Evidence map›Paper›PMID 34176088›Full record

ArticleInfection2022

Multidrug-resistant Acinetobacter baumannii infections in COVID-19 patients hospitalized in intensive care unit.

Alessandro Russo, Francesca Gavaruzzi, Giancarlo Ceccarelli, Cristian Borrazzo, Alessandra Oliva, Francesco Alessandri, Eugenia Magnanimi, Francesco Pugliese, Mario Venditti

Open access · hybridAbstract read
In one paragraph

Article in Infection, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 1 pooled it
9.1field-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

82 citing papers in PubMed, 1 synthesis or guideline pooled it, 147 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Carbapenem-resistantFrontiers in medicine · 2026
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  11. Phenotypical and Molecular Characterization ofLife (Basel, Switzerland) · 2025
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Bacteriological Spectrum and Drug Resistance Among Patients Associated With Bloodstream Infection in Intensive Care Units in the Affiliated Hospital of Jiaxing University From 2021 to 2023.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Article
  17. Article
  18. Risk factors for infection after carbapenem-resistant Acinetobacter baumannii colonization.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Observational
  19. Article
  20. Article

22 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

9 authors at 2 institutions in 1 country.

Alessandro RussoInfectious and Tropical Diseases Unit, Department of Medical and Surgical Sciences, "Magna Graecia" University of Catanzaro, Catanzaro, Italy.
Francesca GavaruzziDepartment of Public Health and Infectious Diseases, "Sapienza" University of Rome, Viale dell'Università 37, 00161, Rome, Italy.
Giancarlo CeccarelliDepartment of Public Health and Infectious Diseases, "Sapienza" University of Rome, Viale dell'Università 37, 00161, Rome, Italy.
Cristian BorrazzoDepartment of Public Health and Infectious Diseases, "Sapienza" University of Rome, Viale dell'Università 37, 00161, Rome, Italy.
Alessandra OlivaDepartment of Public Health and Infectious Diseases, "Sapienza" University of Rome, Viale dell'Università 37, 00161, Rome, Italy.
Francesco AlessandriDepartment of Anesthesia and Critical Care Medicine, "Sapienza" University of Rome, Rome, Italy.
Eugenia MagnanimiDepartment of Anesthesia and Critical Care Medicine, "Sapienza" University of Rome, Rome, Italy.
Francesco PuglieseDepartment of Anesthesia and Critical Care Medicine, "Sapienza" University of Rome, Rome, Italy.
Mario VendittiDepartment of Public Health and Infectious Diseases, "Sapienza" University of Rome, Viale dell'Università 37, 00161, Rome, Italy. mario.venditti@uniroma1.it.ORCID http://orcid.org/0000-0003-2639-0281
Sapienza University of Rome · ITMagna Graecia University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSuperinfections in patients hospitalized in intensive care unit (ICU) are an important and challenging complication, also in COVID-19. However, no definitive data are available about the role of multidrug-resistant Acinetobacter baumannii (MDR-AB) in COVID-19.

methodsThis was a single-center, cross-sectional study including patients with MDR-AB infections admitted to ICU with or without COVID-19, between January 2019 and January 2021. The primary objective of the study was to evaluate risk factor for MDR-AB infections in ICU patients hospitalized for COVID-19 or other etiology. The secondary endpoints were 30-days mortality in all study population and risk factors associated with development of bloodstream infection (BSI).

resultsDuring the study period 32 adults with COVID-19 were enrolled and compared with 115 patients admitted in the same ICU for other reasons. We observed a total of 114 deaths, with a survival rate of 29.3%: 18.8% in COVID-19 and 32.2% in control group. Relative risk for MDR-AB infection in COVID-19 showed that serum lactate levels mmol/l > 2, Acinetobacter baumannii colonization, BSI and steroid therapy were observed more frequently in COVID-19 patients. Cox regression analysis showed that serum lactate levels > 2 mmol/l, Acinetobacter baumannii colonization, BSI, and steroid therapy were associated with 30-days mortality. Finally, patients with COVID-19, white blood cells count > 11,000 mm

conclusionsOur data highlight the impact of BSI on outcome, the role of Acinetobacter baumannii colonization and the use of steroids on the risk to develop MDR-AB infections also during COVID-19.

Indexed as

Acinetobacter baumanniiAcinetobacter InfectionsCOVID-19Cross InfectionAnti-Bacterial AgentsCross-Sectional StudiesDrug Resistance, Multiple, BacterialHumansIntensive Care UnitsRisk FactorsSARS-CoV-2Anti-Bacterial AgentsAcinetobacter baumanniiBacteraemiaColonizationCOVID-19Steroids

Identifiers

PMID34176088
PMCPMC8236000
OpenAlexW3174970615

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.