Evidence map›Paper›PMID 33175277›Full record

ReviewIntensive care medicine2020

Pulmonary infections complicating ARDS.

Charles-Edouard Luyt, Lila Bouadma, Andrew Conway Morris, Jayesh A Dhanani, Marin Kollef, Jeffrey Lipman, Ignacio Martin-Loeches, Saad Nseir, Otavio T Ranzani, Antoine Roquilly and 3 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Intensive care medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed
9.6field-weighted citation impact, top 1% 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

86 citing papers in PubMed, 154 citations in OpenAlex.

  1. Trial
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  8. Sepsis and the diverse organ-gastrointestinal tract axis.World journal of critical care medicine · 2025
    Review
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  12. Observational
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26 more citing papers are in PubMed but not listed here.

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

13 authors at 8 institutions in 7 countries.

Charles-Edouard LuytService de Médecine Intensive Réanimation, Institut de Cardiologie, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, 47-83, Boulevard de l'Hôpital, 75651, Paris Cedex 13, France. charles-edouard.luyt@aphp.fr.ORCID 0000-0001-7424-2705
Lila BouadmaIAME 1137, INSERM, Université de Paris, Paris, France.
Andrew Conway MorrisJohn V Farman Intensive Care Unit, Addenbrooke's Hospital, Cambridge, UK.
Jayesh A DhananiFaculty of Medicine, University of Queensland Centre of Clinical Research, The University of Queensland, Brisbane, QLD, Australia.
Marin KollefDivision of Pulmonary and Critical Care Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Jeffrey LipmanFaculty of Medicine, University of Queensland Centre of Clinical Research, The University of Queensland, Brisbane, QLD, Australia.
Ignacio Martin-LoechesDepartment of Intensive Care Medicine, Multidisciplinary Intensive Care Research Organization (MICRO), Trinity College, Dublin, Ireland.
Saad NseirCritical Care Center, CHU Lille, France.
Otavio T RanzaniPulmonary Division, Heart Institute (InCor), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, Brazil.
Antoine RoquillyEA3826 Thérapeutiques Anti-Infectieuses, Institut de Recherche en Santé 2 Nantes Biotech, Université de Nantes, Nantes, France.
Matthieu SchmidtService de Médecine Intensive Réanimation, Institut de Cardiologie, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, 47-83, Boulevard de l'Hôpital, 75651, Paris Cedex 13, France.
Antoni TorresServei de Pneumologia. Hospital Clinic, Universitat de Barcelona, IDIBAPS, CIBERes, Barcelona, Spain.
Jean-François TimsitIAME 1137, INSERM, Université de Paris, Paris, France.
Inserm · FRThe University of Queensland · AUCentre d'Investigation Clinique de Nantes · FRConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRTrinity College Dublin · IEUniversity of Cambridge · GBWashington University in St. Louis · US

Funding

Wellcome Trust 205214/Z/16/Z
6 · The paper itself

Abstract

Pulmonary infection is one of the main complications occurring in patients suffering from acute respiratory distress syndrome (ARDS). Besides traditional risk factors, dysregulation of lung immune defenses and microbiota may play an important role in ARDS patients. Prone positioning does not seem to be associated with a higher risk of pulmonary infection. Although bacteria associated with ventilator-associated pneumonia (VAP) in ARDS patients are similar to those in patients without ARDS, atypical pathogens (Aspergillus, herpes simplex virus and cytomegalovirus) may also be responsible for infection in ARDS patients. Diagnosing pulmonary infection in ARDS patients is challenging, and requires a combination of clinical, biological and microbiological criteria. The role of modern tools (e.g., molecular methods, metagenomic sequencing, etc.) remains to be evaluated in this setting. One of the challenges of antimicrobial treatment is antibiotics diffusion into the lungs. Although targeted delivery of antibiotics using nebulization may be interesting, their place in ARDS patients remains to be explored. The use of extracorporeal membrane oxygenation in the most severe patients is associated with a high rate of infection and raises several challenges, diagnostic issues and pharmacokinetics/pharmacodynamics changes being at the top. Prevention of pulmonary infection is a key issue in ARDS patients, but there is no specific measure for these high-risk patients. Reinforcing preventive measures using bundles seems to be the best option.

Indexed as

Extracorporeal Membrane OxygenationPneumonia, Ventilator-AssociatedRespiratory Distress SyndromeHumansLungPatient PositioningAcute respiratory distress syndromeMicrobiotaNebulizationPreventionVentilator-associated pneumonia

Identifiers

PMID33175277
PMCPMC7656898
OpenAlexW3103789918

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.