Evidence map›Paper›PMID 28160023›Full record

ReviewIntensive care medicine2017

The intensive care medicine research agenda on multidrug-resistant bacteria, antibiotics, and stewardship.

Marin H Kollef, Matteo Bassetti, Bruno Francois, Jason Burnham, George Dimopoulos, Jose Garnacho-Montero, Jeffrey Lipman, Charles-Edouard Luyt, David P Nicolau, Maarten J Postma and 3 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Intensive care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04318613 (Antibiograms of Intensive Care Units at an Egyptian Tertiary Care Hospital), which is not on this map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
–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.

NCT04318613 completednot on this mapstarted 2019, after this paper: background citation

Antibiograms of Intensive Care Units at an Egyptian Tertiary Care Hospital

Typeobservational_patient_registrySponsorZagazig UniversityRan2019 to 2019Enrolled45,221ConditionsCritical Illness
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  9. Knowledge, attitudes and practices of administration of intravenous antimicrobial medicines among intensive care nurses: A descriptive cross-sectional study.The Southern African journal of critical care : the official journal of the Critical Care Society · 2024
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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

13 authors.

Marin H KollefDivision of Pulmonary and Critical Care Medicine, Washington University School of Medicine, 4523 Clayton Avenue, Campus Box 8052, St. Louis, MO, 63110, USA. kollefm@wustl.edu.
Matteo BassettiInfectious Diseases Division, Santa Maria Misericordia University Hospital, Udine, Italy.
Bruno FrancoisService de Réanimation Polyvalente, Inserm CIC-1435, CHU Dupuytren, Limoges, France.
Jason BurnhamDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.
George DimopoulosDepartment of Critical Care, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Jose Garnacho-MonteroUnidad Clínica de Cuidados Intensivos, Hospital Universitario Virgen Macarena, Seville, Spain.
Jeffrey LipmanDepartment of Intensive Care Medicine, Royal Brisbane and Women's Hospital, Herston, Brisbane, QLD, Australia.
Charles-Edouard LuytService de Réanimation, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France.
David P NicolauCenter for Anti-infective Research and Development and Division of Infectious Diseases, Hartford Hospital, Hartford, CT, USA.
Maarten J PostmaUnit of PharmacoTherapy, Epidemiology & Economics, Department of Pharmacy and Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Antonio TorresDepartment of Pulmonology, Hospital Clinic of Barcelona, CIBERES, IDIBAPS, University of Barcelona, Barcelona, Spain.
Tobias WelteDepartment of Pulmonology, Hannover Medical School, Hannover, Germany.
Richard G WunderinkPulmonary and Critical Care, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
NCATS NIH HHS UL1 TR000448
6 · The paper itself

Abstract

purposeTo concisely describe the current standards of care, major recent advances, common beliefs that have been contradicted by recent trials, areas of uncertainty, and clinical studies that need to be performed over the next decade and their expected outcomes with regard to the management of multidrug-resistant (MDR) bacteria, antibiotic use, and antimicrobial stewardship in the intensive care unit (ICU) setting.

methodsNarrative review based on a systematic analysis of the medical literature, national and international guidelines, and expert opinion.

resultsThe prevalence of infection of critically ill patients by MDR bacteria is rapidly evolving. Clinical studies aimed at improving understanding of the changing patterns of these infections in ICUs are urgently needed. Ideal antibiotic utilization is another area of uncertainty requiring additional investigations aimed at better understanding of dose optimization, duration of therapy, use of combination treatment, aerosolized antibiotics, and the integration of rapid diagnostics as a guide for treatment. Moreover, there is an imperative need to develop non-antibiotic approaches for the prevention and treatment of MDR infections in the ICU. Finally, clinical research aimed at demonstrating the beneficial impact of antimicrobial stewardship in the ICU setting is essential.

conclusionsThese and other fundamental questions need to be addressed over the next decade in order to better understand how to prevent, diagnose, and treat MDR bacterial infections. Clinical studies described in this research agenda provide a template and set priorities for investigations that should be performed in this field.

Indexed as

Anti-Bacterial AgentsStandard of CareAntimicrobial StewardshipBiomedical ResearchCritical CareCritical IllnessCross InfectionDrug Resistance, Multiple, BacterialHumansIntensive Care UnitsProcess Assessment, Health CareAnti-Bacterial AgentsAntibioticsBacteriaMultidrug resistanceStewardship

Identifiers

PMID28160023
PMCPMC6204331

What OpenQuestion holds

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Read underepoch 390

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.