Evidence map›Paper›PMID 30336170›Full record

Trial reportThe Journal of hospital infection2019

Comparison of high-flow nasal cannula versus oxygen face mask for environmental bacterial contamination in critically ill pneumonia patients: a randomized controlled crossover trial.

C C H Leung, G M Joynt, C D Gomersall, W T Wong, A Lee, L Ling, P K S Chan, P C W Lui, P C Y Tsoi, C M Ling and 1 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled TrialEquivalence Trial
PubMed Publisher
In one paragraph

Trial report in The Journal of hospital infection, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04353531 (An Observational Study to Investigate the Aerosol Particle Distribution During Aerosol Generating Procedures), which is not on this map. Cited by 82 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 9 pooled it
26.4field-weighted citation impact, top 1% 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.

NCT04353531 completednot on this mapstarted 2020, after this paper: background citation

An Observational Study to Investigate the Aerosol Particle Distribution During Aerosol Generating Procedures

TypeobservationalSponsorRush University Medical CenterRan2020 to 2020Enrolled15ConditionsTransmission, Patient Professional, High-flow Nasal CannulaArmsHigh-flow nasal cannula, Surgical mask, bronchoscopy examination, intubation, tracheostomy
3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 9 syntheses or guidelines pooled it, 172 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Guideline
  5. Guideline
  6. Pooled it
  7. Guideline
  8. Guideline
  9. Guideline
  10. Trial
  11. Trial
  12. Article
  13. Respiratory Care in Children with COVID-19.Journal of pediatric intensive care · 2023
    Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Use of high-flow nasal cannula in out-of-hospital setting.The American journal of emergency medicine · 2022
    Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

C C H LeungDepartment of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Hong Kong.
G M JoyntDepartment of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Hong Kong. Electronic address: gavinmjoynt@cuhk.edu.hk.
C D GomersallDepartment of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Hong Kong.
W T WongDepartment of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Hong Kong.
A LeeDepartment of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Hong Kong.
L LingDepartment of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Hong Kong.
P K S ChanDepartment of Microbiology, The Chinese University of Hong Kong, Hong Kong.
P C W LuiDepartment of Pathology, Union Hospital, Hong Kong.
P C Y TsoiDepartment of Pathology, Union Hospital, Hong Kong.
C M LingDepartment of Microbiology, The Chinese University of Hong Kong, Hong Kong.
M HuiDepartment of Microbiology, The Chinese University of Hong Kong, Hong Kong.
Chinese University of Hong Kong · CNUnion Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Whereas high-flow nasal cannula use is gaining prevalence, its high gas flow raises concerns about aerosolization of infectious particles and spread of infection. This randomized controlled crossover non-inferiority trial (N = 20) evaluated the degree of environmental contamination by viable bacteria associated with the use of high-flow nasal cannula compared with conventional oxygen mask for critically ill patients with Gram-negative pneumonia. The results show that high-flow nasal cannula use was not associated with increased air or contact surface contamination by either Gram-negative bacteria or total bacteria, suggesting that additional infection control measures are not required.

Indexed as

Critical IllnessEnvironmental PollutionAdultAgedAged, 80 and overCannulaCross-Over StudiesFemaleGram-Negative BacteriaHumansHyperbaric OxygenationMaleMasksMiddle AgedPneumonia, BacterialPrevalenceBacterial pneumoniaEnvironmental contaminationInfection controlInfectious disease transmissionOxygen therapy

Identifiers

PMID30336170
OpenAlexW2896805966

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.