Evidence map›Paper›PMID 28748088›Full record

ArticleTherapeutic advances in infectious disease2017

Modeling risk for developing drug resistant bacterial infections in an MDR-naive critically ill population.

Rajiv Sonti, Megan E Conroy, Elena M Welt, Yi Hu, George Luta, Daniel B Jamieson

Open access · bronzeAbstract read
In one paragraph

Article in Therapeutic advances in infectious disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Development and Prospective Validation of a Machine Learning Tool for Predicting Multidrug-resistant Organism Infections in an Indian Critical Care Unit.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
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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

6 authors at 2 institutions in 1 country.

Rajiv SontiDivision of Pulmonary, Critical Care and Sleep Medicine, Medstar Georgetown University Hospital, Washington, DC, USA.
Megan E ConroyDivision of Pulmonary, Critical Care and Sleep Medicine, Medstar Georgetown University Hospital, Washington, DC, USA.
Elena M WeltDivision of Pulmonary, Critical Care and Sleep Medicine, Medstar Georgetown University Hospital, Washington, DC, USA.
Yi HuDepartment of Biostatistics, Bioinformatics & Biomathematics, Georgetown University, Washington, DC, USA.
George LutaDepartment of Biostatistics, Bioinformatics & Biomathematics, Georgetown University, Washington, DC, USA.
Daniel B JamiesonDivision of Pulmonary, Critical Care and Sleep Medicine, Medstar Georgetown University Hospital, Washington, DC, USA.
MedStar Georgetown University Hospital · USGeorgetown University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo create a model predictive of an individual's risk of developing a

methodsThis is a case-control study in which 189 ICU patients diagnosed with their first infection with an MDR organism were compared on the basis of demographic, past medical and clinical variables to randomly selected ICU patients without such an infection, era-matched in a 2:1 ratio. A prediction tool was derived using multivariate logistic regression.

resultsFive features remained predictive of developing an infection with a drug-resistant pathogen: hospitalization within a year [adjusted odds ratio (OR) 2.14], chronic hemodialysis (3.86), underlying oxygen-dependent pulmonary disease (1.86), endotracheal intubation within 24 h (2.46) and reason for ICU admission (respiratory failure 2.89, non-respiratory failure, non-shock presentation 1.85). Using a scoring system (0-7 points) based on the adjusted OR, risk categories were derived (low: 0-2 points, intermediate: 3-4 points and high risk: 5-7 points). The negative predictive value at a score cutoff of 2 is excellent (88.9%).

conclusionsA clinical prediction rule comprised of five easily measured ICU variables reasonably discriminates between patients who will develop their first MDR infection versus those who will not.

Indexed as

antimicrobial stewardshipICUlogistic modelMRSAmultidrug-resistant infectionsepsis

Identifiers

PMID28748088
PMCPMC5507394
OpenAlexW2734683341

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.