Evidence map›Paper›PMID 31908772›Full record

ArticleAntimicrobial resistance and infection control2020

European intensive care physicians' experience of infections due to antibiotic-resistant bacteria.

Alain Lepape, Astrid Jean, Jan De Waele, Arnaud Friggeri, Anne Savey, Philippe Vanhems, Marie Paule Gustin, Dominique L Monnet, José Garnacho-Montero, Anke Kohlenberg

Abstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

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  12. Association between Pneumonia Development and Virulence Gene Expression in Carbapenem-ResistantThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2023
    Article
  13. Large increase in bloodstream infections with carbapenem-resistantEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2022
    Article
  14. Article
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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

10 authors.

Alain Lepape1Clinical Research Unit, Critical care, Lyon-Sud University Hospital, Hospices Civils de Lyon, Lyon, France.
Astrid Jean1Clinical Research Unit, Critical care, Lyon-Sud University Hospital, Hospices Civils de Lyon, Lyon, France.
Jan De Waele2Infection Section, European Society of Intensive Care Medicine, Brussels, Belgium.
Arnaud Friggeri1Clinical Research Unit, Critical care, Lyon-Sud University Hospital, Hospices Civils de Lyon, Lyon, France.
Anne Savey3Epidémiologie et Santé Internationale, Centre International de Recherche en Infectiologie (CIRI). Inserm U1111, CNRS UMR5308, ENS de Lyon, Université Claude Bernard Lyon, Lyon, France.
Philippe Vanhems3Epidémiologie et Santé Internationale, Centre International de Recherche en Infectiologie (CIRI). Inserm U1111, CNRS UMR5308, ENS de Lyon, Université Claude Bernard Lyon, Lyon, France.
Marie Paule Gustin3Epidémiologie et Santé Internationale, Centre International de Recherche en Infectiologie (CIRI). Inserm U1111, CNRS UMR5308, ENS de Lyon, Université Claude Bernard Lyon, Lyon, France.
Dominique L Monnet5European Centre for Disease Prevention and Control (ECDC), Solna, Sweden.
José Garnacho-Montero2Infection Section, European Society of Intensive Care Medicine, Brussels, Belgium.
Anke Kohlenberg5European Centre for Disease Prevention and Control (ECDC), Solna, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Antimicrobial resistance (AMR) compromises the treatment of patients with serious infections in intensive care units (ICUs), and intensive care physicians are increasingly facing patients with bacterial infections with limited or no adequate therapeutic options. A survey was conducted to assess the intensive care physicians' perception of the AMR situation in the European Union/European Economic Area (EU/EEA). Methods: Between May and July 2017, physicians working in European ICUs were invited to complete an online questionnaire hosted by the European Society of Intensive Care Medicine. The survey included 20 questions on hospital and ICU characteristics, frequency of infections with multidrug-resistant (MDR) bacteria and relevance of AMR in the respondent's ICU, management of antimicrobial treatment as well as the use of last-line antibiotics in the six months preceding the survey. For the analysis of regional differences, EU/EEA countries were grouped into the four sub-regions of Eastern, Northern, Southern and Western Europe. Results: Overall, 1062 responses from four European sub-regions were analysed. Infections with MDR bacteria in their ICU were rated as a major problem by 257 (24.2%), moderate problem by 360 (33.9%) and minor problem by 391 (36.8%) respondents. Third-generation cephalosporin-resistant Enterobacteriaceae were the most frequently encountered MDR bacteria followed by, in order of decreasing frequency, meticillin-resistant Conclusions: The percentage of European ICU physicians perceiving AMR as a substantial problem in their ICU is high with variation by sub-region in line with epidemiological studies. The reports of bacteria resistant to almost all available antibiotics and the limited availability of last-line antibiotics in ICUs in the EU/EEA are of concern.

Indexed as

Drug Resistance, Multiple, BacterialAnti-Bacterial AgentsBacteriaBacterial InfectionsClinical CompetenceEuropeHumansIntensive Care UnitsInternetPhysiciansSurveys and QuestionnairesAnti-Bacterial AgentsAntimicrobial resistanceAntimicrobial treatmentCarbapenem-resistant EnterobacteriaceaeIntensive careMeticillin-resistant Staphylococcus aureusThird-generation-cephalosporin-resistant Enterobacteriaceae

Identifiers

PMID31908772
PMCPMC6941296

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.