Evidence map›Paper›PMID 30107073›Full record

ArticleTransplant infectious disease : an official journal of the Transplantation Society2018

Microbiological findings in bronchoalveolar lavage fluid from lung transplant patients in Sweden.

Anna Stjärne Aspelund, Helena Hammarström, Malin Inghammar, Hillevi Larsson, Lennart Hansson, Gerdt C Riise, Vanda Friman, Bertil Christensson, Lisa I Påhlman

Open access · greenAbstract read
In one paragraph

Article in Transplant infectious disease : an official journal of the Transplantation Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Burden and Management of Multi-Drug Resistant Organism Infections in Solid Organ Transplant Recipients Across the World: A Narrative Review.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Review
  7. Article
  8. Article
  9. Article
  10. Metagenomic Next-Generation Sequencing for Diagnosing Infections in Lung Transplant Recipients: A Retrospective Study.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Article
  11. Article
  12. Review
  13. Effect ofAnnals of translational medicine · 2019
    Article
  14. Microbiological findings in bronchoalveolar lavage fluid from lung transplant patients in Sweden.Transplant infectious disease : an official journal of the Transplantation Society · 2018
    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

9 authors at 3 institutions in 1 country.

Anna Stjärne AspelundDivision of Infection Medicine, Hospital of Helsingborg, Helsingborg, Sweden.ORCID http://orcid.org/0000-0002-7391-268X
Helena HammarströmDepartment of Infectious Diseases, Sahlgrenska Academy at University of Gothenburg, Göteborg, Sweden.
Malin InghammarDivision of Infection Medicine, Department of Clinical Sciences Lund, Skåne University Hospital, Lund University, Lund, Sweden.
Hillevi LarssonDepartment of Clinical Sciences Lund, Respiratory Medicine and Allergology, Skåne University Hospital, Lund University, Lund, Sweden.
Lennart HanssonDepartment of Clinical Sciences Lund, Respiratory Medicine and Allergology, Skåne University Hospital, Lund University, Lund, Sweden.
Gerdt C RiiseDepartment of Respiratory Medicine, Sahlgrenska University Hospital, Göteborg, Sweden.
Vanda FrimanDepartment of Infectious Diseases, Sahlgrenska Academy at University of Gothenburg, Göteborg, Sweden.
Bertil ChristenssonDivision of Infection Medicine, Department of Clinical Sciences Lund, Skåne University Hospital, Lund University, Lund, Sweden.
Lisa I PåhlmanDivision of Infection Medicine, Department of Clinical Sciences Lund, Skåne University Hospital, Lund University, Lund, Sweden.
Lund University · SEUniversity of Gothenburg · SESahlgrenska University Hospital · SE

Funding

Alfred Österlunds StiftelseHjärt-LungfondenLions research fund in SkåneMagnus Bergvalls StiftelseMats Kleberg FoundationsRoyal Physiographic Society of LundSkane County Council´s Research and Development foundationSwedish Government Funds for Clinical ResearchThe Swedish Heart and Lung Association
6 · The paper itself

Abstract

backgroundLung transplant patients experience a high risk of airway infections and microbial colonization of the lung due to constant exposure to the environment through inhaled microorganisms, denervation, reduced ciliary transport, and decreased cough.

methodsIn this nationwide prospective study on Swedish lung transplant patients, we evaluated the microbiological panorama of bacteria, fungi, and virus found in bronchoalveolar lavage fluid (BALF) obtained the first year after lung transplantation (LTx). Differences in microbiological findings depending of concomitant signs of infection and background factors were assessed.

resultsA total of 470 bronchoscopies from 126 patients were evaluated. Sixty-two percent (n = 293) of BALF samples had positive microbiological finding(s). Forty-six percent (n = 217) had bacterial growth, 29% (n = 137) fungal growth, and 9% (n = 43) were positive in viral PCR. In 38% of BALF samples (n = 181), a single microbe was found, whereas a combination of bacteria, fungi or virus was found in 24% (n = 112) of bronchoscopies. The most common microbiological findings were Candida albicans, Pseudomonas aeruginosa and coagulase negative Staphylococcus (in 42 (33%), 36 (29%), and 25 (20%) patients, respectively). Microbiological findings were similar in BALF from patients with and without signs of lung infection and the frequency of multidrug resistant (MDR) bacteria was low. No significant association was found between background factors and time to first lung infection.

conclusionThis study gives important epidemiologic insights and reinforces that microbiological findings have to be evaluated in the light of clinical symptoms and endobronchial appearance in the assessment of lung infections in lung transplant patients.

Indexed as

AdultAgedBronchoalveolar Lavage FluidBronchoscopyCandida albicansDrug Resistance, Multiple, BacterialFemaleHumansLung TransplantationMaleMiddle AgedPneumoniaProspective StudiesPseudomonas aeruginosaStaphylococcusSwedenbronchoalveolar lavage fluidlung infectionslung transplantationmicrobiology

Identifiers

PMID30107073
PMCPMC7169803
OpenAlexW2885793489

What OpenQuestion holds

Textmetadata
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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.