Evidence map›Paper›PMID 24912861›Full record

ArticleInfection2014

Characteristics, risk factors and outcomes of adult cancer patients with extensively drug-resistant Pseudomonas aeruginosa infections.

G Samonis, K Z Vardakas, D P Kofteridis, D Dimopoulou, A M Andrianaki, I Chatzinikolaou, E Katsanevaki, S Maraki, M E Falagas

Abstract read
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In one paragraph

Article in Infection, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
1.9field-weighted citation impact, top 16% 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Guideline
  2. Risk factors for hospitalized patients with resistant or multidrug-resistantAntimicrobial resistance and infection control · 2018
    Pooled it
  3. Pooled it
  4. Sphingosine synergizes with polymyxin antibiotics againstMicrobiology (Reading, England) · 2026
    Article
  5. Article
  6. Extensively drug-resistantFrontiers in microbiology · 2024
    Article
  7. Review
  8. Article
  9. Article
  10. Risk Factors and Outcomes for Multidrug ResistantAntibiotics (Basel, Switzerland) · 2022
    Article
  11. Article
  12. Review
  13. XDR-Antibiotics (Basel, Switzerland) · 2022
    Article
  14. Review
  15. Article
  16. Annals of burns and fire disasters · 2021
    Article
  17. Review
  18. Annals of burns and fire disasters · 2020
    Article
  19. Article
  20. Risk Factors for Mortality among Patients withJournal of clinical medicine · 2020
    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

9 authors at 6 institutions in 2 countries.

G SamonisDepartment of Internal Medicine, University of Crete School of Medicine, Heraklion, Greece.
K Z Vardakas
D P Kofteridis
D Dimopoulou
A M Andrianaki
I Chatzinikolaou
E Katsanevaki
S Maraki
M E Falagas
University of Crete · GRAlfa Institute of Biomedical Sciences · GRMetropolitan Hospital · GRNational Technical University of Athens · GRTufts University · USUniversity Hospital of Heraklion · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the characteristics and outcomes of cancer patients with extensively drug-resistant (XDR) Pseudomonas aeruginosa infections.

methodsThis was a retrospective cohort of P. aeruginosa infections in cancer patients in Crete, Greece. Patients were followed until discharge. Mortality, predictors of mortality and risk factors for XDR P. aeruginosa infection were studied.

resultsNinety seven episodes (89 patients) of P. aeruginosa infections (52 with bacteremia) were included in the study. In 22 cases, the infection was due to XDR isolates. All XDR isolates were susceptible to colistin and variably resistant to almost all other antibiotics. The multivariate analysis showed that the independent risk factors for XDR P. aeruginosa infection were hematologic malignancy (OR 40.7, 95 % CI 4.5-367.6) and prior fluoroquinolone use (OR 11.0, 95 % CI 2.0-60.5); lymphopenia was inversely associated with XDR infections (OR 0.16, 95 % CI 0.03-0.92). Mortality was 43 %; infection-related mortality was 24 %. Bacteremia (OR 8.47, 95 % CI 2.38-30.15), infection due to XDR isolates (OR 5.11, 95 % CI 1.15-22.62) and age (OR 1.05, 95 % CI 1.00-1.09) were independently associated with mortality.

conclusionMortality in cancer patients with P. aeruginosa infections was high. Infection due to XDR isolates was independently associated with mortality.

Indexed as

Drug Resistance, BacterialAdultAgedAged, 80 and overAnti-Bacterial AgentsCohort StudiesFemaleGreeceHumansMaleMiddle AgedNeoplasmsPseudomonas aeruginosaPseudomonas InfectionsRetrospective StudiesRisk FactorsAnti-Bacterial Agents

Identifiers

PMID24912861
OpenAlexW2002834465

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.