Evidence map›Paper›PMID 24389282›Full record

ArticleThe Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases

Ecology of blood stream infection and antibiotic resistance in intensive care unit at a tertiary care hospital in North India.

Chand Wattal, Reena Raveendran, Neeraj Goel, Jaswinder Kaur Oberoi, Brijendra Kumar Rao

Open access · goldAbstract read
In one paragraph

Article in The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Growing emergence of drug-resistantIranian journal of basic medical sciences · 2021
    Review
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  12. Molecular detection ofMedical journal, Armed Forces India · 2018
    Article
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  14. Convergence of Minds: For Better Patient Outcome in Intensive Care Unit Infections.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2017
    Article
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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

5 authors at 1 institution in 1 country.

Chand WattalDepartment of Clinical Microbiology & Immunology, Sir Ganga Ram Hospital, New Delhi 110060, India. Electronic address: chandwattal@gmail.com.
Reena RaveendranDepartment of Clinical Microbiology & Immunology, Sir Ganga Ram Hospital, New Delhi 110060, India.
Neeraj GoelDepartment of Clinical Microbiology & Immunology, Sir Ganga Ram Hospital, New Delhi 110060, India.
Jaswinder Kaur OberoiDepartment of Clinical Microbiology & Immunology, Sir Ganga Ram Hospital, New Delhi 110060, India.
Brijendra Kumar RaoDepartment of Critical Care Medicine and Emergency, Sir Ganga Ram Hospital, New Delhi 110060, India.
Sir Ganga Ram Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyse the prevalent microorganisms and their antimicrobial resistance among intensive care unit patients in a tertiary care centre in New Delhi.

methodsA retrospective study of all consecutive blood cultures from various intensive care unit patients in the hospital during four years (January 2008 to December 2011). Antibiotic consumption data in the intensive care units were also analysed during the same period.

resultsOut of the total 22,491 blood cultures processed, 2846 samples were positive and 3771 microorganisms were isolated. The blood culture positivity was estimated as 12.7% of which 67.5% were monomicrobial and 32.5% polymicrobial infections. Gram negative bacilli, Gram positive cocci, and fungi were isolated in 49%, 33%, and 18% cases, respectively. Coagulase negative staphylococcus was the commonest single isolate followed by Candida spp. A drastic shift in the distribution of Candida spp. towards nonalbicans along with high resistance to azole group of antifungals suggest echinocandins for the empiric therapy of candidemia. High penicillin resistance in Gram positive isolates suggest vancomycin, linezolid and tigecycline as the options for empiric therapy, whereas tigecycline and colistin are the only options remaining for highly resistant Gram negative isolates. Aminoglycosides were observed to have better sensitivity and reduced usage when compared with cephalosporins and β-lactam+β-lactam inhibitor combinations.

conclusionsHigh frequencies of multidrug resistant organisms were observed in intensive care units which is a warning as to use the only few effective antimicrobials wisely to reduce selective pressure on sensitive strains.

Indexed as

Anti-Bacterial AgentsAntifungal AgentsCandidaDrug Resistance, MicrobialGram-Negative BacteriaGram-Positive BacteriaHumansIndiaIntensive Care UnitsMicrobial Sensitivity TestsRetrospective StudiesTertiary Health CareAnti-Bacterial AgentsAntifungal AgentsAntibiotic consumptionDrug resistant Candida speciesInfection in ICUMulti-drug resistance

Identifiers

PMID24389282
PMCPMC9427522
OpenAlexW2079114871

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.