Evidence map›Paper›PMID 34406812›Full record

ArticleMicrobiology spectrum2021

The Impact of Bacterial Biofilms on End-Organ Disease and Mortality in Patients with Hematologic Malignancies Developing a Bloodstream Infection.

Enea Gino Di Domenico, Francesco Marchesi, Ilaria Cavallo, Luigi Toma, Francesca Sivori, Elena Papa, Antonio Spadea, Giuseppina Cafarella, Irene Terrenato, Grazia Prignano and 7 more

Open access · goldAbstract read
In one paragraph

Article in Microbiology spectrum, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 7% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Virulence profile of carbapenem-resistantMicrobiology spectrum · 2025
    Article
  6. Article
  7. Genomic characterization and antibiotic susceptibility of biofilm-formingFrontiers in cellular and infection microbiology · 2025
    Article
  8. Meropenem/vaborbactam activity against carbapenem-resistantFrontiers in cellular and infection microbiology · 2025
    Article
  9. Article
  10. Article
  11. Biofilm · 2024
    Article
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

17 authors at 2 institutions in 1 country.

Enea Gino Di Domenico *Microbiology and Virology, San Gallicano Dermatological Institute, IRCCS, Rome, Italy.ORCID 0000-0001-6295-6006
Francesco Marchesi *Hematology and Stem Cell Transplant Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Ilaria CavalloMicrobiology and Virology, San Gallicano Dermatological Institute, IRCCS, Rome, Italy.
Luigi TomaDepartment of Research, Advanced Diagnostics, and Technological Innovation, Translational Research Area, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Francesca SivoriMicrobiology and Virology, San Gallicano Dermatological Institute, IRCCS, Rome, Italy.
Elena PapaHematology and Stem Cell Transplant Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Antonio SpadeaHematology and Stem Cell Transplant Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Giuseppina CafarellaHematology and Stem Cell Transplant Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Irene TerrenatoBiostatistics and Bioinformatic Unit, Scientific Direction, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Grazia PrignanoMicrobiology and Virology, San Gallicano Dermatological Institute, IRCCS, Rome, Italy.
Fulvia PimpinelliMicrobiology and Virology, San Gallicano Dermatological Institute, IRCCS, Rome, Italy.
Arianna MastrofrancescoMicrobiology and Virology, San Gallicano Dermatological Institute, IRCCS, Rome, Italy.
Giovanna D'AgostoMicrobiology and Virology, San Gallicano Dermatological Institute, IRCCS, Rome, Italy.
Elisabetta TrentoMicrobiology and Virology, San Gallicano Dermatological Institute, IRCCS, Rome, Italy.
Aldo MorroneScientific Direction, IRCCS San Gallicano Institute, Rome, Italy.
Andrea MengarelliHematology and Stem Cell Transplant Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Fabrizio EnsoliMicrobiology and Virology, San Gallicano Dermatological Institute, IRCCS, Rome, Italy.
San Gallicano Hospital · ITIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bacterial bloodstream infection (BSI) represents a significant complication in hematologic patients. However, factors leading to BSI and progression to end-organ disease and death are understood only partially. The study analyzes host and microbial risk factors and assesses their impact on BSI development and mortality. A total of 96 patients with hematological malignancies and BSI were included in the study. Host-associated risk factors and all causes of mortality were analyzed by multivariable logistic regression at 30 days after BSI onset of the first neutropenic episode. The multidrug-resistant profile and biofilm production of bacterial isolates from primary BSI were included in the analysis. Median age was 60 years. The underlying diagnoses were acute leukemia (55%), lymphoma (31%), and myeloma (14%). A total of 96 bacterial isolates were isolated from BSIs. Escherichia coli was the most common isolate (29.2%). Multidrug-resistant bacteria caused 10.4% of bacteremia episodes. Weak biofilm producers (WBPs) were significantly (

Indexed as

AdultAgedBacteremiaCardiovascular SystemFemaleGram-Negative BacteriaGram-Positive BacteriaHematologic NeoplasmsHumansMaleMiddle AgedYoung Adultbiofilmbloodstream infectionscoagulase-negative staphylococciEscherichia coliKlebsiellamicrobiologymortalitymultidrug resistancePseudomonas aeruginosaStaphylococcus aureus

Identifiers

PMID34406812
PMCPMC8552682
OpenAlexW3196161304

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.