Evidence map›Paper›PMID 25038137›Full record

ArticleJournal of medical microbiology2014

Emergence of carbapenem-resistant Acinetobacter baumannii as the major cause of ventilator-associated pneumonia in intensive care unit patients at an infectious disease hospital in southern Vietnam.

Nguyen Thi Khanh Nhu, Nguyen Phu Huong Lan, James I Campbell, Christopher M Parry, Corinne Thompson, Ha Thanh Tuyen, Nguyen Van Minh Hoang, Pham Thi Thanh Tam, Vien Minh Le, Tran Vu Thieu Nga and 15 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical microbiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

47 citing papers in PubMed, 83 citations in OpenAlex.

  1. Article
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  4. The global epidemiology of carbapenem-resistantJAC-antimicrobial resistance · 2025
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  9. The Clinical Impression of NDM-producingIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
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  11. Genomic epidemiology and resistant genes ofJournal of medical microbiology · 2024
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  12. Article
  13. Environmental contamination with carbapenem resistantFrontiers in cellular and infection microbiology · 2024
    Article
  14. Article
  15. Article
  16. Molecular epidemiology and antimicrobial resistance patterns of carbapenem-resistantFrontiers in cellular and infection microbiology · 2023
    Article
  17. Molecular Characterization and Antibiogram ofHealthcare (Basel, Switzerland) · 2022
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  18. Control of Healthcare-Associated Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2022
    Article
  19. Article
  20. 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

25 authors at 7 institutions in 4 countries.

Nguyen Thi Khanh NhuSchool of Chemistry and Molecular Biosciences, The University of Queensland, Brisbane, Queensland, Australia.
Nguyen Phu Huong LanThe Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam.
James I CampbellCentre for Tropical Medicine, Nuffield Department of Clinical Medicine, Oxford University, UK.
Christopher M ParryClinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Corinne ThompsonCentre for Tropical Medicine, Nuffield Department of Clinical Medicine, Oxford University, UK.
Ha Thanh TuyenThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Nguyen Van Minh HoangThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Pham Thi Thanh TamThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Vien Minh LeDivision of Infectious Diseases, Department of Medicine, University of California San Francisco, CA, USA.
Tran Vu Thieu NgaThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Tran Do Hoang NhuThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Pham Van MinhThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Nguyen Thi Thu NgaThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Cao Thu ThuyThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Le Thi DungThe Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam.
Nguyen Thi Thu YenThe Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam.
Nguyen Van HaoSchool of Chemistry and Molecular Biosciences, The University of Queensland, Brisbane, Queensland, Australia.
Huynh Thi LoanThe Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam.
Lam Minh YenThe Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam.
Ho Dang Trung NghiaPham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.
Tran Tinh HienThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Louise ThwaitesCentre for Tropical Medicine, Nuffield Department of Clinical Medicine, Oxford University, UK.
Guy ThwaitesCentre for Tropical Medicine, Nuffield Department of Clinical Medicine, Oxford University, UK.
Nguyen Van Vinh ChauSchool of Chemistry and Molecular Biosciences, The University of Queensland, Brisbane, Queensland, Australia.
Stephen BakerThe London School of Hygiene and Tropical Medicine, London, UK.
Hospital for Tropical Diseases · VNOxford University Clinical Research Unit · VNUniversity of Queensland · AULondon School of Hygiene & Tropical Medicine · GBNuffield Orthopaedic Centre · GBUniversity of California, San Francisco · USUniversity of Oxford · GB

Funding

Wellcome Trust 089276/2/09/2Wellcome Trust 100087Wellcome Trust 100087/Z/12/ZWellcome Trust WT/093724/Z/10/Z
6 · The paper itself

Abstract

Ventilator-associated pneumonia (VAP) is a serious healthcare-associated infection that affects up to 30 % of intubated and mechanically ventilated patients in intensive care units (ICUs) worldwide. The bacterial aetiology and corresponding antimicrobial susceptibility of VAP is highly variable, and can differ between countries, national provinces and even between different wards in the same hospital. We aimed to understand and document changes in the causative agents of VAP and their antimicrobial susceptibility profiles retrospectively over an 11 year period in a major infectious disease hospital in southern Vietnam. Our analysis outlined a significant shift from Pseudomonas aeruginosa to Acinetobacter spp. as the most prevalent bacteria isolated from quantitative tracheal aspirates in patients with VAP in this setting. Antimicrobial resistance was common across all bacterial species and we found a marked proportional annual increase in carbapenem-resistant Acinetobacter spp. over a 3 year period from 2008 (annual trend; odds ratio 1.656, P = 0.010). We further investigated the possible emergence of a carbapenem-resistant Acinetobacter baumannii clone by multiple-locus variable number tandem repeat analysis, finding a blaOXA-23-positive strain that was associated with an upsurge in the isolation of this pathogen. We additionally identified a single blaNDM-1-positive A. baumannii isolate. This work highlights the emergence of a carbapenem-resistant clone of A. baumannii and a worrying trend of antimicrobial resistance in the ICU of the Hospital for Tropical Diseases in Ho Chi Minh City, Vietnam.

Indexed as

beta-Lactam ResistanceAcinetobacter baumanniiAcinetobacter InfectionsAdolescentAdultAgedAged, 80 and overCarbapenemsChildChild, PreschoolDNA, BacterialFemaleGenotypeHospitalsHumansIntensive Care UnitsCarbapenemsDNA, Bacterial

Identifiers

PMID25038137
PMCPMC4170484
OpenAlexW2103001238

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.