Evidence map›Paper›PMID 29177048›Full record

ArticleAntimicrobial resistance and infection control2017

Impact of single room design on the spread of multi-drug resistant bacteria in an intensive care unit.

Teysir Halaby, Nashwan Al Naiemi, Bert Beishuizen, Roel Verkooijen, José A Ferreira, Rob Klont, Christina Vandenbroucke-Grauls

Abstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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.

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

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

  1. Pooled it
  2. [Advances in the diagnosis and treatment of patients with multidrug-resistant bacterial infections combined with severe liver disease].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  3. Article
  4. Article
  5. Epidemiology and outcomes of carbapenem-resistantFrontiers in microbiology · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Common microbial isolates in an adult intensive care unit before and after its relocation and expansion.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2022
    Article
  11. Article
  12. Article
  13. A Comparison of Nosocomial Infection Density in Intensive Care Units on Relocating to a New Hospital.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2020
    Article
  14. Observational
  15. Article
  16. 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

7 authors.

Teysir HalabyLaboratory for Medical Microbiology and Public Health, Boerhaavelaan 59, 7555 BB Hengelo, The Netherlands.ORCID 0000-0001-7149-2995
Nashwan Al NaiemiLaboratory for Medical Microbiology and Public Health, Boerhaavelaan 59, 7555 BB Hengelo, The Netherlands.
Bert BeishuizenDepartment of intensive care, Medisch Spectrum Twente, Enschede, The Netherlands.
Roel VerkooijenLaboratory for Medical Microbiology and Public Health, Boerhaavelaan 59, 7555 BB Hengelo, The Netherlands.
José A FerreiraDepartment of Statistics, Informatics and Modelling, National Institute for Public Health and the Environment, RIVM, Bilthoven, The Netherlands.
Rob KlontLaboratory for Medical Microbiology and Public Health, Boerhaavelaan 59, 7555 BB Hengelo, The Netherlands.
Christina Vandenbroucke-GraulsDepartment of Medical Microbiology & Infection Control, VU University Medical Center, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCross-transmission of nosocomial pathogens occurs frequently in intensive care units (ICU). The aim of this study was to investigate whether the introduction of a single room policy resulted in a decrease in transmission of multidrug-resistant (MDR) bacteria in an ICU.

methodsWe performed a retrospective study covering two periods: between January 2002 and April 2009 (old-ICU) and between May 2009 and March 2013 (new-ICU, single-room). These periods were compared with respect to the occurrence of representative MDR Gram-negative bacteria. Routine microbiological screening, was performed on all patients on admission to the ICU and then twice a week. Multi-drug resistance was defined according to a national guideline. The first isolates per patient that met the MDR-criteria, detected during the ICU admission were included in the analysis. To investigate the clonality, isolates were genotyped by DiversiLab (

resultsDespite infection prevention efforts, high prevalence of MRD bacteria continue to occur in the original facility. A marked and sustained decrease in the prevalence of MDR-GN bacteria was observed after the migration to the new ICU, while there appear to be no significant changes in the other variables including bed occupancy and numbers of patient admissions.

conclusionSingle room ICU design contributes significantly to the reduction of cross transmission of MRD-bacteria.

Identifiers

PMID29177048
PMCPMC5688743

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.