Evidence map›Paper›PMID 23413403›Full record

ArticleJRSM short reports2013

Halting the spread of epidemic pseudomonas aeruginosa in an adult cystic fibrosis centre: a prospective cohort study.

Abdul Ashish, Matthew Shaw, Craig Winstanley, Linda Humphreys, Martin J Walshaw

Open access · diamondAbstract read
In one paragraph

Article in JRSM short reports, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.3field-weighted citation impact, top 34% 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

14 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Infection prevention in general medical wards: A call to action.African journal of thoracic and critical care medicine · 2019
    Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Divergent, coexisting Pseudomonas aeruginosa lineages in chronic cystic fibrosis lung infections.American journal of respiratory and critical care medicine · 2015
    Article
  12. Article
  13. Article
  14. 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

5 authors at 2 institutions in 1 country.

Abdul AshishLiverpool Heart and Chest Hospital , Liverpool L14 3PE , UK.
Matthew Shaw
Craig Winstanley
Linda Humphreys
Martin J Walshaw
Imperial College London · GBKing's College School · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess if cohort segregation policies are effective in preventing cross-infection in cystic fibrosis (CF) clinics.

designA prospective cohort study.

settingA large adult CF centre in Northwest England.

participantsAll CF patients cared for at the Liverpool adult CF centre 2003-2009.

methodsRegular sputum sampling with genotyping of pseudomonas aeruginosa (Psa) isolates led to a policy of inpatient and outpatient segregation by microbiological group.

main outcome measuresPrevalence and cross-infection/super-infection rates of a transmissible Psa strain, i.e. the Liverpool epidemic strain (LES) in adult CF patients at the Liverpool adult CF centre from 2003 to 2009.

resultsThere was a decline in the proportion of patients with LES (71-53%) and an increase in those with unique strains (23-31%) and without Psa infection (6-17%) from 2003 to 2009. There were two cases of LES super-infection and one case of new chronic Psa infection (with a unique strain). There were no cases of transmissible strain infection in patients previously uninfected by Psa.

conclusionsOur segregation policy has halted the spread of the commonest highly transmissible strain in the UK (LES) in our clinic, without endangering patients who were not previously infected with Psa. It confirms that if genotypic surveillance is used, it is unnecessary to segregate patients infected with unique strains from those without Psa infection.

Identifiers

PMID23413403
PMCPMC3572656
OpenAlexW2073069280

What OpenQuestion holds

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LicenceCC BY-NC
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.