Evidence map›Paper›PMID 26782632›Full record

Trial reportInfection control and hospital epidemiology2016

Long-Term Carriage of Ciprofloxacin-Resistant Escherichia coli Isolates in High-Risk Nursing Home Residents.

Miriam D Ismail, Ting Luo, Sara McNamara, Bonnie Lansing, Evonne Koo, Lona Mody, Betsy Foxman

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Infection control and hospital epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01062841 (Targeted Infection Control Program), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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.

NCT01062841 nacompletednot on this map

Targeted Infection Control Program (TIP) to Reduce Resistant Pathogens and Infections

TypeinterventionalSponsorUniversity of MichiganRan2010 to 2013Enrolled418ConditionsInfectionArmsTargeted Infection Control
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Pandemic Uropathogenic Fluoroquinolone-resistant Escherichia coli Have Enhanced Ability to Persist in the Gut and Cause Bacteriuria in Healthy Women.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  7. Epidemiology of Vancomycin-ResistantOpen forum infectious diseases · 2020
    Article
  8. Network of microbial and antibiotic interactions drive colonization and infection with multidrug-resistant organisms.Proceedings of the National Academy of Sciences of the United States of America · 2017
    Article
  9. Review
  10. Enteroaggregative Escherichia coli in Daycare-A 1-Year Dynamic Cohort Study.Frontiers in cellular and infection microbiology · 2016
    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

7 authors.

Miriam D Ismail1Center for Molecular and Clinical Epidemiology of Infectious Diseases,Department of Epidemiology,University of Michigan School of Public Health,Ann Arbor,Michigan.
Ting Luo1Center for Molecular and Clinical Epidemiology of Infectious Diseases,Department of Epidemiology,University of Michigan School of Public Health,Ann Arbor,Michigan.
Sara McNamara2Infection Prevention in Aging Research Group,Division of Geriatric and Palliative Medicine,University of Michigan Medical School,Ann Arbor,Michigan.
Bonnie Lansing2Infection Prevention in Aging Research Group,Division of Geriatric and Palliative Medicine,University of Michigan Medical School,Ann Arbor,Michigan.
Evonne Koo2Infection Prevention in Aging Research Group,Division of Geriatric and Palliative Medicine,University of Michigan Medical School,Ann Arbor,Michigan.
Lona Mody2Infection Prevention in Aging Research Group,Division of Geriatric and Palliative Medicine,University of Michigan Medical School,Ann Arbor,Michigan.
Betsy Foxman1Center for Molecular and Clinical Epidemiology of Infectious Diseases,Department of Epidemiology,University of Michigan School of Public Health,Ann Arbor,Michigan.

Funding

Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Neil Alexander · 2004 to 2026
$29.2M
Pathway from Functional Disability to Antimicrobial Resistance in Nursing HomesR01AG041780 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MODY, LONA · 2013 to 2017
$1.8M
Targeted Infection Prevention (TIP) Program in Nursing HomesR01AG032298 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MODY, LONA · 2009 to 2013
$1.7M
Preventing Infections and Antimicrobial Resistance in the Aging Population: Translational Research and Training ProgramK24AG050685 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lona Mody · 2015 to 2026
$1.4M
Modifying Contact Precautions for MRSA in Extended CareR18HS019979 · AHRQ · UNIVERSITY OF MARYLAND BALTIMORE · PI ROGHMANN, MARY-CLAIRE · 2011 to 2013
$1.4M
Device use in Nursing Homes: Reducing Risk of InfectionK23AG022463 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MODY, LONA · 2003 to 2007
$684k
AHRQ HHS R18 HS019979NIA NIH HHS K23 AG022463NIA NIH HHS K24 AG050685NIA NIH HHS L23 AG028943NIA NIH HHS NIA P30AG024824NIA NIH HHS P30 AG024824NIA NIH HHS R01 AG032298NIA NIH HHS R01 AG041780NIA NIH HHS R0I AG032298NIA NIH HHS R0I AG041780
6 · The paper itself

Abstract

BACKGROUND Rates of multidrug-resistant gram-negative organisms are surpassing those of methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci in nursing homes (NHs). OBJECTIVE To characterize the incidence and duration of carriage of ciprofloxacin-resistant Escherichia coli (CipREc) in NHs and identify those in the O25b-ST131 lineage. METHODS We collected 227 CipREc isolates obtained by routine and regular surveillance of high-risk NH residents with indwelling devices. Repetitive element palindromic (REP)-polymerase chain reaction assay and multiplex polymerase chain reaction amplification for O25b-ST131 E. coli detection were performed using (GTG)5-primers and O25pabBspe and trpA2 primer pairs, respectively. RESULTS We found a high period prevalence of CipREc colonization (21.5%), high rates of recolonization with the same strain following clearing (0.46 recolonizations/ person/ year), and an acquisition incidence of 1.05 cases/1,000 person-days. Almost three-quarters of colonized residents carried strains in the O25b-ST131 E. coli lineage. Compared with isolates not in the lineage, O25b-ST131 isolates were carried significantly longer (10 vs 3 months). We identified 18 different REP-types; 2 occurred in 55% of the residents colonized with CipREc, and in more than 1 NH. Duration of CipREc carriage varied by REP-type and averaged 6 months. CONCLUSION CipREc occurred frequently in NH residents and is carried for long durations, and reacquisition following clearance is common Trial registration. ClinicalTrials.gov identifier: NCT01062841.

Indexed as

Drug Resistance, Multiple, BacterialNursing HomesAgedAged, 80 and overAnti-Bacterial AgentsCarrier StateCiprofloxacinElectrophoresis, Gel, Pulsed-FieldEscherichia coliEscherichia coli InfectionsFemaleHumansMaleMichiganMicrobial Sensitivity TestsMiddle AgedAnti-Bacterial AgentsCiprofloxacin

Identifiers

PMID26782632
PMCPMC6194505

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Registered trials

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.