Evidence map›Paper›PMID 23446876›Full record

ArticleJournal of public health management and practice : JPHMP

Assessment of public health perspectives on responding to an emerging pathogen: carbapenem-resistant Enterobacteriaceae.

Alice Y Guh, L Clifford McDonald, Ronda Sinkowitz-Cochran

Abstract read
In one paragraph

Article in Journal of public health management and practice : JPHMP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Emergence and transmission of Carbapenem-resistantFrontiers in veterinary science · 2025
    Article
  2. Review
  3. Emerging and Re-emerging Infectious Diseases: Public Health Perspective.International journal of preventive medicine · 2013
    Article
  4. 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

3 authors.

Alice Y GuhDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. ggt4@cdc.gov
L Clifford McDonald
Ronda Sinkowitz-Cochran

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

contextPublic health has an important and critical role in responding to emerging multidrug-resistant organisms, such as carbapenem-resistant Enterobacteriaceae. The Centers for Disease Control and Prevention developed a survey as a tool for state health departments to determine carbapenem-resistant Enterobacteriaceae prevalence within their region.

objectiveThis report summarizes an assessment of the health department experience with the survey, their perceived roles and responsibilities in responding to an emerging health care-associated pathogen, and potential barriers to public health engagement of acute care facilities in response activities.

designKey informant interviews consisting of open-ended and 5-point Likert scale questions were conducted.

participantsInterviewees represented state health departments that administered the survey and select states that did not.

resultsOf 11 states interviewed, 7 (64%) had administered the survey to acute care facilities. Despite similar competing priorities and concerns about administering the survey, different perspectives emerged among the 11 states; those that administered the survey regarded it as a learning opportunity, whereas other states emphasized concerns about survey logistics and other public health demands. All 11 states perceived the prevention of an emerging pathogen to be a public health priority, but the degree of their action depended on availability of resources and existing relationships with infection preventionists. Health departments had less interaction with other hospital personnel (eg, facility leadership) and limited knowledge of the roles and associated responsibilities of other health care partners (eg, Quality Improvement Organizations).

conclusionsAlthough considered a public health priority, response efforts to emerging pathogens were reported to vary among state health departments. A better understanding is needed of the factors that motivate and facilitate state health departments to engage in a public health activity despite the challenges of competing priorities and limited resources. Efforts should also focus on improving the relationship between health departments and hospital leadership and other health care partners.

Indexed as

beta-Lactam ResistancePublic Health AdministrationAnti-Bacterial AgentsCarbapenemsCommunicable Diseases, EmergingEnterobacteriaceae InfectionsHealth Care SurveysHumansInterviews as TopicState GovernmentUnited StatesAnti-Bacterial AgentsCarbapenems

Identifiers

PMID23446876
PMCPMC6489132

What OpenQuestion holds

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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 OpenQuestion graph.