Evidence map›Paper›PMID 31266519›Full record

ArticleAnnals of clinical microbiology and antimicrobials2019

A prospective multicenter study on the evaluation of antimicrobial resistance and molecular epidemiology of multidrug-resistant Acinetobacter baumannii infections in intensive care units with clinical and environmental features.

Baris Boral, Özlem Unaldi, Alper Ergin, Riza Durmaz, Özgen Köseoğlu Eser, Acinetobacter Study Group

Abstract readMulticenter Study
In one paragraph

Article in Annals of clinical microbiology and antimicrobials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
–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

47 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. Genetic profiling of multidrug-resistantMicrobiology spectrum · 2025
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  18. Risk Factors Associated with Mortality inAntibiotics (Basel, Switzerland) · 2024
    Article
  19. Article
  20. Prognostic Factors That Affect Mortality Patients withInfection and drug resistance · 2024
    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.

Baris BoralDepartment of Medical Microbiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Özlem UnaldiDepartment of Microbiology Reference Laboratories, National Molecular Microbiology Reference Laboratory, Ankara, Turkey.
Alper ErginHacettepe University School of Health Services, Ankara, Turkey.
Riza DurmazDepartment of Microbiology Reference Laboratories, National Molecular Microbiology Reference Laboratory, Ankara, Turkey.
Özgen Köseoğlu EserDepartment of Medical Microbiology, Hacettepe University Faculty of Medicine, Ankara, Turkey. ozgen.eser@hacettepe.edu.tr.
Acinetobacter Study Group

Funding

Hacettepe Üniversitesi 011 D07 101 007-135
6 · The paper itself

Abstract

backgroundMultidrug-resistant (MDR) Acinetobacter baumannii infections are considered as emerging nosocomial infections particularly in patients hospitalized in intensive care units (ICUs). Therefore, reliable detection of MDR strains is crucial for management of treatment but also for epidemiological data collections. The purpose of this study was to compare antimicrobial resistance and the clonal distribution of MDR clinical and environmental A. baumannii isolates obtained from the ICUs of 10 different hospitals from five geographical regions of Turkey in the context of the demographic and clinical characteristics of the patients.

methodsA multicenter-prospective study was conducted in 10 medical centers of Turkey over a 6 month period. A total of 164 clinical and 12 environmental MDR A. baumannii isolates were included in the study. Antimicrobial susceptibility testing was performed for amikacin (AN), ampicillin-sulbactam (SAM), ceftazidime (CAZ), ciprofloxacin (CIP), imipenem (IMP) and colistin (COL) by microdilution method and by antibiotic gradient test for tigecycline (TIG). Pulsed-field gel electrophoresis (PFGE) was performed to determine the clonal relationship between the isolates. The detection of the resistance genes, bla

resultsThe mortality rate of the 164 patients was 58.5%. The risk factors for mortality included diabetes mellitus, liv1er failure, the use of chemotherapy and previous use of quinolones. Antimicrobial resistance rates for AN, SAM, CAZ, CIP, IMP, COL and TIG were 91.8%, 99.4%, 99.4%, 100%, 99.4%, 1.2% and 1.7% respectively. Colistin showed the highest susceptibility rate. Four isolates did not grow on the culture and were excluded from the analyses. Of 172 isolates, 166 (96.5%) carried bla

conclusionsColistin is still the most effective antibiotic for A. baumannii infections. The gene bla

Indexed as

Drug Resistance, BacterialAcinetobacter baumanniiAcinetobacter InfectionsAdultAgedAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesColistinCross InfectionFemaleHumansImipenemIntensive Care UnitsMaleMicrobial Sensitivity TestsAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesColistinImipenemAcinetobacter baumanniiAntimicrobial resistance genesClonal relatednessPolymerase chain reactionPulsed field gel electrophoresisRisk factors

Identifiers

PMID31266519
PMCPMC6607529

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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.