Evidence map›Paper›PMID 29304746›Full record

ArticleBMC infectious diseases2018

A multi-center study on the risk factors of infection caused by multi-drug resistant Acinetobacter baumannii.

Huiping Huang, Borong Chen, Gang Liu, Jing Ran, Xianyu Lian, Xinhua Huang, Nan Wang, Zhengjie Huang

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Bacteriophages targetingFrontiers in microbiology · 2026
    Review
  4. Prevalence and Resistance Profiles ofAntibiotics (Basel, Switzerland) · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Multidrug-ResistantTropical medicine and infectious disease · 2025
    Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Risk factors for progression to bacteremia among patients with nosocomial carbapenem-resistant Acinetobacter baumannii pneumonia in the Intensive Care Unit.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2023
    Article
  15. Early detection of a possible multidrug-resistantIranian journal of microbiology · 2023
    Article
  16. Antimicrobial stewardship in the intensive care unit.Journal of intensive medicine · 2023
    Review
  17. Article
  18. Article
  19. Article
  20. Prevalence, outcomes, and predictors of multidrug-resistant nosocomial lower respiratory tract infections among patients in an ICU.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2023
    Observational
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 at 3 institutions in 1 country.

Huiping HuangDepartment of Infection Control, The First Affiliated Hospital of Xiamen University, Xiamen, Fujian, 361003, China.
Borong ChenDepartment of Gastrointestinal Surgery, Xiamen Cancer Hospital, The First Affiliated Hospital of Xiamen University, 55 Zhen Hai Road, Si Ming District, Xiamen, Fujian, 361003, China.
Gang LiuDepartment of Gastrointestinal Surgery, Xiamen Cancer Hospital, The First Affiliated Hospital of Xiamen University, 55 Zhen Hai Road, Si Ming District, Xiamen, Fujian, 361003, China.
Jing RanDepartment of Gynecology and Obstetrics, The First Affiliated Hospital of Xiamen University, Xiamen, Fujian, 361003, China.
Xianyu LianDepartment of Infection Control, The First Affiliated Hospital of Xiamen University, Xiamen, Fujian, 361003, China.
Xinhua HuangDepartment of Infection Control, The Second Hospital of Xiamen, Xiamen, Fujian, 361021, China.
Nan WangDepartment of Infection Control, The Affiliated Chenggong Hospital of Xiamen University, Xiamen, Fujian, 361003, China.
Zhengjie HuangDepartment of Gastrointestinal Surgery, Xiamen Cancer Hospital, The First Affiliated Hospital of Xiamen University, 55 Zhen Hai Road, Si Ming District, Xiamen, Fujian, 361003, China. huangzhengjie@xmu.edu.cn.
First Affiliated Hospital of Xiamen University · CNFuzhou Second Hospital · CNZhongshan Hospital of Xiamen University · CN

Funding

Medical Innovations Topic in Fujian Province No. 2016-CXB-8, 2012-CXB-29Project of Xiamen Scientific and Technological Plan No. 3502Z20134011Science and Technology Project of Natural Science Foundation of Fujian Province No. 2016J01639, 2016J01640
6 · The paper itself

Abstract

backgroundAcinetobacter baumannii (AB) is critical for healthcare-associated infections (HAI) with significant regional differences in the resistance rate, but its risk factors and infection trends has not been well studied. We aimed to explore the risk factors, epidemiological characteristics and resistance of multidrug-resistant Acinetobacter baumannii (MDR-AB) in intensive care unit inpatients.

methodsData of patients with MDR-AB (195 cases), and with antibiotic-sensitive AB infection (294 cases, control) during January to December, 2015 in three medical centers in Xiamen, China were conducted and analyzed in the present retrospective study.

resultsLower respiratory tract infection with AB accounted for 68.71%. MDR-AB was detected in 39.88% of all cases. Univariate analysis suggested that mechanical ventilation, indwelling catheter, cancer patients, length of hospitalization in intensive care unit (ICU) ≥15 d, Acute Physiology and Chronic Health Evaluation (APACHE) II score, combined using antibiotic before isolation of AB and use of third-lines cephalosporins were associated with the development of MDR-AB healthcare-associated infections. Dose-response relationship analysis suggested that the age and the days of mechanical ventilation were associated with increased infection with MDR-AB. Logistic regression analysis suggested that, mechanical ventilation, combined using antibiotic before isolation of AB, and indwelling catheter, were associated with MDR-AB infection, with odds ratios (OR) and 95% confidence intervals (CI) of 3.93 (1.52-10.14), 4.11 (1.58-10.73), and 4.15 (1.32-12.99), respectively.

conclusionsMDR-AB infection was associated with mechanical ventilation, combined using antibiotic before isolation of AB, and indwelling catheter. Furthermore, the age and the days of mechanical ventilation were associated with increased infection with MDR-AB.

Indexed as

Acinetobacter baumanniiAcinetobacter InfectionsAdultAgedAged, 80 and overAnti-Bacterial AgentsCatheter-Related InfectionsCephalosporinsChinaCross InfectionDose-Response Relationship, DrugDrug Resistance, Multiple, BacterialFemaleHumansIntensive Care UnitsMaleAnti-Bacterial AgentsCephalosporinsAcinetobacter baummaniiIntensive care unitMulti-drug resistantRisk factors

Identifiers

PMID29304746
PMCPMC5756379
OpenAlexW2781928079

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Registered trials

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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.