Evidence map›Paper›PMID 33217512›Full record

ArticleAmerican journal of infection control2021

Infection control response to an outbreak of OXA-23 carbapenemase-producing carbapenem-resistant Acinetobacter baumannii in a skilled nursing facility in Utah.

Amanda R Smith, Maureen Vowles, Roberta Z Horth, Lori Smith, Linda Rider, Jennifer M Wagner, Anna Sangster, Erin L Young, Hailey Schuckel, James Stewart and 4 more

Abstract read
In one paragraph

Article in American journal of infection control, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Trends in Antimicrobial Resistance ofPharmaceuticals (Basel, Switzerland) · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. The epidemiology of gram-negative bacteremia in Lebanon: a study in four hospitals.Annals of clinical microbiology and antimicrobials · 2024
    Article
  7. Prevalence of carbapenemase-producing organisms among hospitalized solid organ transplant recipients, five US hospitals, 2019-2020.Transplant infectious disease : an official journal of the Transplantation Society · 2022
    Article
  8. Pathogenesis of Gram-Negative Bacteremia.Clinical microbiology reviews · 2021
    Review
  9. Quantifying and interpreting inequality of surgical site infections among operating rooms.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2021
    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

14 authors.

Amanda R SmithUtah Department of Health, Salt Lake City, UT.
Maureen VowlesUtah Department of Health, Salt Lake City, UT.
Roberta Z HorthUtah Department of Health, Salt Lake City, UT; Epidemic Intelligence Service, Center for Surveillance, Epidemiology, and Laboratory Services, U.S. Centers for Disease Control and Prevention, Atlanta, GA. Electronic address: hxw5@cdc.gov.
Lori SmithUtah Department of Health, Salt Lake City, UT.
Linda RiderUtah Department of Health, Salt Lake City, UT.
Jennifer M WagnerUtah Department of Health, Salt Lake City, UT.
Anna SangsterUtah Department of Health, Salt Lake City, UT.
Erin L YoungUtah Department of Health, Salt Lake City, UT.
Hailey SchuckelUtah Department of Health, Salt Lake City, UT.
James StewartUtah Department of Health, Salt Lake City, UT.
Randon J GruningerUtah Department of Health, Salt Lake City, UT.
Alessandro RossiUtah Department of Health, Salt Lake City, UT.
Kelly F OakesonUtah Department of Health, Salt Lake City, UT.
Allyn K NakashimaUtah Department of Health, Salt Lake City, UT.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundAntibiotic-resistant Acinetobacter species are a growing public health threat, yet are not nationally notifiable, and most states do not mandate reporting. Additionally, there are no standardized methods to detect Acinetobacter species colonization.

methodsAn outbreak of carbapenem-resistant Acinetobacter baumannii (CRAB) was identified at a Utah ventilator unit in a skilled nursing facility. An investigation was conducted to identify transmission modes in order to control spread of CRAB. Culture-based methods were used to identify patient colonization and environmental contamination in the facility.

resultsOf the 47 patients screened, OXA-23-producing CRAB were detected in 10 patients (21%), with 7 patients (15%) having been transferred from out-of-state facilities. Of patients who screened positive, 60% did not exhibit any signs or symptoms of active infection by chart review. A total of 38 environmental samples were collected and CRAB was recovered from 37% of those samples. Whole genome sequencing analyses of patient and environmental isolates suggested repeated CRAB introduction into the facility and highlighted the role of shared equipment in transmission.

conclusionsThe investigation demonstrated this ventilated skilled nursing facility was an important reservoir for CRAB in the community and highlights the need for improved surveillance, strengthened infection control and inter-facility communication within and across states.

Indexed as

Acinetobacter baumanniiAcinetobacter InfectionsCross InfectionAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesCarbapenemsDisease OutbreaksHumansInfection ControlMicrobial Sensitivity TestsSkilled Nursing FacilitiesUtahAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasescarbapenemaseCarbapenemsAcinetobacterCarbapenem-resistantInfection controlOutbreakSkilled nursing facility

Identifiers

PMID33217512
PMCPMC8803644

What OpenQuestion holds

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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.