Evidence map›Paper›PMID 30124197›Full record

ArticleEmerging infectious diseases2018

Emergence of Carbapenemase-Producing Enterobacteriaceae, South-Central Ontario, Canada

Philipp P Kohler, Roberto G Melano, Samir N Patel, Shumona Shafinaz, Amna Faheem, Brenda L Coleman, Karen Green, Irene Armstrong, Huda Almohri, Sergio Borgia and 13 more

Open access · diamondAbstract read
In one paragraph

Article in Emerging infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.6field-weighted citation impact, top 19% 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

25 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
  2. Incidence of colonization and infection with carbapenemase-producing Enterobacterales in Toronto and Peel Region, Ontario, 2007-2024.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Canada-wide bloodstream infectious diseases surveillance: Quantum leap or a baby step toward a comprehensive electronic national infections surveillance system?Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2025
    Article
  7. Article
  8. Review
  9. Review
  10. Healthcare-associated infections and antimicrobial resistance in Canadian acute care hospitals, 2018-2022.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2024
    Article
  11. Observational
  12. Review
  13. Healthcare-associated infections and antimicrobial resistance in Canadian acute care hospitals, 2016-2020.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2022
    Article
  14. Carbapenem-resistantEpidemiology and infection · 2022
    Article
  15. Review
  16. Household Transmission of Carbapenemase-producing Enterobacterales in Ontario, Canada.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  17. Genomic Epidemiology of Carbapenemase-ProducingAntimicrobial agents and chemotherapy · 2021
    Article
  18. Review
  19. Rapid detection of carbapenemase-producing organisms directly from blood cultures positive for Gram-negative bacilli.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Article
  20. Travel-Related Antimicrobial Resistance: A Systematic Review.Tropical medicine and infectious disease · 2021
    Review
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

23 authors at 1 institution in 1 country.

Philipp P Kohler
Roberto G Melano
Samir N Patel
Shumona Shafinaz
Amna Faheem
Brenda L Coleman
Karen Green
Irene Armstrong
Huda Almohri
Sergio Borgia
Emily Borgundvaag
Jennie Johnstone
Kevin Katz
Freda Lam
Matthew P Muller
Jeff Powis
Susan M Poutanen
David Richardson
Anu Rebbapragada
Alicia Sarabia
Andrew Simor
Allison McGeer
Toronto Invasive Bacterial Diseases Network (TIBDN)
University of St.Gallen · CH

Funding

CIHR 313039
6 · The paper itself

Abstract

We analyzed population-based surveillance data from the Toronto Invasive Bacterial Diseases Network to describe carbapenemase-producing Enterobacteriaceae (CPE) infections during 2007-2015 in south-central Ontario, Canada. We reviewed patients' medical records and travel histories, analyzed microbiologic and clinical characteristics of CPE infections, and calculated incidence. Among 291 cases identified, New Delhi metallo-β-lactamase was the predominant carbapenemase (51%). The proportion of CPE-positive patients with prior admission to a hospital in Canada who had not received healthcare abroad or traveled to high-risk areas was 13% for patients with oxacillinase-48, 24% for patients with New Delhi metallo-β-lactamase, 55% for patients with Klebsiella pneumoniae carbapenemase, and 67% for patients with Verona integron-encoded metallo-β-lactamase. Incidence of CPE infection increased, reaching 0.33 cases/100,000 population in 2015. For a substantial proportion of patients, no healthcare abroad or high-risk travel could be established, suggesting CPE acquisition in Canada. Policy and practice changes are needed to mitigate nosocomial CPE transmission in hospitals in Canada.

Indexed as

TravelAgedAged, 80 and overCarbapenem-Resistant EnterobacteriaceaeCommunicable Disease ControlCommunicable Diseases, EmergingCross InfectionEnterobacteriaceae InfectionsFemaleHumansIncidenceInfection ControlMaleMedical RecordsMiddle AgedOntarioantimicrobial resistancebacteriabacterial infectionsbeta-lactam resistanceCanadacarbapenem-resistant EnterobacteriaceaeCPEdrug resistanceincidenceOntariopopulation surveillance

Identifiers

PMID30124197
PMCPMC6106407
OpenAlexW2896525920

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.