Evidence map›Paper›PMID 23226169›Full record

ArticleJournal of clinical medicine research2012

Microbiological profile of organisms causing bloodstream infection in critically ill patients.

Jose Orsini, Carlo Mainardi, Eliza Muzylo, Niraj Karki, Nina Cohen, George Sakoulas

Abstract read
In one paragraph

Article in Journal of clinical medicine research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Article
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  3. Observational
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  8. Effect of delayed entry on performance of the BACT/ALERT FAN PLUS bottles in the BACT/ALERT VIRTUO blood culture system.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Article
  9. Article
  10. Article
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  12. Fungal-Bacterial Interactions in Health and Disease.Pathogens (Basel, Switzerland) · 2019
    Review
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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.

Jose OrsiniDepartment of Medicine, New York University School of Medicine at Woodhull Medical and Mental Health Center, USA.
Carlo Mainardi
Eliza Muzylo
Niraj Karki
Nina Cohen
George Sakoulas

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBloodstream infection (BSI) is the most frequent infection in critically ill patients. As BSI's among patients in intensive care units (ICU's) are usually secondary to intravascular catheters, they can be caused by both Gram-positive and Gram-negative microorganisms as well as fungi. Infection with multidrug-resistant (MDR) organisms is becoming more common, making the choice of empirical antimicrobial therapy challenging. The objective of this study is to evaluate the spectrum of microorganisms causing BSI's in a Medical-Surgical Intensive Care Unit (MSICU) and their antimicrobial resistance patterns.

methodsA prospective observational study among all adult patients with clinical signs of sepsis was conducted in a MSICU of an inner-city hospital in New York City between May 1, 2010 and May 30, 2011.

resultsA total of 722 adult patients with clinical signs of systemic inflammatory response syndrome (SIRS) and/or sepsis were admitted to the MSICU between May 1, 2010 and May 30, 2011. From those patients, 91 (12.6%) had one or more positive blood culture. A 122 isolates were identified: 72 (59%) were Gram-positive bacteria, 38 (31.1%) were Gram-negative organisms, and 12 (9.8%) were fungi. Thirteen (34.2%) Gram-negative organisms and 14 (19.4%) Gram-positive bacteria were classified as MDR.

conclusionsAntimicrobial resistance, particularly among Gram-negative organisms, continues to increase at a rapid rate, especially in the ICU's. Coordinated infection control interventions and antimicrobial stewardship policies are warranted in order to slow the emergence of resistance.

Indexed as

Bloodstream infection (BSI)Carbapenem-resistant Enterobacteriaceae (CRE)Extended-spectrum β-lactamase (ESBL)Intensive care units (ICU’s)Multidrug-resistant (MDR)

Identifiers

PMID23226169
PMCPMC3513418

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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 OpenQuestion graph.