Evidence map›Paper›PMID 33207271›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2021

Predictors and outcomes of healthcare-associated infections in COVID-19 patients.

Gagan Kumar, Alex Adams, Martin Hererra, Erine Raybon Rojas, Vartika Singh, Ankit Sakhuja, Mark Meersman, Drew Dalton, Shravan Kethireddy, Rahul Nanchal and 1 more

Open access · goldAbstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 3 pooled it
7.2field-weighted citation impact, top 2% 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

50 citing papers in PubMed, 3 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
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  18. Healthcare-associated infections in Dutch hospitals during the COVID-19 pandemic.Antimicrobial resistance and infection control · 2023
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  19. Article
  20. High level of infection prevention and control in surveyed hospitals in Colombia, 2021.Revista panamericana de salud publica = Pan American journal of public health · 2023
    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

11 authors at 6 institutions in 2 countries.

Gagan KumarDepartment of Pulmonary & Critical Care, Northeast Georgia Health System, Gainesville, GA, USA. Electronic address: gagankumar@gmail.com.
Alex AdamsDepartment of Internal Medicine, Northeast Georgia Health System, Gainesville, GA, USA.
Martin HererraDepartment of Internal Medicine, Northeast Georgia Health System, Gainesville, GA, USA.
Erine Raybon RojasDepartment of Pulmonary & Critical Care, Northeast Georgia Health System, Gainesville, GA, USA.
Vartika SinghDepartment of Internal Medicine, Apex Hospital, Varanasi, India.
Ankit SakhujaDivision of Cardiovascular Critical Care, Department of Cardiovascular and Thoracic Surgery, West Virginia University, WV, USA.
Mark MeersmanIPC Global, Alpharetta, GA, USA.
Drew DaltonIPC Global, Alpharetta, GA, USA.
Shravan KethireddyDepartment of Pulmonary & Critical Care, Northeast Georgia Health System, Gainesville, GA, USA.
Rahul NanchalDivision of Pulmonary & Critical Care, Medical College of Wisconsin, Milwaukee, WI, USA.
Achuta Kumar GuddatiDivision of Hematology/Oncology, Georgia Cancer Center, Augusta University, Augusta, GA, USA.
Southeast Georgia Health System · USIPM Institute of North America · USApex Heart Institute · INAugusta University Health · USMedical College of Wisconsin · USWest Virginia University · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Laura F. Gibson · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

introductionHealthcare-associated infections (HAI) after viral illnesses are important sources of morbidity and mortality. This has not been extensively studied in hospitalized COVID-19 patients.

methodsThis study included all COVID-19-positive adult patients (≥18 years) hospitalized between 01 March and 05 August 2020 at the current institution. The Centers for Disease Control and Prevention definition of HAI in the acute care setting was used. The outcomes that were studied were rates and types of infections and in-hospital mortality. Several multivariable logistic regression models were constructed to examine characteristics associated with development of HAI.

resultsFifty-nine (3.7%) of 1565 patients developed 140 separate HAIs from 73 different organisms: 23 were Gram-positive, 39 were Gram-negative and 11 were fungal. Patients who developed HAI did not have higher odds of death (OR 0.85, 95% CI 0.40-1.81, p =  0.69). HAIs were associated with the use of tocilizumab (OR 5.04, 95% CI 2.4-10.6, p <  0.001), steroids (OR 3.8, 95% CI 1.4-10, p =  0.007), hydroxychloroquine (OR 3.0, 95% CI 1.0-8.8, p =  0.05), and acute kidney injury requiring hemodialysis (OR 3.7, 95% CI 1.1-12.8, p =  0.04).

conclusionsHAI were common in hospitalized Covid-19 patients. Tocilizumab and steroids were associated with increased risk of HAIs.

Indexed as

PandemicsSARS-CoV-2AgedAntibodies, Monoclonal, HumanizedCoinfectionCOVID-19COVID-19 Drug TreatmentCross InfectionFemaleGeorgiaHospital MortalityHumansHydroxychloroquineLogistic ModelsMaleMiddle AgedAntibodies, Monoclonal, HumanizedHydroxychloroquineSteroidstocilizumabCOVID-19HydroxychloroquineSecondary infectionsTocilizumab

Identifiers

PMID33207271
PMCPMC7666872
OpenAlexW3101560841

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.