Evidence map›Paper›PMID 25944081›Full record

ArticleCritical care (London, England)2015

An international multicenter retrospective study of Pseudomonas aeruginosa nosocomial pneumonia: impact of multidrug resistance.

Scott T Micek, Richard G Wunderink, Marin H Kollef, Catherine Chen, Jordi Rello, Jean Chastre, Massimo Antonelli, Tobias Welte, Bernard Clair, Helmut Ostermann and 5 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Critical care (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 130 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
130citing papers in PubMed, 5 pooled it
16.1field-weighted citation impact, top 1% 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

130 citing papers in PubMed, 5 syntheses or guidelines pooled it, 269 citations in OpenAlex.

  1. Pooled it
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  4. Risk factors for hospitalized patients with resistant or multidrug-resistantAntimicrobial resistance and infection control · 2018
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  17. The Systemic Inflammation Response Index (SIRI) for Stratifying Mortality Risk in Multidrug-Resistant Lower Respiratory Tract Infections Acquired in Hospital Settings.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2026
    Article
  18. Development ofInternational medical case reports journal · 2026
    Article
  19. mSystems · 2025
    Article
  20. Observational

70 more citing papers are in PubMed but not listed here.

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

15 authors at 12 institutions in 5 countries.

Scott T MicekSt. Louis College of Pharmacy, 4588 Parkview Place, St. Louis, MO, 63110-1088, USA. scott.micek@stlcop.edu.
Richard G WunderinkNorthwestern University Feinberg School of Medicine, McGaw Pavilion Suite M-300, 240 E Huron, Chicago, IL, 60611, USA. r-wunderink@northwestern.edu.
Marin H KollefDivision of Pulmonary and Critical Care Medicine, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8052, St. Louis, MO, 63110, USA. mkollef@dom.wustl.edu.
Catherine ChenDivision of Pulmonary and Critical Care Medicine, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8052, St. Louis, MO, 63110, USA. cxchen@dom.wustl.edu.
Jordi RelloVall d'Hebron University Hospital, Passeig Vall d'Hebron, 119, Barcelona, 08035, Spain. jrello@crips.es.
Jean ChastreService de Réanimation Médicale, Institut de Cardiologie, Groupe Hospitalier Pitié-Salpêtrière, 47-83 boulevard de l'Hôpital, 75651, Paris, Cedex 13, France. jean.chastre@psl.aphp.fr.
Massimo AntonelliPoliclinico Universitario A Gemelli, Largo Agostino Gemelli 8, Rome, 00168, Italy. m.antonelli@rm.unicatt.it.
Tobias WelteMedizinische Hochschule, Carl-Neuberg-Str. 1, Hannover, 30625, Germany. welte.tobias@mh-hannover.de.
Bernard ClairHôpital Raymond Poincaré, 104 boulevard Raymond Poincaré, Garches, 92380, France. Bernard.clair@rpc.ap-hop-paris.fr.
Helmut OstermannDepartment of Hematology, University Hospital Grosshadern, Marchioninistr 15, Munich, D-81377, Germany. helmut.ostermann@med.uni-muenchen.de.
Esther CalboHospital Universitari MútuaTerrassa, Plaça Dr. Robert, 5, Terrassa, 08221, Spain. ecalbo@mutuaterrassa.es.
Antoni TorresPneumology Department, Clinic Institute of Thorax, Villarroel 170, Barcelona, 08036, Spain. ATORRES@clinic.ub.es.
Francesco MenichettiMalattie Infettive, Az. Ospedaliera Universitaria Pisana, Via Paradisa 2 - Cisanello, Pisa, 56100, Italy. menichettifrancesco@gmail.com.
Garrett E SchrammPharmacy Services, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA. schramm.garrett@mayo.edu.
Vandana MenonCubist Pharmaceuticals, Inc., 65 Hayden Avenue, Lexington, MA, 02421, USA. Vandana.Menon@cubist.com.
Washington University in St. Louis · USAgostino Gemelli University Polyclinic · ITCubist Pharmaceuticals (United States) · USHôpital Raymond-Poincaré · FRLMU Klinikum · DEMayo Clinic · USMedizinische Hochschule Hannover · DEMútua Terrassa · ESNorthwestern University · USOspedale Cisanello · ITUniversity of Health Sciences and Pharmacy · USVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPseudomonas aeruginosa nosocomial pneumonia (Pa-NP) is associated with considerable morbidity, prolonged hospitalization, increased costs, and mortality.

methodsWe conducted a retrospective cohort study of adult patients with Pa-NP to determine 1) risk factors for multidrug-resistant (MDR) strains and 2) whether MDR increases the risk for hospital death. Twelve hospitals in 5 countries (United States, n = 3; France, n = 2; Germany, n = 2; Italy, n = 2; and Spain, n = 3) participated. We compared characteristics of patients who had MDR strains to those who did not and derived regression models to identify predictors of MDR and hospital mortality.

resultsOf 740 patients with Pa-NP, 226 patients (30.5%) were infected with MDR strains. In multivariable analyses, independent predictors of multidrug-resistance included decreasing age (adjusted odds ratio [AOR] 0.91, 95% confidence interval [CI] 0.96-0.98), diabetes mellitus (AOR 1.90, 95% CI 1.21-3.00) and ICU admission (AOR 1.73, 95% CI 1.06-2.81). Multidrug-resistance, heart failure, increasing age, mechanical ventilation, and bacteremia were independently associated with in-hospital mortality in the Cox Proportional Hazards Model analysis.

conclusionsAmong patients with Pa-NP the presence of infection with a MDR strain is associated with increased in-hospital mortality. Identification of patients at risk of MDR Pa-NP could facilitate appropriate empiric antibiotic decisions that in turn could lead to improved hospital survival.

Indexed as

InternationalityAdultAgedAnti-Bacterial AgentsCross InfectionDrug Resistance, Multiple, BacterialFemaleHospitalizationHospital MortalityHumansMaleMiddle AgedMortalityPneumonia, BacterialPseudomonas aeruginosaPseudomonas InfectionsAnti-Bacterial Agents

Identifiers

PMID25944081
PMCPMC4446947
OpenAlexW2160629650

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.