Evidence map›Paper›PMID 32545738›Full record

ArticleAntibiotics (Basel, Switzerland)2020

Prevalence of Multi-Resistant Microorganisms and Antibiotic Stewardship among Hospitalized Patients Living in Residential Care Homes in Spain: A Cross-Sectional Study.

Mario Rivera-Izquierdo, Alberto Benavente-Fernández, Jairo López-Gómez, Antonio Jesús Láinez-Ramos-Bossini, Marta Rodríguez-Camacho, María Del Carmen Valero-Ubierna, Luis Miguel Martín-delosReyes, Eladio Jiménez-Mejías, Elena Moreno-Roldán, Pablo Lardelli-Claret and 1 more

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 42% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Prevalence of Multidrug-Resistant DiarrheagenicAntibiotics (Basel, Switzerland) · 2022
    Review
  5. Article
  6. Review
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

11 authors at 2 institutions in 1 country.

Mario Rivera-IzquierdoService of Preventive Medicine and Public Health, Hospital Universitario San Cecilio, 18016 Granada, Spain.ORCID 0000-0001-6159-6037
Alberto Benavente-FernándezService of Internal Medicine, Hospital Universitario San Cecilio, 18016 Granada, Spain.
Jairo López-GómezService of Internal Medicine, Hospital Universitario San Cecilio, 18016 Granada, Spain.
Antonio Jesús Láinez-Ramos-BossiniProgramme in Clinical Medicine and Public Health, University of Granada, 18016 Granada, Spain.
Marta Rodríguez-CamachoService of Neurology, Hospital Universitario San Cecilio, 18016 Granada, Spain.
María Del Carmen Valero-UbiernaService of Preventive Medicine and Public Health, Hospital Universitario San Cecilio, 18016 Granada, Spain.
Luis Miguel Martín-delosReyesDepartment of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain.ORCID 0000-0002-2163-354X
Eladio Jiménez-MejíasDepartment of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain.
Elena Moreno-RoldánDepartment of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain.
Pablo Lardelli-ClaretDepartment of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain.
Virginia Martínez-RuizDepartment of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain.ORCID 0000-0001-6512-8935
Universidad de Granada · ESInstituto de Investigación Biosanitaria de Granada · ES

Funding

Cátedra de Docencia e Investigación SEMERGEN-Medicina de Familia, University of Granada, Spain. No specific grant number
6 · The paper itself

Abstract

Antimicrobial resistance is a growing global health problem. Patients living in care homes are a vulnerable high-risk population colonized by multidrug-resistant organisms (MDRO). We identified a case series of 116 residents of care homes from a cohort of 540 consecutive patients admitted to the internal medicine service of our hospital. We performed early diagnostic tests of MDRO through anal exudates in our sample. The prevalence of MDRO colonization was 34.5% of residents and 70% of them had not been previously identified in the clinical records. Previous hospitalizations and in-hospital antibiotic administration were significantly associated with the presence of MDRO. Our results emphasize the need to consider care homes in the planning of regional and national infection control measures and for implementing surveillance systems that monitor the spread of antimicrobial resistance in Spain. Systematic early testing upon admission to hospital services with a high prevalence of patients with MDRO colonization (e.g., internal medicine) could contribute to the adoption of adequate prevention measures. Specific educational programs for care home staff should also be implemented to address this increasing problem.

Indexed as

antibiotic stewardshipcare homeselderlyhospitalizationinternal medicinemultidrug resistancenursing homesSpain

Identifiers

PMID32545738
PMCPMC7345506
OpenAlexW3034636985

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.