Evidence map›Paper›PMID 27680980›Full record

ArticleCritical care (London, England)2016

Pre-emptive antibiotic therapy to reduce ventilator-associated pneumonia: "thinking outside the box".

Donald E Craven, Jana Hudcova, Yuxiu Lei, Kathleen A Craven, Ahsan Waqas

Open access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2016. 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
2.1field-weighted citation impact, top 13% 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. Review
  3. Article
  4. 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

5 authors at 3 institutions in 1 country.

Donald E CravenCenter for Infectious Diseases & Prevention, Lahey Hospital and Medical Center, 31 Mall Rd, Burlington, MA, 01805, USA. donald.e.craven@lahey.org.
Jana HudcovaSurgical Critical Care, Lahey Hospital and Medical Center, Burlington, MA, USA.
Yuxiu LeiPulmonary and Critical Care Medicine, Lahey Hospital and Medical Center, Burlington, MA, USA.
Kathleen A CravenNew England Independent Review Board for Human Research, Wellesley, MA, USA.
Ahsan WaqasBrookdale University Medical Center, Brooklyn, NY, USA.
Lahey Hospital and Medical Center · USUniversity Medical Center · USWellesley College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mechanically ventilated, intubated patients are at increased risk for tracheal colonization with bacterial pathogens that may progress to heavy bacterial colonization, ventilator-associated tracheobronchitis (VAT), and/or ventilator-associated pneumonia (VAP). Previous studies report that 10 to 30 % of patients with VAT progress to VAP, resulting in increased morbidity and significant acute and chronic healthcare costs. Several natural history studies, randomized, controlled trials, and a meta-analysis have reported antibiotic treatment for VAT can reduce VAP, ventilator days, length of intensive care unit (ICU) stay, and patient morbidity and mortality. We discuss early diagnostic criteria, etiologic agents, and benefits of initiating, early, appropriate intravenous or aerosolized antibiotic(s) to treat VAT and reduce VAP, to improve patient outcomes by reducing lung damage, length of ICU stay, and healthcare costs.

Indexed as

Antibiotic sensitivityBacterial pathogen virulenceMorbidityMortality and healthcare costsPatient outcomesUse of early appropriate antibiotic therapyVAP preventionVentilator-associated pneumonia (VAP)Ventilator-associated respiratory infection (VARI)Ventilator-associated tracheobronchitis (VAT)

Identifiers

PMID27680980
PMCPMC5041322
OpenAlexW2522169559

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.