Evidence map›Paper›PMID 34285312›Full record

ArticleScientific reports2021

Epidemiology, risk factors, and prediction score of carbapenem resistance among inpatients colonized or infected with 3rd generation cephalosporin resistant Enterobacterales.

Rima Moghnieh, Dania Abdallah, Marwa Jadayel, Wael Zorkot, Hassan El Masri, Marie Joe Dib, Tasnim Omar, Loubna Sinno, Rawad Lakkis, Tamima Jisr

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.1field-weighted citation impact, top 27% 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

24 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Improved diagnostic stewardship in carbapenem-resistantJournal of medical microbiology · 2025
    Article
  8. Epidemiological data on the acquisition of carbapenem-resistantAntimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Clinical and Molecular Profile of Carbapenem ResistantInfection and drug resistance · 2023
    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

10 authors at 3 institutions in 1 country.

Rima MoghniehDepartment of Internal Medicine, Division of Infectious Diseases, Makassed General Hospital, Beirut, Lebanon. moghniehrima@gmail.com.
Dania AbdallahPharmacy Department, Makassed General Hospital, Beirut, Lebanon.
Marwa JadayelFaculty of Pharmacy, Lebanese University, Beirut, Lebanon.
Wael ZorkotFaculty of Medicine, Lebanese University, Beirut, Lebanon.
Hassan El MasriFaculty of Medicine, Lebanese University, Beirut, Lebanon.
Marie Joe DibFaculty of Medicine, Lebanese University, Beirut, Lebanon.
Tasnim OmarDepartment of Internal Medicine, Makassed General Hospital, Beirut, Lebanon.
Loubna SinnoDepartment of Medical Research, Makassed General Hospital, Beirut, Lebanon.
Rawad LakkisFaculty of Arts and Sciences, American University of Beirut, Beirut, Lebanon.
Tamima JisrDepartment of Laboratory Medicine, Makassed General Hospital, Beirut, Lebanon.
Makassed General Hospital · LBLebanese University · LBAmerican University of Beirut · LB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this study, we determined the incidence and risk factors of Carbapenem-resistant Enterobacterales (CRE) acquisition in inpatients with 3rd generation cephalosporin-resistant (3GCR) Enterobacterales at a tertiary-care hospital in Lebanon, and suggested a risk prediction score for it. This is a retrospective matched case-control study of inpatients with 3GCR Enterobacterales that are carbapenem resistant (cases) versus those with carbapenem-sensitive isolates (controls). Data analysis was performed on IBM SPSS program, version 23.0 (Armonk, NY, USA: IBM Corp.). Categorical variables were compared between cases and controls through bivariate analysis and those with statistical significance (P < 0.05) were included in the forward stepwise multiple logistic regression analysis. To develop the CRE acquisition risk score, variables that maintained statistical significance in the multivariate model were assigned a point value corresponding to the odds ratio (OR) divided by the smallest OR identified in the regression model, and the resulting quotient was multiplied by two and rounded to the nearest whole number. Summation of the points generated by the calculated risk factors resulted in a quantitative score that was assigned to each patient in the database. Predictive performance was determined by assessing discrimination and calibration. The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were calculated for different cutoffs of the score. The incidence of CRE acquisition significantly increased with time from 0.21 cases/1000 patient-days (PD) in 2015 to 1.89 cases/1000PD in 2019 (r

Indexed as

AgedAged, 80 and overAnti-Bacterial AgentsArea Under CurveCarbapenem-Resistant EnterobacteriaceaeCase-Control StudiesCephalosporinsEnterobacteriaceae InfectionsFemaleHospitalizationHumansIncidenceInpatientsMaleMicrobial Sensitivity TestsMiddle AgedAnti-Bacterial AgentsCephalosporins

Identifiers

PMID34285312
PMCPMC8292374
OpenAlexW3184629279

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.