Evidence map›Paper›PMID 30863122›Full record

ArticleInfection and drug resistance2019

Epidemiologic analysis and control strategy of

Chunrui Wang, Zhe Yuan, Wenxiang Huang, Li Yan, Jun Tang, Cheng-Wei Liu

Abstract read
In one paragraph

Article in Infection and drug resistance, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

  1. Incidence of carbapenemase-resistant isolates ofNew microbes and new infections · 2026
    Article
  2. Article
  3. High Prevalence of Multidrug-resistantMateria socio-medica · 2025
    Article
  4. Article
  5. Article
  6. Healthcare-associated Infections in Pediatric Patients in Neurotrauma Intensive Care Unit: A Retrospective Analysis.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021
    Article
  7. Article
  8. Article
  9. Risk Factors for Carbapenem-ResistantInfection and drug resistance · 2020
    Article
  10. Risk Factors for Subsequential Carbapenem-ResistantInfection and drug resistance · 2020
    Article
  11. Review
  12. 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

6 authors.

Chunrui WangDepartment of Infectious Diseases, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, People's Republic of China, yuanzhe-1030@163.com.
Zhe YuanDepartment of Infectious Diseases, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, People's Republic of China, yuanzhe-1030@163.com.
Wenxiang HuangDepartment of Infectious Diseases, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, People's Republic of China, yuanzhe-1030@163.com.
Li YanDepartment of Laboratory Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, People's Republic of China.
Jun TangDepartment of Infectious Diseases, Key Laboratory of Infectious and Parasitic Diseases in Chongqing, Chongqing 400016, People's Republic of China.
Cheng-Wei LiuDepartment of Infectious Diseases, Key Laboratory of Infectious and Parasitic Diseases in Chongqing, Chongqing 400016, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPATIENTS AND

methodsA retrospective analysis of laboratory records and clinical cases of KP infection in the ICUs of a hospital from January 2013 to December 2017 was conducted. The disk diffusion method and double-paper synergy test were used to test drug sensitivity for extended-spectrum β-lactamase (ESBL) detection. WHONET5.6 and SPSS 21.0 software were used for statistical analysis.

resultsA total of 64.8% (570/847) of patients with KP infection were older than 60 years. The lower respiratory tract was the main infection site, accounting for 70.84% (600/847); the highest rate of ICU admission was for neurosurgery, accounting for 28.69% (243/847). Some 444 multidrug-resistant KP strains were detected, including 69 CRKP and 299 ESBL-producing strains. In the past 5 years, the resistance rate of detected strains to common antibiotics increased to various degrees, particularly carbapenem-resistant strains which increased from 4.76% (9/189) in 2013 to 16.00% (28/175) in 2017. All carbapenem-resistant isolates were resistant to β-lactam antibiotics, and no isolates were resistant to tigecycline.

conclusionCRKP and ESBLKP prevalence and resistance rates gradually increased in our ICUs in the past 5 years. The reasons for this are manifold. Regular surveillance of resistance, rational use of antibiotics, and other effective infection control measures need to be strengthened to slow down the production of multidrug-resistant bacteria and prevent their spread in ICU settings.

Indexed as

antibiotic resistancecarbapenem resistanceintensive care unitsKlebsiella pneumoniae

Identifiers

PMID30863122
PMCPMC6388741

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.