Evidence map›Paper›PMID 34861315›Full record

ArticleThe Journal of hospital infection2022

Nosocomial outbreak of monoclonal VIM carbapenemase-producing Enterobacter cloacae complex in an intensive care unit during the COVID-19 pandemic: an integrated approach.

C Mullié, D Lemonnier, C C Adjidé, J Maizel, G Mismacque, A Cappe, T Carles, M Pierson-Marchandise, Y Zerbib

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of hospital infection, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05055479 (Nosocomial Outbreak of Monoclonal VIM Carbapenemase Producing Enterobacter Cloacae in an Intensive Care Unit During SARS-CoV-2 Pandemic), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 20% 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.

NCT05055479 completednot on this map

Nosocomial Outbreak of Monoclonal VIM Carbapenemase Producing Enterobacter Cloacae in an Intensive Care Unit During SARS-CoV-2 Pandemic

TypeobservationalSponsorCentre Hospitalier Universitaire, AmiensRan2021 to 2022Enrolled14ConditionsEnterobacteriaceae Infections, Hospital-Acquired Infection
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Mobilization ofMicrobiology spectrum · 2026
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  7. BMJ case reports · 2023
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  9. AIMS microbiology · 2023
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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

9 authors at 1 institution in 1 country.

C MulliéLaboratoire Hygiène Risque Biologique & Environnement, CHU Amiens Picardie, Amiens, France; Laboratoire AGIR UR UPJV 4294, Université de Picardie Jules Verne, Amiens, France. Electronic address: mullie-demailly.catherine@chu-amiens.fr.
D LemonnierUnité d'Hygiène et d'Epidémiologie Hospitalière, CHU Amiens Picardie, Amiens, France. Electronic address: lemonnier.delphine@chu-amiens.fr.
C C AdjidéLaboratoire Hygiène Risque Biologique & Environnement, CHU Amiens Picardie, Amiens, France.
J MaizelService de Médecine Intensive et Réanimation, CHU Amiens Picardie, Amiens, France.
G MismacqueUnité d'Hygiène et d'Epidémiologie Hospitalière, CHU Amiens Picardie, Amiens, France.
A CappeDépartement de Pharmacie Clinique, CHU Amiens Picardie, Amiens, France.
T CarlesDépartement de Pharmacie Clinique, CHU Amiens Picardie, Amiens, France.
M Pierson-MarchandiseService Prévention, Evaluations, Vigilances et Amélioration des Pratiques, CHU Amiens Picardie, Amiens, France.
Y ZerbibService de Médecine Intensive et Réanimation, CHU Amiens Picardie, Amiens, France.
Centre Hospitalier Universitaire Amiens-Picardie · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn outbreak of VIM carbapenemase-expressing Enterobacter cloacae complex occurred between March and October 2020 in an intensive care unit (ICU) of a tertiary care and teaching hospital in France. At the same time, the hospital was facing the COVID-19 first wave.

aimTo describe the management of an outbreak caused by a VIM-producing Enterobacter cloacae complex strain during the COVID-19 pandemic in an ICU and to show the importance of an integrated approach.

methodsA multi-focal investigation was conducted including descriptive and molecular epidemiology, environmental screening, and assessment of infection prevention and control measures.

findingsA total of 14 cases were identified in this outbreak with a high attributable mortality rate (85.7%). The outbreak management was coordinated by a crisis cell, and involved the implementation of multi-disciplinary actions such as: enhanced hygiene measures, microbiological and molecular analysis of patients and environmental E. cloacae complex strains, and simulation-based teaching. All 23 E. cloacae complex strains isolated from patients and environment samples belonged to multi-locus sequence type ST78 and carried bla-

conclusionThis investigation highlighted the usefulness of Fourier transform infra-red spectroscopy in the rapid typing of outbreak strains as well as the importance of an integrated approach to successfully fight against multidrug-resistant micro-organism dissemination and healthcare-associated infections.

Indexed as

COVID-19Cross InfectionEnterobacteriaceae InfectionsAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesDisease OutbreaksEnterobacter cloacaeHospitalsHumansIntensive Care UnitsMicrobial Sensitivity TestsPandemicsSARS-CoV-2Anti-Bacterial AgentsBacterial Proteinsbeta-LactamasescarbapenemaseCarbapenemaseEnterobacter cloacae complexFourier-transform infra-red spectroscopyHealthcare-associated infectionIntegrated approachOutbreak

Identifiers

PMID34861315
PMCPMC8631059
OpenAlexW3215156346

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.