Evidence map›Paper›PMID 29484561›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2018

Bactibilia in diseases of the biliary tract and pancreatic gland in patients older than 80 years: a STROBE-retrospective cohort study in a teaching hospital in Italy.

Paola Di Carlo, Nicola Serra, Gaspare Gulotta, Anna Giammanco, Claudia Colomba, Giuseppina Melfa, Teresa Fasciana, Consolato Sergi

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Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 32% 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, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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 at 3 institutions in 2 countries.

Paola Di CarloDepartment of Sciences for Health Promotion and Mother and Child Care, University of Palermo, Palermo, Italy.
Nicola SerraSchool of Medicine and Surgery, University Federico II of Naples, Naples, Italy.
Gaspare GulottaDepartment of General Surgery and Emergency, University of Palermo, Palermo, Italy.
Anna GiammancoDepartment of Sciences for Health Promotion and Mother and Child Care, University of Palermo, Palermo, Italy.
Claudia ColombaDepartment of Sciences for Health Promotion and Mother and Child Care, University of Palermo, Palermo, Italy.
Giuseppina MelfaDepartment of General Surgery and Emergency, University of Palermo, Palermo, Italy.
Teresa FascianaDepartment of Sciences for Health Promotion and Mother and Child Care, University of Palermo, Palermo, Italy.
Consolato SergiDepartment of Laboratory Medicine and Pathology, University of Alberta, 8440 112 St, Edmonton, AB, Canada. sergi@ualberta.ca.ORCID http://orcid.org/0000-0002-2779-7879
University of Palermo · ITUniversity of Alberta · CAUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bile is a lipid-rich sterile solution produced in the liver that can be infected resulting in bactibilia. A higher incidence of postoperative infectious complications has been seen in patients with bactibilia. Recently, gram-negative bacteria have been linked to a tumor-associated inflammatory status. This study is a retrospective cohort study of 39 patients, who are over 80 years of age only (53.85% males and 46.15% females), hospitalized with diseases of the biliopancreatic system in one teaching hospital in Italy from January 2011 to December 2012 with a follow-up of 5 years. The most common biliary diseases after surgery were pancreatic head cancer (p < 0.0001) and gallbladder cancer (p = 0.0051), while the most common bacteria in the bile were E. coli (p = 0.0180) and Pseudomonas spp. (p < 0.0001). Uni- and multivariate linear correlation analysis revealed that patients with pancreatic head cancer had low survival times compared to patients with other diseases. Moreover, the bacterium type was a positive predictor of survival time compared to other variables. Our data confirm E. coli as a pathogen in patients with gallbladder and pancreatic cancer. Although the influence of bactibilia in developing surgical complications is limited, we consider that its composition is crucial to properly address the antibiotic treatment in biliary tract infections, especially in the elderly.

Indexed as

Aged, 80 and overAge FactorsBacterial InfectionsBiliary Tract DiseasesCross InfectionFemaleHospitals, TeachingHumansItalyMalePancreatitisRetrospective StudiesBactibiliaElderlyGram-negative bacteriaSurvival time

Identifiers

PMID29484561
OpenAlexW2790153030

What OpenQuestion holds

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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.