Evidence map›Paper›PMID 29527303›Full record

ArticleAntimicrobial resistance and infection control2018

Colonization of long-term care facility residents in three Italian Provinces by multidrug-resistant bacteria.

Elisabetta Nucleo, Mariasofia Caltagirone, Vittoria Mattioni Marchetti, Roberto D'Angelo, Elena Fogato, Massimo Confalonieri, Camilla Reboli, Albert March, Ferisa Sleghel, Gertrud Soelva and 6 more

Abstract readMulticenter Study
In one paragraph

Article in Antimicrobial resistance and infection control, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

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

  1. Pooled it
  2. CRISPR-based next-generation molecular diagnostics for bone infection.Frontiers in cell and developmental biology · 2026
    Review
  3. Prevalence and risk factors for carriage of carbapenem-resistantEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Risk factors for colonization with multidrug-resistant Gram-negative bacteria andFrontiers in cellular and infection microbiology · 2023
    Article
  8. Article
  9. Review
  10. Antibiotic prescribing and antimicrobial stewardship in long-term care facilities: Past interventions and implementation challenges.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2022
    Article
  11. Article
  12. Article
  13. Global Threat of Carbapenem-Resistant Gram-Negative Bacteria.Frontiers in cellular and infection microbiology · 2022
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Bloodstream infections in the elderly: what is the real goal?Aging clinical and experimental research · 2021
    Review
  20. 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

16 authors.

Elisabetta Nucleo1Department of Clinical Surgical Diagnostic and Pediatric Sciences, Laboratory of Microbiology and Clinical Microbiology, University of Pavia, Via Brambilla 74, 27100 Pavia, Italy.
Mariasofia Caltagirone1Department of Clinical Surgical Diagnostic and Pediatric Sciences, Laboratory of Microbiology and Clinical Microbiology, University of Pavia, Via Brambilla 74, 27100 Pavia, Italy.
Vittoria Mattioni Marchetti1Department of Clinical Surgical Diagnostic and Pediatric Sciences, Laboratory of Microbiology and Clinical Microbiology, University of Pavia, Via Brambilla 74, 27100 Pavia, Italy.
Roberto D'AngeloLaboratory of Clinical Microbiology, ASP "Golgi-Redaelli", via Bartolomeo d'Alviano 78, 20146 Milan, Italy.
Elena FogatoLaboratory of Clinical Microbiology, ASP "Golgi-Redaelli", via Bartolomeo d'Alviano 78, 20146 Milan, Italy.
Massimo ConfalonieriO.U. of Microbiology, Azienda Sanitaria Locale di Piacenza, Piacenza, Italy.
Camilla ReboliO.U. of Microbiology, Azienda Sanitaria Locale di Piacenza, Piacenza, Italy.
Albert MarchGeriatric Unit, Comprensorio Sanitario di Bolzano, Bolzano, Italy.
Ferisa SleghelGeriatric Unit, Comprensorio Sanitario di Bolzano, Bolzano, Italy.
Gertrud SoelvaGeriatric Unit, Comprensorio Sanitario di Bolzano, Bolzano, Italy.
Elisabetta PaganiMicrobiology and Virology Laboratory, Comprensorio Sanitario di Bolzano, Bolzano, Italy.
Richard AschbacherMicrobiology and Virology Laboratory, Comprensorio Sanitario di Bolzano, Bolzano, Italy.
Roberta Migliavacca1Department of Clinical Surgical Diagnostic and Pediatric Sciences, Laboratory of Microbiology and Clinical Microbiology, University of Pavia, Via Brambilla 74, 27100 Pavia, Italy.
Laura Pagani1Department of Clinical Surgical Diagnostic and Pediatric Sciences, Laboratory of Microbiology and Clinical Microbiology, University of Pavia, Via Brambilla 74, 27100 Pavia, Italy.
AMCLI – GLISTer Group
ESCMID Study Group Elderly Infections – ESGIE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rationale and aims of the study were to compare colonization frequencies with MDR bacteria isolated from LTCF residents in three different Northern Italian regions, to investigate risk factors for colonization and the genotypic characteristics of isolates. The screening included Methods: Urine samples and rectal, inguinal, oropharyngeal and nasal swabs were plated on selective agar; resistance genes were sought by PCR and sequencing. Demographic and clinical data were collected. Results: Among the LTCF residents, 75.0% (78/104), 69.4% (84/121) and 66.1% (76/115) were colonized with at least one of the target organisms in LTCFs located in Milan, Piacenza and Bolzano, respectively. ESβL producers (60.5, 66.1 and 53.0%) were highly predominant, mainly belonging to Conclusions: The widespread diffusion of MDR bacteria in LTCFs within three Italian Provinces confirms that LTCFs are an important reservoir of MDR organisms in Italy and suggests that future efforts should focus on MDR screening, improved implementation of infection control strategies and antibiotic stewardship programs targeting the complex aspects of LTCFs.

Indexed as

Acinetobacter baumanniiAdultAgedAged, 80 and overBacteriaBacterial Proteinsbeta-LactamasesDrug Resistance, Multiple, BacterialEnterobacteriaceaeEnterobacteriaceae InfectionsEscherichia coli ProteinsFemaleGenes, MDRHumansInfection ControlItalyBacterial Proteinsbeta-lactamase CTX-M, E colibeta-LactamasescarbapenemaseEscherichia coli ProteinsAmpCCarbapenemasesESβLLong-term care facilitiesMRSAMulticenter studyVRE

Identifiers

PMID29527303
PMCPMC5839059

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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.