Evidence map›Paper›PMID 29743760›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2018

Antibiotic Prescription, Organisms and its Resistance Pattern in Patients Admitted to Respiratory ICU with Respiratory Infection in Mysuru.

M Mahendra, B S Jayaraj, K S Lokesh, S K Chaya, Vivek Vardhan Veerapaneni, Sneha Limaye, Raja Dhar, Rajesh Swarnakar, Shrikant Ambalkar, P A Mahesh

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03846401 (Evaluation of Role of Fiberoptic Bronchoscopy in Patients With Lower Respiratory Tract Infection in Respiratory Intensive Care Unit of Assiut University Hospital), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 21% 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.

NCT03846401 unknown statusnot on this mapstarted 2021, after this paper: background citation

Evaluation of Role of Fiberoptic Bronchoscopy in Patients With Lower Respiratory Tract Infection in Respiratory Intensive Care Unit of Assiut University Hospital

TypeobservationalSponsorAssiut UniversityRan2021 to 2023Enrolled100ConditionsLower Respiratory Tract InfectionArmsfiberoptic bronchoscopy
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Bacterial Biofilms on Tracheostomy Tubes.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article
  6. Review
  7. Article
  8. Article
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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

10 authors at 7 institutions in 2 countries.

M MahendraPulmonary Medicine, Shimoga Institute of Medical Sciences, Shivamogga, India.
B S JayarajPulmonary Medicine, JSS Medical College, JSS University, Mysore, Karnataka, India.
K S LokeshPulmonary Medicine, JSS Medical College, JSS University, Mysore, Karnataka, India.
S K ChayaPulmonary Medicine, JSS Medical College, JSS University, Mysore, Karnataka, India.
Vivek Vardhan VeerapaneniPulmonary Medicine, JSS Medical College, JSS University, Mysore, Karnataka, India.
Sneha LimayeRespiratory Research Network of India, Chest Research Foundation, Pune, Maharashtra, India.
Raja DharPulmonary Medicine, Fortis Hospital, Kolkata, West Bengal, India.
Rajesh SwarnakarPulmonary Medicine, Getwell Hospital and Research Institute, Dhantoli, Nagpur, Maharashtra, India.
Shrikant AmbalkarDepartment of Clinical Microbiology & Infection, King's Mill Hospital, Sherwood Forest Hospitals NHS Trust, Sutton in Ashfield, Nottinghamshire NG17 4JL, UK.
P A MaheshPulmonary Medicine, JSS Medical College, JSS University, Mysore, Karnataka, India.
India Diabetes Research Foundation · INJSS Academy of Higher Education and Research · INFortis Hospital · INGetwell Hospital and Research Institute · INInstitute of Medical Sciences · INJSS Medical College and Hospital · INKings Mill Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aim of studyRespiratory infections account for significant morbidity, mortality and expenses to patients getting admitted to ICU. Antibiotic resistance is a major worldwide concern in ICU, including India. It is important to know the antibiotic prescribing pattern in ICU, organisms and its resistance pattern as there is sparse data on Indian ICUs. MATERIALS AND

methodsWe conducted a prospective study from August 2015 to February 2016. All patients getting admitted to RICU with respiratory infection who were treated with antibiotics were included into study. Demographic details, comorbidities, Clinco-pathological score (CPI) on day1 and 2 of admission, duration of ICU admission, number of antibiotics used, antibiotic prescription, antimicrobial resistance pattern of patients were collected using APRISE questionnaire.

resultsDuring study period 352 patients were screened and 303 patients were included into study. Mean age was 56.05±16.37 and 190 (62.70%) were men. Most common diagnosis was Pneumonia (66%). Piperacillin-tazobactam was most common empirical antibiotic used. We found 60% resistance to piperacillin-tazobactam. Acinetobacter baumanii was the most common organism isolated (29.2%) and was highly resistant to Carbapenem (60%). Klebsiella pneumoniae was resistant to Amikacin (45%), piperacillin (55%) and Ceftazidime (50%).

conclusionPiperacillin-tazobactam was the most common antibiotic prescribed to patients with respiratory infection admitted to ICU. More than half of patients (60%) had resistance to the empirical antibiotic used in our ICU, highlighting the need for antibiogram for each ICU. Thirty six percent of patient had prior antibiotic use and had mainly gram negative organisms with high resistance to commonly used antibiotics.

Indexed as

Antibiotic resistancemortalitypneumoniarespiratory infection

Identifiers

PMID29743760
PMCPMC5930525
OpenAlexW2802153633

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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.