Evidence map›Paper›PMID 14532211›Full record

ArticleJournal of clinical microbiology2003

Extended epidemic of nosocomial urinary tract infections caused by Serratia marcescens.

Lin-Hui Su, Jonathan T Ou, Hsieh-Shong Leu, Ping-Cherng Chiang, Yueh-Pi Chiu, Ju-Hsin Chia, An-Jing Kuo, Cheng-Hsun Chiu, Chishih Chu, Tsu-Lan Wu and 4 more

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
1.1field-weighted citation impact, top 28% of its field
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

37 citing papers in PubMed, 80 citations in OpenAlex.

  1. Review
  2. Article
  3. A national outbreak ofEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
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  5. Neonatal Brain Abscess withAntibiotics (Basel, Switzerland) · 2023
    Article
  6. PeerJ · 2023
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Repurposing of antidiabetics as Serratia marcescens virulence inhibitors.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2021
    Article
  12. Observational
  13. Article
  14. Infection of the hip joint byBMJ case reports · 2021
    Article
  15. Article
  16. Article
  17. Nature communications · 2019
    Article
  18. Review
  19. International journal of environmental research and public health · 2019
    Review
  20. 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

14 authors at 4 institutions in 2 countries.

Lin-Hui SuDepartment of Clinical Pathology, Lin-Kou Medical Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Jonathan T Ou
Hsieh-Shong Leu
Ping-Cherng Chiang
Yueh-Pi Chiu
Ju-Hsin Chia
An-Jing Kuo
Cheng-Hsun Chiu
Chishih Chu
Tsu-Lan Wu
Chien-Feng Sun
Thomas V Riley
Barbara J Chang
Infection Control Group
University of Western Australia · AUChang Gung University · TWChang Gung Children's Hospital · TWChang Gung Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years a significant increase in the incidence of Serratia marcescens infections was noted at the Chang Gung Memorial Hospital, Taoyuan, Taiwan. A review of laboratory (1991 to 2002) and infection control (1995 to 2002) records showed the possibility of an extended epidemic of nosocomial urinary tract infections (UTIs) caused by S. marcescens. Therefore, in 1998 and 1999, 87 isolates were collected from patients with such infections and examined and another 51 isolates were collected in 2001 and 2002. The patients were mostly elderly or the infections were associated with the use of several invasive devices. S. marcescens was usually the only pathogen found in urine cultures in our study. Neither prior infections nor disseminated infections with the organism were observed in these patients. Resistance to most antibiotics except imipenem was noted. Two genotyping methods, pulsed-field gel electrophoresis and infrequent-restriction-site PCR, were used to examine the isolates. A total of 12 genotypes were identified, and 2 predominant genotypes were found in 72 (82.8%) of the 87 isolates derived from all over the hospital. However, 63.9% of the isolates of the two genotypes were from neurology wards. A subsequent intervention by infection control personnel reduced the infection rate greatly. The number and proportion of the two predominant genotypes were significantly reduced among the 51 isolates collected in 2001 and 2002. Thus, a chronic and long-lasting epidemic of nosocomial UTIs caused by S. marcescens was identified and a successful intervention was carried out. Both a cautious review of laboratory and infection control data and an efficient genotyping system are necessary to identify such a cryptic epidemic and further contribute to the quality of patient care.

Indexed as

Disease OutbreaksAdolescentAdultAgedAged, 80 and overChildChild, PreschoolCross InfectionElectrophoresis, Gel, Pulsed-FieldFemaleGenotypeHumansMaleMiddle AgedPolymerase Chain ReactionRisk Factors

Identifiers

PMID14532211
PMCPMC254321
OpenAlexW2164252250

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.