Evidence map›Paper›PMID 34184182›Full record

ArticleInfection2022

The proportion, species distribution and dynamic trends of bloodstream infection cases in a tertiary hospital in China, 2010-2019.

Jiewei Cui, Meng Li, Jiemin Cui, Juan Wang, Xiaofei Qiang, Zhixin Liang

Abstract 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 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

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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

6 authors.

Jiewei Cui *Department of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Fuxing Road No. 28, Beijing, 100853, China.
Meng Li *Department of Hematology, The First Medical Centre of Chinese PLA General Hospital, Fuxing Road No. 28, Beijing, 100853, China.
Jiemin Cui *Department of Radiology, Shenxian People's Hospital, Xingfu Road No.303, Liaocheng, 252400, China.
Juan WangDepartment of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Fuxing Road No. 28, Beijing, 100853, China.
Xiaofei QiangMedical Team of Helicopter Unit, The Second CAPF General Mobile Force, Deyang, 618100, China.
Zhixin LiangDepartment of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Fuxing Road No. 28, Beijing, 100853, China. liangzhixin301@163.com.ORCID http://orcid.org/0000-0003-3520-2297

Funding

Chinese Military Medical Innovation Project 16CXZ041
6 · The paper itself

Abstract

backgroundRecent epidemiological studies on bloodstream infection (BSI) that include the proportion, species distribution and dynamic changes are scarce in China. This study was performed to understand these epidemiological data of BSI over the past 10 years in China.

methodsUsing a prospective nosocomial infection surveillance system, this study was retrospectively performed in one of the largest hospitals in China. The time trend was tested using the Cochran-Armitage trend test in R Programming Language.

resultsFrom 2010 to 2019, there were totally 9381 episodes of BSI cases out of 1,437,927 adult-hospitalized patients in the hospital, the total proportion of BSI cases was 6.50‰ (6.50 episodes per 1000 adult-hospitalized patients) and the proportion had significantly decreased (8.24-6.07‰, time trend P < 0.001). Among the 9381 episodes of BSI, 93.1% were bacteremia and others were fungemia (6.9%). As the most common species, the composition ratios of coagulase-negative staphylococcus (25.6-32.5%), Escherichia coli (9.8-13.6%) and Klebsiella pneumoniae (5.3-10.4%) had been dynamically increased (all time trends P < 0.05) and the proportion of Pseudomonas aeruginosa had decreased (4.0-2.4%, time trend P = 0.032). However, Staphylococcus aureus (3.3-3.1%) and Acinetobacter baumannii (4.4-4.2%) had not changed significantly (P > 0.05). These common species were consistent with China Antimicrobial Surveillance Network reported in 2018 (2018 CHINET report), but their composition ratios were different. In addition, among bacteremia, the proportion of multidrug-resistant bacteria gradually increased from 52.9 to 68.4% (time trend P < 0.001).

conclusionThe proportion and species distribution of BSI were dynamically changing along certain trends. These trends deserved more attention from clinicians and researchers.

Indexed as

BacteremiaCross InfectionSepsisAdultChinaHumansProspective StudiesRetrospective StudiesTertiary Care CentersBloodstream infectionCochran–Armitage trend testProportionSpecies distributionTime trend

Identifiers

PMID34184182
PMCPMC8803777

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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.