Evidence map›Paper›PMID 26028525›Full record

ArticleMedecine et maladies infectieuses2015

Long-term effectiveness of infection and antibiotic control programs on the transmission of carbapenem-resistant Acinetobacter calcoaceticus-Acinetobacter baumannii complex in central Taiwan.

C-H Chen, L-C Lin, Y-J Chang, C-E Liu, M-S Soon

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Medecine et maladies infectieuses, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 40% 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, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. 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

5 authors at 1 institution in 1 country.

C-H ChenInfection Control Committee, Changhua Christian Hospital, 135 Nan-hsiao Street, Changhua, Taiwan, ROC; Division of Infectious Diseases, Department of Internal Medicine, Changhua Christian Hospital, 135, Nan-hsiao Street, Changhua, Taiwan, ROC; Department of Nursing, College of Medicine & Nursing, Hung Kuang University, No. 1018,Sec. 6, Taiwan Boulevard, Sha-lu District, Taichung 43302, Taiwan, ROC. Electronic address: 76590@cch.org.tw.
L-C LinInfection Control Committee, Changhua Christian Hospital, 135 Nan-hsiao Street, Changhua, Taiwan, ROC.
Y-J ChangEpidemiology and Biostatics Center, Changhua Christian Hospital, 135 Nan-hsiao Street, Changhua, Taiwan, ROC.
C-E LiuInfection Control Committee, Changhua Christian Hospital, 135 Nan-hsiao Street, Changhua, Taiwan, ROC; Division of Infectious Diseases, Department of Internal Medicine, Changhua Christian Hospital, 135, Nan-hsiao Street, Changhua, Taiwan, ROC.
M-S SoonDivision of Gastroenterology, Department of Internal Medicine, Changhua Christian Hospital, Changhua Christian Hospital, 135, Nan-hsiao Street, Changhua, 500, Taiwan, ROC.
Changhua Christian Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesA carbapenem-resistant Acinetobacter calcoaceticus-Acinetobacter baumannii complex (CRA complex) infection is one of most the difficult infections to control worldwide. We evaluated the long-term effects of infection control interventions on the incidence densities of healthcare-associated infection (HAI) and CRA complex infection, and the rates of Acinetobacter calcoaceticus-Acinetobacter baumannii complex bacteremia (AB). PATIENTS AND

methodsWe performed a cross-sectional analysis at the Changhua Christian Hospital from January 2002 to December 2013. Interventions for infection control were implemented from 2002 to 2009 (period 1). From 2010 to 2013 (period 2), infection control programs were improved by in-service education and a hand hygiene campaign to prepare for international and national hospital accreditation. The effectiveness of infection and antibiotic control programs was assessed according to the incidence densities of HAI and CRA complex, rates of CRA complex and of AB, chlorhexidine consumption density, and defined daily dose of antibiotics.

resultsThe incidence density of HAI decreased from 4.56‰ to 1.52‰ from periods 1 to 2 (P<0.001). Likewise, the incidence of AB decreased from 177.79 to 137.76 per person-years per 100,000 admissions (P<0.001). The incidence density of CRA complex ranged from 3.17-7.38‰. The chlorhexidine consumption density increased from 5.5 to 45.5 L per 1000 patient-days (P<0.001). The consumption of piperacillin-tazobactam was lower in period 2 than in period 1 (P<0.001).

conclusionEducation for infection control programs, hand hygiene campaigns, and antibiotics control programs may decrease the incidence density of AB and HAI, and may help control CRA complex infection.

Indexed as

Acinetobacter baumanniiAcinetobacter calcoaceticusbeta-Lactam ResistanceAcinetobacter InfectionsAdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsCarbapenemsChildCross InfectionCross-Sectional StudiesFemaleHumansMaleAnti-Bacterial AgentsCarbapenemsAcinetobacter baumannii-Acinetobacter calcoaceticusAcinetobacter calcoaceticus-Acinetobacter baumanniiAntibiotic stewardshipBon usage des antibiotiquesCarbapenem-resistanceHand hygieneHygiène des mainsInfection controlRésistance aux carbapénèmes

Identifiers

PMID26028525
PMCPMC7126745
OpenAlexW414812863

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.