Evidence map›Paper›PMID 34847492›Full record

ArticleThe Journal of surgical research2022

Identifying Causative Microorganisms in Left Ventricular Assist Device Infections as a Guide for Developing Bacteriophage Therapy.

Ishan Kamat, Harveen Lamba, Casey Hines-Munson, Samuel Hudson, Kenneth Liao, Kenneth L Muldrew, Sabrina Green, Austen Terwilliger, Heidi B Kaplan, Robert F Ramig and 2 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of surgical research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 39% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Journal of clinical microbiology · 2025
    Article
  2. Review
  3. A Retrospective, Observational Study of 12 Cases of Expanded-Access Customized Phage Therapy: Production, Characteristics, and Clinical Outcomes.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Observational
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.

Ishan KamatDepartment of Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, Texas.
Harveen LambaDepartment of Surgery, Baylor College of Medicine, Houston, Texas.
Casey Hines-MunsonCenter for Innovations in Quality, Effectiveness, and Safety (IQuESt), Michael E. DeBakey, Veterans Affairs Medical Center, Houston, Texas.
Samuel HudsonDepartment of Surgery, Baylor College of Medicine, Houston, Texas.
Kenneth LiaoDepartment of Surgery, Baylor College of Medicine, Houston, Texas; Texas Heart Institute, Houston, Texas.
Kenneth L MuldrewSection of Infectious Disease, Department of Medicine, Baylor College of Medicine, One Baylor Plaza Houston, Texas; Department of Pathology and Immunology, Baylor College of Medicine, One Baylor Plaza, Houston, Texas.
Sabrina GreenDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, One Baylor Plaza, Houston, Texas.
Austen TerwilligerDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, One Baylor Plaza, Houston, Texas.
Heidi B KaplanDepartment of Microbiology and Molecular Genetics, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas.
Robert F RamigDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, One Baylor Plaza, Houston, Texas.
Anthony MaressoDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, One Baylor Plaza, Houston, Texas.
Barbara W TrautnerCenter for Innovations in Quality, Effectiveness, and Safety (IQuESt), Michael E. DeBakey, Veterans Affairs Medical Center, Houston, Texas; Section of Health Services Research, Department of Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, Texas. Electronic address: trautner@bcm.edu.
Baylor College of Medicine · USMichael E. DeBakey VA Medical Center · USThe University of Texas Health Science Center at Houston · US

Funding

Research Training Program in Cardiovascular SurgeryT32HL139430 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI Todd K Rosengart · 2018 to 2026
$2.9M
Bacteriophage to treat multidrug‐resistant UTI in Persons with Spinal Cord InjuryI01RX002595 · VA · MICHAEL E DEBAKEY VA MEDICAL CENTER · PI TRAUTNER, BARBARA WELLS · 2019 to 2023
–
NHLBI NIH HHS T32 HL139430RRD VA I01 RX002595
6 · The paper itself

Abstract

backgroundAs more left ventricular-assist devices (LVADs) are implanted, multidrug-resistant LVAD infections are becoming increasingly common, partly due to bacterial biofilm production. To aid in developing bacteriophage therapy for LVAD infections, we have identified the most common bacterial pathogens that cause LVAD driveline infections (DLIs) in our heart transplant referral center. MATERIALS AND

methodsWe studied a retrospective cohort of patients who received LVADs from November 2003 to August 2017 to identify the common causative organisms of LVAD infection. We also studied a prospective cohort of patients diagnosed with DLIs from October 2018 to May 2019 to collect bacterial strains from DLIs for developing bacteriophages to lyse causative pathogens. LVAD infections were classified as DLI, bacteremia, and pump/device infections in the retrospective cohort.

resultsIn the retrospective cohort of 582 patients, 186 (32.0%) developed an LVAD infection, with 372 microbial isolates identified. In the prospective cohort, 96 bacterial strains were isolated from 54 DLIs. The microorganisms causing DLIs were similar in the two cohorts; the most common isolate was Staphylococcus aureus. We identified 6 prospective S. aureus strains capable of biofilm formation. We developed 3 bacteriophages that were able to lyse 5 of 6 of the biofilm-forming S. aureus strains.

conclusionsSimilar pathogens caused LVAD DLIs in our retrospective and prospective cohorts, indicating our bacterial strain bank will be representative of future DLIs. Our banked bacterial strains will be useful in developing phage cocktails that can lyse ≥80% of the bacteria causing LVAD infections at our institution.

Indexed as

Heart-Assist DevicesHeart FailurePhage TherapyProsthesis-Related InfectionsHumansProspective StudiesRetrospective StudiesStaphylococcus aureusBacteriophageDriveline infectionsInfectionLeft ventricular assist device

Identifiers

PMID34847492
PMCPMC9125500
OpenAlexW3217609842

What OpenQuestion holds

Textmetadata
LicenceTDM
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.