Evidence map›Paper›PMID 41368480›Full record

ReviewInfection and drug resistance2025

Treatment of Carbapenem-Resistant Gram-Negative Bacterial Infections with Polymyxins: A Review.

Xiangquan Li, Weiwei Chong, Jing Mo, Juan Liu

Abstract readReview
In one paragraph

Review in Infection and drug resistance, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

4 authors.

Xiangquan Li *Department of Critical Care Medicine, Xuzhou Central Hospital, Southeast University Affiliated Xuzhou Central Hospital, Xuzhou, Jiangsu, 221009, People's Republic of China.
Weiwei Chong *Department of Cardiovascular Medicine, Nanjing Pukou People's Hospital, Liangjiang Hospital Southeast University, Nanjing, Jiangsu, 211800, People's Republic of China.
Jing Mo *Department of Critical Care Medicine, Nanjing Pukou People's Hospital, Liangjiang Hospital Southeast University, Nanjing, Jiangsu, 211800, People's Republic of China.
Juan LiuDepartment of Critical Care Medicine, Nanjing Pukou People's Hospital, Liangjiang Hospital Southeast University, Nanjing, Jiangsu, 211800, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antimicrobial resistance poses a serious threat to human health. Polymyxins, as cyclic polypeptide antibiotics, include polymyxin B (PMB) and polymyxin E. Although they have different metabolic pathways, their antibacterial activities are similar. Polymyxins exert their effects through mechanisms such as disrupting bacterial cell membranes, neutralizing endotoxins, and impairing the respiratory chain. In clinical practice, polymyxins are often used in combination with other drugs to treat infections caused by carbapenem-resistant gram-negative bacteria (CRGNB). No difference in efficacy has been demonstrated between PMB and polymyxin E. An increasing amount of evidence suggests that combination therapy is not superior to monotherapy. The combination of intravenous administration and nebulization can help improve microbial clearance. Compared with other antibiotics, polymyxins have not shown obvious survival benefit. Polymyxins are associated with nephrotoxicity and neurotoxicity, and it is essential to closely monitor for related adverse events during the course of treatment.

Indexed as

bloodstream infectionscarbapenem-resistant gram-negative bacteriahospital-acquired pneumoniamortalitypolymyxins

Identifiers

PMID41368480
PMCPMC12683251

What Socratic holds

Textmetadata
LicenceCC BY-NC
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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.