Evidence map›Paper›PMID 40725151›Full record

ReviewInternational journal of molecular sciences2025

Antibiotic Therapy Duration for Multidrug-Resistant Gram-Negative Bacterial Infections: An Evidence-Based Review.

Andrea Marino, Egle Augello, Carlo Maria Bellanca, Federica Cosentino, Stefano Stracquadanio, Luigi La Via, Antonino Maniaci, Serena Spampinato, Paola Fadda, Giuseppina Cantarella and 3 more

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Review
  2. ASP-COMPLEX: redefining antimicrobial stewardship to improve outcomes in high-risk patients with severe infections.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    Review
  3. Article
  4. Rectal Colonization by Carbapenemase-ProducingAntibiotics (Basel, Switzerland) · 2026
    Article
  5. Microbiological eradication of XDRFrontiers in medicine · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Seven Years ofMicroorganisms · 2025
    Article
  10. Review
  11. Review
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

13 authors.

Andrea MarinoUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Catania, ARNAS Garibaldi Hospital, 95122 Catania, Italy.ORCID 0000-0002-5650-6911
Egle AugelloDepartment of Biomedical and Biotechnological Science, Section of Pharmacology, University of Catania, 95123 Catania, Italy.ORCID 0009-0006-9899-4040
Carlo Maria BellancaDepartment of Biomedical and Biotechnological Science, Section of Pharmacology, University of Catania, 95123 Catania, Italy.ORCID 0000-0003-2646-7808
Federica CosentinoUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Catania, ARNAS Garibaldi Hospital, 95122 Catania, Italy.
Stefano StracquadanioDepartment of Medicine and Surgery, University of Enna "Kore", 94100 Enna, Italy.ORCID 0000-0003-0653-9560
Luigi La ViaDepartment of Anesthesia and Intensive Care, University Hospital Policlinico "G. Rodolico-San Marco", 24046 Catania, Italy.ORCID 0000-0002-2156-7554
Antonino ManiaciDepartment of Medicine and Surgery, University of Enna "Kore", 94100 Enna, Italy.ORCID 0000-0002-1251-0185
Serena SpampinatoUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Catania, ARNAS Garibaldi Hospital, 95122 Catania, Italy.
Paola FaddaDepartment of Biomedical Sciences, Section of Neuroscience and Clinical Pharmacology, University of Cagliari, 95123 Cagliari, Italy.
Giuseppina CantarellaDepartment of Biomedical and Biotechnological Science, Section of Pharmacology, University of Catania, 95123 Catania, Italy.ORCID 0000-0002-7670-9337
Renato BernardiniDepartment of Biomedical and Biotechnological Science, Section of Pharmacology, University of Catania, 95123 Catania, Italy.
Bruno CacopardoUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Catania, ARNAS Garibaldi Hospital, 95122 Catania, Italy.
Giuseppe NunnariUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Catania, ARNAS Garibaldi Hospital, 95122 Catania, Italy.ORCID 0000-0002-8113-8452

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Determining the optimal duration of antibiotic therapy for infections caused by multidrug-resistant Gram-negative bacteria (MDR-GNB) is a critical challenge in clinical medicine, balancing therapeutic efficacy against the risks of adverse effects and antimicrobial resistance. This narrative review synthesises current evidence and guidelines regarding antibiotic duration for MDR-GNB infections, emphasising bloodstream infections (BSI), hospital-acquired and ventilator-associated pneumonia (HAP/VAP), complicated urinary tract infections (cUTIs), and intra-abdominal infections (IAIs). Despite robust evidence supporting shorter courses (3-7 days) in uncomplicated infections caused by more susceptible pathogens, data guiding optimal therapy duration for MDR-GNB remain limited, particularly concerning carbapenem-resistant

Indexed as

Anti-Bacterial AgentsDrug Resistance, Multiple, BacterialGram-Negative BacteriaGram-Negative Bacterial InfectionsDuration of TherapyEvidence-Based MedicineHumansAnti-Bacterial Agentsantibiotic durationantibiotics PK/PDantimicrobial stewardshipGram-negative bacterial infectionsmultidrug-resistant bacteriatreatment guidelines

Identifiers

PMID40725151
PMCPMC12295917

What Socratic holds

Textmetadata
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 Socratic graph.