Evidence map›Paper›PMID 29548709›Full record

ArticleAmerican journal of infection control2018

The epidemiology of hospital-acquired urinary tract-related bloodstream infection in veterans.

Payal K Patel, M Todd Greene, Mary A M Rogers, David Ratz, Latoya Kuhn, Jennifer Davis, Sanjay Saint

Open access · greenAbstract 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 34% 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, 5 citations in OpenAlex.

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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 at 1 institution in 1 country.

Payal K PatelDivision of Infectious Diseases, VA Ann Arbor Healthcare System, Ann Arbor, MI; Division of Infectious Diseases, University of Michigan Health System, Ann Arbor, MI; Department of Veterans Affairs, University of Michigan Patient Safety Enhancement Program, Department of Veterans Affairs Hospital, Ann Arbor, MI. Electronic address: payalkp@umich.edu.
M Todd GreeneDepartment of Veterans Affairs, University of Michigan Patient Safety Enhancement Program, Department of Veterans Affairs Hospital, Ann Arbor, MI; Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI; Division of General Medicine, University of Michigan Health System, Ann Arbor, MI.
Mary A M RogersDepartment of Veterans Affairs, University of Michigan Patient Safety Enhancement Program, Department of Veterans Affairs Hospital, Ann Arbor, MI; Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI; Division of General Medicine, University of Michigan Health System, Ann Arbor, MI.
David RatzDepartment of Veterans Affairs, University of Michigan Patient Safety Enhancement Program, Department of Veterans Affairs Hospital, Ann Arbor, MI; Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI.
Latoya KuhnDepartment of Veterans Affairs, University of Michigan Patient Safety Enhancement Program, Department of Veterans Affairs Hospital, Ann Arbor, MI; Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI.
Jennifer DavisCenter for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI.
Sanjay SaintDepartment of Veterans Affairs, University of Michigan Patient Safety Enhancement Program, Department of Veterans Affairs Hospital, Ann Arbor, MI; Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI; Division of General Medicine, University of Michigan Health System, Ann Arbor, MI.
VA Ann Arbor Healthcare System · US

Funding

Predictors of Hospital-Acquired Urinary Tract-Related Bloodstream Infection in VAI01CX000274 · VA · VETERANS HEALTH ADMINISTRATION · PI SAINT, SANJAY K · 2012 to 2014
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CSRD VA I01 CX000274
6 · The paper itself

Abstract

backgroundHospital-acquired urinary tract-related bloodstream infections are rare but often lethal. Recent epidemiology of this condition among the United States veteran population is poorly described.

methodsWe conducted a retrospective review of hospital-acquired urinary tract-related bloodstream infections of adult inpatients admitted to 4 Veterans Affairs hospitals over 15 years. Electronic medical records were used to obtain clinical, demographic, and microbiologic information. Descriptive statistical analyses were conducted using chi-square tests of association. Test for trend was performed by genus of organism and for case fatality rate over time.

resultsWhile the most commonly isolated organisms were Staphylococcus spp. (36.5%), the incidence of infections caused by Escherichia and Klebsiella increased over time (P = .02 and P = .03, respectively). The overall in-hospital case fatality rate was 24.2% in 499 patients. The case fatality rate was 25.8% for patients with Staphylococcus infections and 20.7% for patients with enterococcal infections.

conclusionsHospital-acquired urinary tract-related bloodstream infection is commonly due to Staphylococcus spp. and is related to the high fatality among United States veterans. Focused infection control efforts could decrease the incidence of this fatal infection.

Indexed as

Infection ControlAdultAgedAged, 80 and overBacteremiaCross InfectionEnterococcusFemaleHospitals, VeteransHumansIncidenceMaleMiddle AgedRetrospective StudiesStaphylococcal InfectionsStaphylococcusHospital-acquired infectionInfection controlUrinary tract infection

Identifiers

PMID29548709
PMCPMC6135243
OpenAlexW2792866243

What OpenQuestion holds

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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.