila, Ryan K Shields

Abstract readReview
In one paragraph

Review 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

7 authors.

Erin K McCrearyDivision of Infectious Diseases, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID https://orcid.org/0000-0001-6705-2225
Emily L HeilDepartment of Practice, Sciences, and Health-Outcomes Research, University of Maryland School of Pharmacy, Baltimore, MD 21201, USA.ORCID https://orcid.org/0000-0002-6644-6684
Samuel L AitkenDepartment of Clinical Pharmacy, University of Michigan College of Pharmacy, Ann Arbor, MI, USA.ORCID https://orcid.org/0000-0002-8659-4238
Maria F MojicaDepartment of Molecular Biology and Microbiology, Case Western Reserve University School of Medicine, 9501 Euclid Ave, Cleveland, OH 44106, USA.ORCID https://orcid.org/0000-0002-1380-9824
Jason M PogueDepartment of Clinical Pharmacy, University of Michigan College of Pharmacy, Ann Arbor, MI, USA.ORCID https://orcid.org/0000-0003-4780-6215
Alejandro J VilaInstituto de Biología Molecular y Celular de Rosario (IBR), CONICET, Universidad Nacional de Rosario, Ocampo & Esmeralda, Rosario S2000EXA, Argentina.ORCID https://orcid.org/0000-0002-7978-3233
Ryan K ShieldsDivision of Infectious Diseases, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID https://orcid.org/0000-0001-9794-5665

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infections caused by metallo-β-lactamase (MBL)-producing gram-negative pathogens represent a formidable and emerging threat to public health. MBLs compromise the activity of carbapenems and many newly developed β-lactam/β-lactamase inhibitor agents, leaving few treatment options. Remarkably, these enzymes have disseminated globally at an unprecedented rate. Therapeutic management of MBL-producing pathogens remains a major challenge because the enzymes are not inhibited by currently available β-lactamase inhibitors, and most pathogens that harbour MBLs are equipped with mechanisms of resistance to all available antibiotic classes. Recent advances have elucidated the biochemical and structural function of diverse MBLs thereby improving the development of future antibiotics. In this review, we summarize the contemporary global epidemiology of clinically relevant MBLs, describe the molecular mechanisms driving their dissemination and evaluate current and emerging therapeutic strategies for infections caused by MBL-producing gram-negative pathogens including Enterobacterales,

Identifiers

PMID42876900
PMCPMC13662407

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.