Evidence map›Paper›PMID 30475989›Full record

SynthesisClinical infectious diseases : an official publication of the Infectious Diseases Society of America2019

Control of Carbapenem-resistant Enterobacteriaceae, Acinetobacter baumannii, and Pseudomonas aeruginosa in Healthcare Facilities: A Systematic Review and Reanalysis of Quasi-experimental Studies.

Sara Tomczyk, Veronica Zanichelli, M Lindsay Grayson, Anthony Twyman, Mohamed Abbas, Daniela Pires, Benedetta Allegranzi, Stephan Harbarth

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 2 pooled it
7.9field-weighted citation impact, top 2% 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

95 citing papers in PubMed, 2 syntheses or guidelines pooled it, 167 citations in OpenAlex.

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Sara TomczykInfection Prevention and Control Global Unit, Service Delivery and Safety Department, World Health Organization, Switzerland.
Veronica ZanichelliInfection Control Program, Geneva University Hospitals and Faculty of Medicine, Switzerland.
M Lindsay GraysonInfectious Diseases Department, Austin Health, Victoria, Australia.
Anthony TwymanInfection Prevention and Control Global Unit, Service Delivery and Safety Department, World Health Organization, Switzerland.
Mohamed AbbasInfection Control Program, Geneva University Hospitals and Faculty of Medicine, Switzerland.
Daniela PiresInfection Control Program, Geneva University Hospitals and Faculty of Medicine, Switzerland.
Benedetta AllegranziInfection Prevention and Control Global Unit, Service Delivery and Safety Department, World Health Organization, Switzerland.
Stephan HarbarthInfection Control Program, Geneva University Hospitals and Faculty of Medicine, Switzerland.
World Health Organization · CHMonash University · AUUniversity of Geneva · CHUniversity of Lisbon · PT

Funding

World Health Organization 001
6 · The paper itself

Abstract

Carbapenem-resistant Enterobacteriaceae (CRE), Acinetobacter baumannii (CRAB), and Pseudomonas aeruginosa (CRPsA) are a serious cause of healthcare-associated infections, although the evidence for their control remains uncertain. We conducted a systematic review and reanalysis to assess infection prevention and control (IPC) interventions on CRE-CRAB-CRPsA in inpatient healthcare facilities to inform World Health Organization guidelines. Six major databases and conference abstracts were searched. Before-and-after studies were reanalyzed as interrupted time series if possible. Effective practice and organization of care (EPOC) quality criteria were used. Seventy-six studies were identified, of which 17 (22%) were EPOC-compatible and interrupted time series analyses, assessing CRE (n = 11; 65%), CRAB (n = 5; 29%) and CRPsA (n = 3; 18%). IPC measures were often implemented using a multimodal approach (CRE: 10/11; CRAB: 4/5; CRPsA: 3/3). Among all CRE-CRAB-CRPsA EPOC studies, the most frequent intervention components included contact precautions (90%), active surveillance cultures (80%), monitoring, audit and feedback of measures (80%), patient isolation or cohorting (70%), hand hygiene (50%), and environmental cleaning (40%); nearly all studies with these interventions reported a significant reduction in slope and/or level. The quality of EPOC studies was very low to low.

Indexed as

Health FacilitiesAcinetobacter baumanniiAnti-Bacterial AgentsCarbapenemsDrug Resistance, Multiple, BacterialEnterobacteriaceaeHumansPseudomonas aeruginosaAnti-Bacterial AgentsCarbapenemsAcinetobactercarbapenem resistanceEnterobacteriaceaeprevention and controlPseudomonas

Identifiers

PMID30475989
PMCPMC6389314
OpenAlexW2904089183

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.