Evidence map›Paper›PMID 33442271›Full record

ArticleInfection and drug resistance2021

A Longitudinal Evaluation of the Bacterial Pathogens Colonizing Chronic Non-Healing Wound Sites at a United States Military Treatment Facility in the Pacific Region.

Md A Nahid, Jaclyn M Griffin, Michael B Lustik, Jordan J Hayes, Keith S K Fong, Timothy S Horseman, Massimo Menguito, Erik C Snesrud, Jason C Barnhill, Michael A Washington

Open access · goldAbstract read
In one paragraph

Article in Infection and drug resistance, 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
1.2field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
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  8. Surgical Revision Promotes Presence of Enterococcus spp. in Abdominal Superficial Surgical Site Infections.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022
    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 at 5 institutions in 1 country.

Md A NahidDepartment of Dental and Craniomaxillofacial Trauma Research, United States Army Institute of Surgical Research, JBSA Fort Sam, Houston, TX 78234, USA.
Jaclyn M GriffinDepartment of Vascular Surgery, Tripler Army Medical Center, Honolulu, HI, 96859, USA.ORCID 0000-0003-3262-462X
Michael B LustikDepartment of Clinical Investigation, Tripler Army Medical Center, Honolulu, HI 96859, USA.
Jordan J HayesDepartment of Clinical Investigation, Tripler Army Medical Center, Honolulu, HI 96859, USA.
Keith S K FongDepartment of Clinical Investigation, Tripler Army Medical Center, Honolulu, HI 96859, USA.
Timothy S HorsemanDepartment of Clinical Investigation, Tripler Army Medical Center, Honolulu, HI 96859, USA.
Massimo MenguitoDepartment of Chemistry and Life Science, United States Military Academy, West Point, NY 10996, USA.
Erik C SnesrudMultidrug-Resistant Organism Repository and Surveillance Network (MRSN), Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA.
Jason C BarnhillDepartment of Chemistry and Life Science, United States Military Academy, West Point, NY 10996, USA.
Michael A WashingtonDepartment of Chemistry and Life Science, United States Military Academy, West Point, NY 10996, USA.
Tripler Army Medical Center · USUnited States Military Academy · USUniformed Services University of the Health Sciences · USUnited States Army Institute of Surgical Research · USWalter Reed Army Institute of Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe biology of chronic wounds is complex and many factors act concurrently to impede healing progress. In this study, the dynamics of microflora changes and their antibiotic susceptibility patterns were evaluated longitudinally over 30 days using data from 28 patients with a total of 47 chronic lower extremity wounds. MATERIALS AND

methodsIn this study, colonized wound isolates were characterized using cultural, biochemical, and VITEK 2 methods. Antibiotic susceptibility patterns of the wound isolates were analyzed using various phenotypic assays. Furthermore, antimicrobial resistance patterns and the presence of mutations were evaluated by a genotypic assay, whole-genome sequencing (WGS).

results

conclusionOur observations showed that wounds were colonized with diverse bacteria and interestingly their numbers and/or types were changed over the course of infection. The rapid genetic changes that accompanied the first 4 weeks after presentation did not directly contribute to the development of antibiotic resistance. In addition, standard wound care procedures did not appear to select for resistant bacterial strains. Future efforts should focus on defining those genetic changes associated with the wound colonizing microorganisms that occur beyond 4 weeks.

Indexed as

anti-microbial resistanceantimicrobial susceptibility profilingnon-healing woundwound healingwound microflora

Identifiers

PMID33442271
PMCPMC7797278
OpenAlexW3118236375

What OpenQuestion holds

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LicenceCC BY-NC
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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.