Evidence map›Paper›PMID 28900004›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2017

Network of microbial and antibiotic interactions drive colonization and infection with multidrug-resistant organisms.

Joyce Wang, Betsy Foxman, Lona Mody, Evan S Snitkin

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

28 citing papers in PubMed, 64 citations in OpenAlex.

  1. Impact of a Purified Microbiome Therapeutic on Abundance of Antimicrobial Resistance Genes in Patients With Recurrent Clostridioides difficile Infection.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
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  6. Antibiotic consumption patterns in older adults: a comparative study of people 65 years and older in and outside nursing homes, Belgium, 2016 to 2022.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
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  7. Review
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  13. Antibiotic Utilization in Deceased Organ Donors.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
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  20. Risk Factors of Multidrug-Resistant Bacteria in Lower Respiratory Tract Infections: A Systematic Review and Meta-Analysis.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Joyce WangDepartment of Microbiology and Immunology, University of Michigan, Ann Arbor, MI 48109-5680.
Betsy FoxmanDepartment of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109-2029.ORCID 0000-0001-6682-238X
Lona ModyDivision of Geriatric and Palliative Medicine, University of Michigan, Ann Arbor, MI 48109-2007.
Evan S SnitkinDepartment of Microbiology and Immunology, University of Michigan, Ann Arbor, MI 48109-5680; esnitkin@med.umich.edu.ORCID 0000-0001-8409-278X
University of Michigan · US

Funding

Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Neil Alexander · 2004 to 2026
$29.2M
NIA NIH HHS P30 AG024824
6 · The paper itself

Abstract

The emergence and spread of multidrug-resistant organisms (MDROs) across global healthcare networks poses a serious threat to hospitalized individuals. Strategies to limit the emergence and spread of MDROs include oversight to decrease selective pressure for MDROs by promoting appropriate antibiotic use via antibiotic stewardship programs. However, restricting the use of one antibiotic often requires a compensatory increase in the use of other antibiotics, which in turn selects for the emergence of different MDRO species. Further, the downstream effects of antibiotic treatment decisions may also be influenced by functional interactions among different MDRO species, with the potential clinical implications of such interactions remaining largely unexplored. Here, we attempt to decipher the influence network between antibiotic treatment, MDRO colonization, and infection by leveraging active surveillance and antibiotic treatment data for 234 nursing home residents. Our analysis revealed a complex network of interactions: antibiotic use was a risk factor for primary MDRO colonization, which in turn increased the likelihood of colonization and infection by other MDROs. When we focused on the risk of catheter-associated urinary tract infections (CAUTI) caused by

Indexed as

AgedAnti-Bacterial AgentsAntimicrobial StewardshipCross InfectionDrug Resistance, Multiple, BacterialEscherichia coliEscherichia coli InfectionsFemaleHumansMaleMethicillin-Resistant Staphylococcus aureusRisk FactorsStaphylococcal InfectionsVancomycin-Resistant EnterococciAnti-Bacterial Agentsantibioticscatheter-associated urinary tract infectionlong-term care facilitiesmultidrug-resistant organismsnursing homes

Identifiers

PMID28900004
PMCPMC5625923
OpenAlexW2754851278

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.