Evidence mapPaperPMID 42495447Full record

ReviewJAC-antimicrobial resistance2026

Gram-negative bacterial infection randomized controlled trials (RCTs) in the 21st century: characteristics and evolution.

Fabian Patauner, Hyeri Seok, Navaneeth Narayanan, Jason M Pogue, Emanuele Durante-Mangoni, Keith S Kaye

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

6 authors.

Fabian PataunerDepartment of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USA.ORCID https://orcid.org/0000-0001-8556-9180
Hyeri SeokDepartment of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USA.
Navaneeth NarayananDepartment of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USA.ORCID https://orcid.org/0000-0001-5071-9193
Jason M PogueDepartment of Clinical Pharmacy, University of Michigan College of Pharmacy, Ann Arbor, MI, USA.ORCID https://orcid.org/0000-0003-4780-6215
Emanuele Durante-MangoniDepartment of Precision Medicine, University of Campania 'L. Vanvitelli', Naples, Italy.ORCID https://orcid.org/0000-0002-5381-3537
Keith S KayeDepartment of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since 2000, several randomized controlled trials (RCTs) addressing treatment of infections due to Gram-negative bacilli (GNB) have been published. We reviewed RCTs targeting GNB infections published between 2000 and 2025, focusing on methodology, generalizability of results and impact on patient care. Included were phase 2-4 RCTs enrolling adults with complicated intrabdominal infections (cIAI), hospital-acquired pneumonia/ventilator-associated pneumonia (HAP/VAP), complicated urinary tract infections (cUTI) and/or bloodstream infections (BSI). Sixty-eight studies were included. cIAIs and cUTIs were the most frequent infection syndromes studied [in 30 (44.1%) and 28 (41.2%) RCTs, respectively]. Forty-two (61.8%) studies used a double-blind design, and 30 (44.1%) entailed placebo administration. Non-inferiority was the most common pre-specified hypothesis tested (48 RCTs, 70.6%). Superiority was assessed in only four studies. Twenty-nine unique antibiotics were evaluated overall, with novel agents assessed in 43 studies (63.2%). Twelve RCTs targeted one or more specific pathogen, three of which (25.0%) addressed a single pathogen,

Identifiers

PMID42495447
PMCPMC13395242

What Socratic 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 Socratic graph.