Evidence map›Paper›PMID 26918696›Full record

ReviewSurgical infections2016

Beyond Blood Culture and Gram Stain Analysis: A Review of Molecular Techniques for the Early Detection of Bacteremia in Surgical Patients.

Michelle H Scerbo, Heidi B Kaplan, Anahita Dua, Douglas B Litwin, Catherine G Ambrose, Laura J Moore, Col Clinton K Murray, Charles E Wade, John B Holcomb

Open access · greenAbstract readReview
In one paragraph

Review in Surgical infections, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.6field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. SerumJournal of clinical medicine · 2021
    Article
  11. Article
  12. A Guide to Bacterial Culture Identification And Results Interpretation.P & T : a peer-reviewed journal for formulary management · 2019
    Article
  13. Article
  14. Review
  15. Observational
  16. Sepsis and septic shock.Nature reviews. Disease primers · 2016
    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

9 authors at 3 institutions in 1 country.

Michelle H Scerbo1 The Center for Translational Injury Research (CeTIR) , Department of Surgery, University of Texas Health Science Center , Houston, Texas.
Heidi B Kaplan2 Department of Microbiology and Molecular Genetics, University of Texas Health Science Center , Houston, Texas.
Anahita Dua4 Department of Surgery, Medical College of Wisconsin , Milwaukee, Wisconsin.
Douglas B Litwin2 Department of Microbiology and Molecular Genetics, University of Texas Health Science Center , Houston, Texas.
Catherine G Ambrose3 Department of Orthopedic Surgery, University of Texas Health Science Center , Houston, Texas.
Laura J Moore1 The Center for Translational Injury Research (CeTIR) , Department of Surgery, University of Texas Health Science Center , Houston, Texas.
Col Clinton K Murray5 Department of Medicine, Infectious Disease Service, Brooke Army Medical Center , Fort Sam Houston, Texas.
Charles E Wade1 The Center for Translational Injury Research (CeTIR) , Department of Surgery, University of Texas Health Science Center , Houston, Texas.
John B Holcomb1 The Center for Translational Injury Research (CeTIR) , Department of Surgery, University of Texas Health Science Center , Houston, Texas.
The University of Texas Health Science Center at Houston · USJoint Base San Antonio · USMedical College of Wisconsin · US

Funding

ROLE OF THE GUT IN POST INJURY MULTIPLE ORGAN FAILURET32GM008792 · NIGMS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Charles S Cox · 2001 to 2026
$5.2M
NIGMS NIH HHS T32 GM008792
6 · The paper itself

Abstract

backgroundSepsis from bacteremia occurs in 250,000 cases annually in the United States, has a mortality rate as high as 60%, and is associated with a poorer prognosis than localized infection. Because of these high figures, empiric antibiotic administration for patients with systemic inflammatory response syndrome (SIRS) and suspected infection is the second most common indication for antibiotic administration in intensive care units (ICU)s. However, overuse of empiric antibiotics contributes to the development of opportunistic infections, antibiotic resistance, and the increase in multi-drug-resistant bacterial strains. The current method of diagnosing and ruling out bacteremia is via blood culture (BC) and Gram stain (GS) analysis.

methodsConventional and molecular methods for diagnosing bacteremia were reviewed and compared. The clinical implications, use, and current clinical trials of polymerase chain reaction (PCR)-based methods to detect bacterial pathogens in the blood stream were detailed.

resultsBC/GS has several disadvantages. These include: some bacteria do not grow in culture media; others do not GS appropriately; and cultures can require up to 5 d to guide or discontinue antibiotic treatment. PCR-based methods can be potentially applied to detect rapidly, accurately, and directly microbes in human blood samples.

conclusionsCompared with the conventional BC/GS, particular advantages to molecular methods (specifically, PCR-based methods) include faster results, leading to possible improved antibiotic stewardship when bacteremia is not present.

Indexed as

Blood CultureGentian VioletPhenazinesPolymerase Chain ReactionAnti-Bacterial AgentsBacteremiaHumansMolecular TypingPostoperative ComplicationsStaining and LabelingAnti-Bacterial AgentsGentian VioletGram's stainPhenazines

Identifiers

PMID26918696
PMCPMC5118953
OpenAlexW2292473089

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.