Evidence map›Paper›PMID 33644803›Full record

ArticleAmerican journal of critical care : an official publication, American Association of Critical-Care Nurses2021

Pulmonary Microbiome of Patients Receiving Mechanical Ventilation: Changes Over Time.

Mary Lou Sole, Shibu Yooseph, Steven Talbert, Bassam Abomoelak, Chirajyoti Deb, Kimberly Paige Rathbun, Daleen Penoyer, Aurea Middleton, Devendra Mehta

Open access · greenAbstract read
In one paragraph

Article in American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 39% 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, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Oral Microbiome Changes During Hospitalization in Older Adults Not Receiving Mechanical Ventilation.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2025
    Observational
  4. Article
  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

9 authors at 1 institution in 1 country.

Mary Lou SoleMary Lou Sole is dean, professor, and Orlando Health Endowed Chair in Nursing, College of Nursing, University of Central Florida, Orlando, Florida.
Shibu YoosephShibu Yooseph is a professor and lead of the Genomics and Bioinformatics Cluster, College of Engineering and Computer Science, University of Central Florida.
Steven TalbertSteven Talbert is a clinical assistant professor, College of Nursing, University of Central Florida, Orlando, Florida.
Bassam AbomoelakBassam Abomoelak is a senior research associate, Pediatric Specialty Diagnostic Laboratory, Arnold Palmer Hospital, Orlando, Florida.
Chirajyoti DebChirajyoti Deb is a senior research associate, Pediatric Specialty Diagnostic Laboratory, Arnold Palmer Hospital, Orlando, Florida.
Kimberly Paige RathbunKimberly Paige Rathbun is a graduate research assistant, College of Nursing, University of Central Florida, Orlando, Florida.
Daleen PenoyerDaleen Penoyer is director, Center for Nursing Research and Advanced Nursing Practice, Orlando Health, Orlando, Florida.
Aurea MiddletonAurea Middleton is a clinical research coordinator, Center for Nursing Research and Advanced Nursing Practice, Orlando Health, Orlando, Florida.
Devendra MehtaDevendra Mehta is a pediatric gastroenterologist, Pediatric Specialty Diagnostic Laboratory, Arnold Palmer Hospital, Orlando, Florida.
University of Central Florida · US

Funding

Oral Suction Intervention to Reduce Aspiration and Ventilator Events: NO-ASPIRATER01NR014508 · NINR · UNIVERSITY OF CENTRAL FLORIDA · PI SOLE, MARY LOU · 2014 to 2017
$2.3M
NINR NIH HHS R01 NR014508
6 · The paper itself

Abstract

backgroundInterest in the pulmonary microbiome is growing, particularly in patients undergoing mechanical ventilation.

objectivesTo explore the pulmonary microbiome over time in patients undergoing prolonged mechanical ventilation and to evaluate the effect of an oral suctioning intervention on the microbiome.

methodsThis descriptive subanalysis from a clinical trial involved a random sample of 16 participants (7 intervention, 9 control) who received mechanical ventilation for at least 5 days. Five paired oral and tracheal specimens were evaluated for each participant over time. Bacterial DNA from the paired specimens was evaluated using 16S rRNA gene sequencing. Bacterial taxonomy composition, α-diversity (Shannon index), and β-diversity (Morisita-Horn index) were calculated and compared within and between participants.

resultsParticipants were predominantly male (69%) and White (63%), with a mean age of 58 years, and underwent mechanical ventilation for a mean of 9.36 days. Abundant bacterial taxa included Prevotella, Staphylococcus, Streptococcus, Stenotrophomonas, and Veillonella. Mean tracheal α-diversity decreased over time for the total group (P = .002) and the control group (P = .02). β-Diversity was lower (P = .04) in the control group (1.905) than in the intervention group (2.607).

conclusionsProlonged mechanical ventilation was associated with changes in the pulmonary microbiome, with the control group having less diversity. The oral suctioning intervention may have reduced oral-tracheal bacterial transmission.

Indexed as

MicrobiotaRespiration, ArtificialBacteriaDNA, BacterialFemaleHumansLungMaleMiddle AgedRNA, Ribosomal, 16SDNA, BacterialRNA, Ribosomal, 16S

Identifiers

PMID33644803
PMCPMC8344366
OpenAlexW3134708587

What OpenQuestion holds

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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.