Evidence map›Paper›PMID 34516520›Full record

ArticleMedicine2021

Factors behind the prevalence of carbapenem-resistant Klebsiella pneumoniae in pediatric wards.

Yuxin Yang, Jia Liu, Murad Muhammad, Hanting Liu, Zongsu Min, Jing Lu, Lei Zhang, Zhonglin Chai

Open access · goldAbstract read
In one paragraph

Article in Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 36% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. [Risk factors for nosocomial infection of carbapenem-resistantZhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics
    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

8 authors at 2 institutions in 4 countries.

Yuxin YangDepartment of Pathology, Zunyi Maternity and Child Health Care Hospital, Zunyi, Guizhou, China.
Jia LiuDepartment of Pharmacy, Zunyi Maternity and Child Health Care Hospital, Zunyi, Guizhou, China.
Murad MuhammadDepartment of Surgery (RMH), University of Melbourne, Melbourne, Victoria, Australia.
Hanting LiuChina-Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shanxi, China.
Zongsu MinDepartment of Pathology, Zunyi Maternity and Child Health Care Hospital, Zunyi, Guizhou, China.
Jing LuDepartment of Breast Surgery, Guizhou Provincial People's Hospital, Guiyang, Guizhou, China.
Lei ZhangChina-Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shanxi, China.
Zhonglin ChaiDepartment of Diabetes, Central Clinical School, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0001-8182-8579
Apple (Israel) · ILMonash University · AU

Funding

Zunyi Science and Technology bureau 48.2014
6 · The paper itself

Abstract

abstractThe emergence of carbapenem-resistant Enterobacteriaceae made the treatment difficult, which has become a significant issue of public health. A sharp increase of carbapenem-resistance rate in Klebsiella pneumoniae was observed in a maternity and child health care hospital in Zunyi, China, in 2014.In 2015 to 2016, carbapenem-resistant Klebsiella pneumoniae (CRKp) isolated from all the clinical samples were analyzed to identify the carbapenem-resistance genes. They were then fingerprinted in order to determine their genetic relationship. Clinical data such as usage of imipenem in 2012 to 2016 and the nosocomial infection surveillance data were analyzed.Thirty-five isolates of CRKp out of 4328 various pathogens were obtained, and blaNDM-1 was identified to be the most common resistant gene present in the CRKp isolates. The fingerprint analysis identified 15 major clusters of CRKp isolates. The bacteria with close proximity relationship tended to be from the same wards. However, a few CRKp isolates from different wards were found to be genetically highly related. The clinical data showed a significantly higher usage of carbapenems in 2012 to 2013 before the CRKp rate sharply increased in 2014. The nosocomial infection surveillance showed an unexpectedly high rate of failures to meet the requirement of the hospital environment hygiene and hand hygiene in the neonatal ward.The increasing isolation rate of CRKp was associated with poorly regulated usage of carbapenems, impropriate medical practices, and the poor hospital environmental hygiene and hand hygiene.

Indexed as

Drug Resistance, BacterialAdultAnti-Bacterial AgentsCarbapenem-Resistant EnterobacteriaceaeChildChild, PreschoolChinaCross InfectionFemaleHumansImipenemInfantInfant, NewbornInfection ControlKlebsiella InfectionsKlebsiella pneumoniaeAnti-Bacterial AgentsImipenem

Identifiers

PMID34516520
PMCPMC8428699
OpenAlexW3199821731

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.