Evidence map›Paper›PMID 25355767›Full record

ArticleJournal of clinical microbiology2015

Pseudo-outbreak of Actinomyces graevenitzii associated with bronchoscopy.

David R Peaper, Nancy L Havill, Michael Aniskiewicz, Deborah Callan, Olivia Pop, Dana Towle, John M Boyce

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Polymicrobial infections with specificJournal of oral microbiology · 2024
    Review
  3. Review
  4. Actinomyces and related organisms in human infections.Clinical microbiology reviews · 2015
    Review
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

7 authors at 2 institutions in 1 country.

David R PeaperYale-New Haven Hospital, New Haven, Connecticut, USA Yale University School of Medicine, New Haven, Connecticut, USA.
Nancy L HavillYale-New Haven Hospital, New Haven, Connecticut, USA.
Michael AniskiewiczYale-New Haven Hospital, New Haven, Connecticut, USA.
Deborah CallanYale-New Haven Hospital, New Haven, Connecticut, USA.
Olivia PopYale University School of Medicine, New Haven, Connecticut, USA.
Dana TowleYale-New Haven Hospital, New Haven, Connecticut, USA.
John M BoyceYale-New Haven Hospital, New Haven, Connecticut, USA Yale University School of Medicine, New Haven, Connecticut, USA John.Boyce@ynhh.org.
Yale New Haven Hospital · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Outbreaks and pseudo-outbreaks of infection related to bronchoscopy typically involve Gram-negative bacteria, Mycobacterium species or Legionella species. We report an unusual bronchoscopy-related pseudo-outbreak due to Actinomyces graevenitzii. Extensive epidemiological and microbiological investigation failed to identify a common source. Strain typing revealed that the cluster was comprised of heterogeneous strains of A. graevenitzii. A change in laboratory procedures for Actinomyces cultures was coincident with the emergence of the pseudo-outbreak, and we determined that A. graevenitzii isolates more readily adopted a white, dry, molar tooth appearance on anaerobic colistin nalidixic acid (CNA) agar which likely facilitated its detection and identification in bronchoscopic specimens. This unusual pseudo-outbreak was related to frequent requests of bronchoscopists for Actinomyces cultures combined with a change in microbiology laboratory practices.

Indexed as

Cross InfectionEquipment ContaminationActinomycesActinomycosisBacterial LoadBronchoscopyCase-Control StudiesDisease OutbreaksHumansPolymerase Chain ReactionTertiary Care Centers

Identifiers

PMID25355767
PMCPMC4290908
OpenAlexW2033532025

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.