Evidence map›Paper›PMID 27280467›Full record

Trial reportPloS one2016

The Effect of Strict Segregation on Pseudomonas aeruginosa in Cystic Fibrosis Patients.

Rosa van Mansfeld, Angelica de Vrankrijker, Roland Brimicombe, Harry Heijerman, Ferdinand Teding van Berkhout, Cristian Spitoni, Sanne Grave, Cornelis van der Ent, Tom Wolfs, Rob Willems and 1 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

8 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Genomics of antibiotic-resistance prediction in Pseudomonas aeruginosa.Annals of the New York Academy of Sciences · 2019
    Review
  7. Review
  8. 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

11 authors at 2 institutions in 1 country.

Rosa van MansfeldDepartment of Medical Microbiology, UMCU, Utrecht, The Netherlands.
Angelica de VrankrijkerDepartment of Pediatric Pulmonary Diseases, UMCU, Utrecht, The Netherlands.
Roland BrimicombeDepartment of Medical Microbiology, Haga Teaching Hospital, The Hague, The Netherlands.
Harry HeijermanDepartment of Pulmonology, Haga Teaching Hospital, The Hague, The Netherlands.
Ferdinand Teding van BerkhoutDepartment of Pulmonology, UMCU, Utrecht, The Netherlands.
Cristian SpitoniDepartment of Mathematics, Utrecht University, Utrecht, The Netherlands.
Sanne GraveDepartment of Medical Microbiology, UMCU, Utrecht, The Netherlands.
Cornelis van der EntDepartment of Pediatric Pulmonary Diseases, UMCU, Utrecht, The Netherlands.
Tom WolfsDepartment of Pediatric Infectious Diseases, UMCU, Utrecht, The Netherlands.
Rob WillemsDepartment of Medical Microbiology, UMCU, Utrecht, The Netherlands.
Marc BontenDepartment of Medical Microbiology, UMCU, Utrecht, The Netherlands.
Haga Hospital · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSegregation of patients with cystic fibrosis (CF) was implemented to prevent chronic infection with epidemic Pseudomonas aeruginosa strains with presumed detrimental clinical effects, but its effectiveness has not been carefully evaluated.

methodsThe effect of strict segregation on the incidence of P. aeruginosa infection in CF patients was investigated through longitudinal protocolized follow-up of respiratory tract infection before and after segregation. In two nested cross-sectional studies in 2007 and 2011 the P. aeruginosa population structure was investigated and clinical parameters were determined in patients with and without infection with the Dutch epidemic P. aeruginosa clone (ST406).

resultsOf 784 included patients 315 and 382 were at risk for acquiring chronic P. aeruginosa infection before and after segregation. Acquisition rates were, respectively, 0.14 and 0.05 per 1,000 days at risk (HR: 0.66, 95% CI [0.2548-1.541]; p = 0.28). An exploratory subgroup analysis indicated lower acquisition after segregation in children < 15 years of age (HR: 0.43, 95% CI[0.21-0.95]; p = 0.04). P. aeruginosa population structure did not change after segregation and ST406 was not associated with lung function decline, death or lung transplantation.

conclusionsStrict segregation was not associated with a statistically significant lower acquisition of chronic P. aeruginosa infection and ST406 was not associated with adverse clinical outcome. After segregation there were no new acquisitions of ST406. In an unplanned exploratory analysis chronic acquisition of P. aeruginosa was lower after implementation of segregation in patients under 15 years of age.

Indexed as

Cystic FibrosisPatient IsolationPseudomonas aeruginosaPseudomonas InfectionsAdolescentAdultChildChild, PreschoolChronic DiseaseCross-Sectional StudiesFemaleHumansMale

Identifiers

PMID27280467
PMCPMC4900627
OpenAlexW2416614437

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.