Evidence map›Paper›PMID 28662657›Full record

Observational studyBMC pulmonary medicine2017

Bacteraemia and fungaemia in cystic fibrosis patients with febrile pulmonary exacerbation: a prospective observational study.

Joerg Grosse-Onnebrink, Florian Stehling, Eva Tschiedel, Margarete Olivier, Uwe Mellies, Rene Schmidt, Jan Buer, Peter-Micheal Rath, Joerg Steinmann

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC pulmonary medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Respiratory Fungal Diseases in Adult Patients With Cystic Fibrosis.Clinical medicine insights. Circulatory, respiratory and pulmonary medicine · 2019
    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 1 institution in 1 country.

Joerg Grosse-OnnebrinkDepartment of Paediatric Respiratory Medicine, Cystic Fibrosis Centre, University Children's Hospital Essen, Essen, Germany. joerg.grosse-onnebrink@ukmuenster.de.
Florian StehlingDepartment of Paediatric Respiratory Medicine, Cystic Fibrosis Centre, University Children's Hospital Essen, Essen, Germany.
Eva TschiedelDepartment of Paediatric Respiratory Medicine, Cystic Fibrosis Centre, University Children's Hospital Essen, Essen, Germany.
Margarete OlivierDepartment of Paediatric Respiratory Medicine, Cystic Fibrosis Centre, University Children's Hospital Essen, Essen, Germany.
Uwe MelliesDepartment of Paediatric Respiratory Medicine, Cystic Fibrosis Centre, University Children's Hospital Essen, Essen, Germany.
Rene SchmidtInstitute of Biostatistics and Clinical Research, University of Muenster, Muenster, Germany.
Jan BuerInstitute of Medical Microbiology, University Hospital Essen, Essen, Germany.
Peter-Micheal RathInstitute of Medical Microbiology, University Hospital Essen, Essen, Germany.
Joerg SteinmannInstitute of Medical Microbiology, University Hospital Essen, Essen, Germany.
Essen University Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBloodstream pathogens can be identified by multiplex PCR (SeptiFast (SF)) or blood culture (BC); whether these pathogens are present in cystic fibrosis (CF) patients during febrile pulmonary exacerbations (FPE) has not been sufficiently studied.

methodsIn this prospective observational study, blood from CF patients experiencing FPE was tested with SF and BC before the initiation of antibiotic treatment.

resultsAfter contaminants had been excluded, 9 of 72 blood samples tested positive by BC or SF. SF exclusively detected four pathogens; BC, one. Pulmonary pathogen transmission was likely in all cases except for 2 cases of candidaemia, which were believed to be caused by catheter-related infections. For three cases, test results caused us to change the antibiotic regimen. Sensitivity (85.7% vs. 42.9%) and negative predictive value (98.4% vs. 87.0%) tended to be higher for SF than for BC.

conclusionsThe results of SF and BC show that bacteraemia and fungaemia are present in CF patients during FPE and may affect antibiotic therapy. SF can help rule out catheter-related bloodstream infections.

Indexed as

AdolescentBacteremiaBlood CultureCandida albicansCandidemiaCystic FibrosisDisease ProgressionFalse Negative ReactionsFemaleFeverGram-Negative Bacterial InfectionsHumansKlebsiella InfectionsKlebsiella pneumoniaeMalePredictive Value of Tests

Identifiers

PMID28662657
PMCPMC5492183
OpenAlexW2724163869

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.