Evidence map›Paper›PMID 34733507›Full record

ReviewTherapeutic advances in infectious disease

Prevention and management of carbapenem-resistant Enterobacteriaceae in haematopoietic cell transplantation.

Dangudubiyyam Sri Krishna Sahitya, Aditya Jandiyal, Arihant Jain, Jayastu Senapati, Saumya Nanda, Mukul Aggarwal, Pradeep Kumar, Sarita Mohapatra, Pallab Ray, Pankaj Malhotra and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Therapeutic advances in infectious disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.2field-weighted citation impact, top 18% 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

14 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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  4. Impact of XpertFrontiers in cellular and infection microbiology · 2025
    Observational
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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

12 authors at 3 institutions in 1 country.

Dangudubiyyam Sri Krishna SahityaAll India Institute of Medical Sciences, New Delhi, New Delhi, India.
Aditya JandiyalPostgraduate Institute of Medical Education & Research, Chandigarh, Chandigarh, India.
Arihant JainPostgraduate Institute of Medical Education & Research, Chandigarh, Chandigarh, India.
Jayastu SenapatiAll India Institute of Medical Sciences, New Delhi, New Delhi, India.
Saumya NandaLady Hardinge Medical College, New Delhi, New Delhi, India.
Mukul AggarwalAll India Institute of Medical Sciences, New Delhi, New Delhi, India.
Pradeep KumarAll India Institute of Medical Sciences, New Delhi, New Delhi, India.
Sarita MohapatraAll India Institute of Medical Sciences, New Delhi, New Delhi, India.
Pallab RayPostgraduate Institute of Medical Education & Research, Chandigarh, Chandigarh, India.
Pankaj MalhotraPostgraduate Institute of Medical Education & Research, Chandigarh, Chandigarh, India.ORCID https://orcid.org/0000-0003-1198-8491
Manoranjan MahapatraAll India Institute of Medical Sciences, New Delhi, New Delhi, India.
Rishi DhawanAll India Institute of Medical Sciences, New Delhi, New Delhi 110029, India.ORCID https://orcid.org/0000-0001-8879-0331
All India Institute of Medical Sciences · INPost Graduate Institute of Medical Education and Research · INLady Hardinge Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Carbapenem-resistant Enterobacteriaceae (CRE) infections are associated with high morbidity and mortality rates in haematopoietic cell transplantation (HCT) recipients. Factors like mucositis, neutropenia, prolonged hospital stay, and frequent use of prophylactic antimicrobials make HCT recipients especially susceptible to CRE infections. Low culture positivity rates, delay in microbiological diagnosis, and resistance to empirical antimicrobial therapy for febrile neutropenia are responsible for high mortality rates in HCT recipients infected with CRE. In this review we discuss the epidemiology, diagnosis, and management of CRE infections with particular emphasis on patients undergoing HCT. We emphasise the need for preventive strategies like multidisciplinary antimicrobial stewardship, and pre-emptive screening for CRE colonisation in prospective HCT patients as measures to mitigate the adverse impact of CRE on HCT outcomes. Newer diagnostic tests like polymerase chain reaction and matrix-assisted laser desorption ionisation-time of flight (MALDI-TOF) assay that enable earlier and better identification of CRE isolates are discussed. Antimicrobial agents available against CRE, including newer agents like ceftazidime-avibactam and meropenem-vaborbactam, have been reviewed. We also discuss the data on promising experimental treatments against CRE: phage therapy and healthy donor faecal microbiota transplant. Finally, this review puts forth recommendations as per existing literature on diagnosis and management of CRE infections in blood and marrow transplant (BMT) unit.

Indexed as

arbapenem-resistant enterobacteriaceaefebrile neutropeniafecal microbiota transplantationgut microbiomehematopoietic cell transplantation

Identifiers

PMID34733507
PMCPMC8558808
OpenAlexW3208785291

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.