Evidence map›Paper›PMID 30249685›Full record

ArticleAntimicrobial agents and chemotherapy2018

A Large, Refractory Nosocomial Outbreak of Klebsiella pneumoniae Carbapenemase-Producing Escherichia coli Demonstrates Carbapenemase Gene Outbreaks Involving Sink Sites Require Novel Approaches to Infection Control.

V Decraene, H T T Phan, R George, D H Wyllie, O Akinremi, Z Aiken, P Cleary, A Dodgson, L Pankhurst, D W Crook and 14 more

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 3% 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

73 citing papers in PubMed, 1 synthesis or guideline pooled it, 142 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Prediction of genetic relatedness ofAntimicrobial agents and chemotherapy · 2026
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  5. Article
  6. Article
  7. Article
  8. Observational
  9. Review
  10. Review
  11. Review
  12. A persistent sink reservoir as a potential source ofAntimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. An outbreak of blaAntimicrobial resistance and infection control · 2024
    Article
  17. Is routine screening forIranian journal of microbiology · 2024
    Article
  18. Article
  19. Carbapenemase producingInfection prevention in practice · 2024
    Article
  20. Article

13 more citing papers are in PubMed but not listed here.

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

24 authors at 7 institutions in 2 countries.

V Decraene *Field Service North West, Public Health England, Liverpool, United Kingdom.
H T T Phan *Nuffield Department of Clinical Medicine, Oxford University, John Radcliffe Hospital, Oxford, United Kingdom.
R George *Manchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom.
D H Wyllie *Nuffield Department of Clinical Medicine, Oxford University, John Radcliffe Hospital, Oxford, United Kingdom.ORCID 0000-0002-9155-6228
O AkinremiNational Institute for Health Research, Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Oxford University, John Radcliffe Hospital, Oxford, United Kingdom.
Z AikenManchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom.
P ClearyField Service North West, Public Health England, Liverpool, United Kingdom.
A DodgsonNuffield Department of Clinical Medicine, Oxford University, John Radcliffe Hospital, Oxford, United Kingdom.
L PankhurstNuffield Department of Clinical Medicine, Oxford University, John Radcliffe Hospital, Oxford, United Kingdom.ORCID 0000-0001-5898-2535
D W CrookNuffield Department of Clinical Medicine, Oxford University, John Radcliffe Hospital, Oxford, United Kingdom.
C LenneyManchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom.
A S WalkerNuffield Department of Clinical Medicine, Oxford University, John Radcliffe Hospital, Oxford, United Kingdom.
N WoodfordNational Institute for Health Research, Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Oxford University, John Radcliffe Hospital, Oxford, United Kingdom.
R SebraIcahn Institute, Department of Genetics and Genomic Sciences, Icahn School of Medicine Mount Sinai, New York, New York, USA.
F Fath-OrdoubadiManchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom.
A J MathersDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
A C SealeLondon School of Hygiene and Tropical Medicine, London, United Kingdom.
M GuiverPublic Health Laboratory Manchester, Public Health England, Manchester Royal Infirmary, Manchester, United Kingdom.
A McEwanManchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom.
V WattsField Service North West, Public Health England, Liverpool, United Kingdom.
W WelfarePublic Health England North West, Manchester, United Kingdom.
N Stoesser *Nuffield Department of Clinical Medicine, Oxford University, John Radcliffe Hospital, Oxford, United Kingdom nicole.stoesser@ndm.ox.ac.uk.ORCID 0000-0002-4508-7969
J Cawthorne *Manchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom.
TRACE Investigators’ Group
John Radcliffe Hospital · GBManchester University NHS Foundation Trust · GBPublic Health England · GBManchester Royal Infirmary · GBIcahn School of Medicine at Mount Sinai · USManchester Academic Health Science Centre · GBUniversity of Virginia Health System · US

Funding

Department of Health HPRU-2012-10041
6 · The paper itself

Abstract

Carbapenem-resistant

Indexed as

Disease Outbreaksbeta-LactamasesCross InfectionDisease ReservoirsDNA, BacterialEscherichia coliEscherichia coli InfectionsGene ExpressionGene Transfer, HorizontalGenotypeHospitals, UniversityHumansInfection ControlKlebsiella pneumoniaeMedical WastePhylogenybeta-lactamase KPC-2, Klebsiella pneumoniaebeta-LactamasesDNA, BacterialMedical WasteWastewaterantimicrobial resistancecarbapenemase-producing Enterobacteriaceaegenome sequencinginfection controlmolecular epidemiology

Identifiers

PMID30249685
PMCPMC6256751
OpenAlexW2890373468

What OpenQuestion holds

Textmetadata
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.