Evidence map›Paper›PMID 29102426›Full record

ArticleAmerican journal of infection control2018

Risk factors for infection with multidrug-resistant organisms in Haryana, India.

Shilpa Kalluru, Shoshannah Eggers, Anna Barker, Daniel Shirley, Ajay K Sethi, Sharmila Sengupta, Kajal Yeptho, Nasia Safdar

Abstract read
In one paragraph

Article in American journal of infection control, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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.

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

13 citing papers in PubMed.

  1. Hospital at home enables safe and efficient outpatient management of intensively treated acute myeloid leukemia.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Assessment of risk factors associated with multidrug-resistant organism infections among patients admitted in a tertiary hospital - a retrospective study.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. 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

8 authors.

Shilpa KalluruUniversity of Wisconsin School of Medicine and Public Health, Madison, WI.
Shoshannah EggersWilliam S. Middleton Memorial Veterans Hospital, Madison, WI; Department of Population Health, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Anna BarkerDepartment of Population Health, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Daniel ShirleyDivision of Infectious Disease, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Ajay K SethiDepartment of Population Health, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Sharmila SenguptaMedanta Medicity Hospital, Gurgaon, Haryana, India.
Kajal YepthoMedanta Medicity Hospital, Gurgaon, Haryana, India.
Nasia SafdarWilliam S. Middleton Memorial Veterans Hospital, Madison, WI; Division of Infectious Disease, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI. Electronic address: ns2@medicine.wisc.edu.

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
INTEGRATED TRAINING FOR PHYSICIAN-SCIENTISTST32GM008692 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI BURKARD, MARK E · 1998 to 2020
$10.3M
Institutional Clinical and Translational Science AwardTL1TR000429 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$1.5M
NCATS NIH HHS TL1 TR000429NCATS NIH HHS UL1 TR000427NIGMS NIH HHS T32 GM008692
6 · The paper itself

Abstract

backgroundThe objective of this study was to investigate risk factors for multidrug-resistant organism (MDRO) infection within patients from a tertiary care hospital in Northern India. This case-control study examined MDRO infection risk factors, including diet, health history, and medical device use. We administered a diet questionnaire to collect data on usual diet and collected data on other risk factors from chart review. All participants were inpatients identified through hospital microbiology reports. A total of 39 MDRO patient cases and 91 controls were included.

methodsDescriptive statistics, univariate analysis, and multivariate logistic regression were performed to evaluate the association between risk factors and MDRO infection.

resultsAll cases had gram-negative MDRO infections. Univariate analyses found length of hospital stay, connective tissue disease, hospitalization in the last 12 months, hospitalization of a family member, in-hospital antibiotic use, antibiotic use in the last 12 months, and feeding tube, central venous line, and urinary catheter use to be significantly different between cases and controls. Logistic regression showed a >3-fold increase in the odds of infection with antibiotic use in the last 12 months (odds ratio [OR], 3.30; 95% confidence interval [CI], 1.22-8.91) and urinary catheter use (OR, 3.63; 95% CI, 1.14-11.58). Differences in dietary preferences and fruit, vegetable, and fiber consumption were not significantly associated with infection.

conclusionsAntibiotic use is a major driver of MDRO infections. Our findings suggest that interventions optimizing antibiotic stewardship and reducing device use should be a priority to prevent MDRO infections.

Indexed as

Drug Resistance, Multiple, BacterialAdultAgedBacteriaBacterial InfectionsDietFemaleHumansIndiaInpatientsMaleMiddle AgedPrevalenceRisk FactorsAntibiotic useGlobal healthGram-negative bacteriaIndiaMDRO

Identifiers

PMID29102426
PMCPMC6055232

What OpenQuestion holds

Textmetadata
LicenceTDM
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.