Evidence map›Paper›PMID 35189833›Full record

Observational studyBMC infectious diseases2022

Multi-body-site colonization screening cultures for predicting multi-drug resistant Gram-negative and Gram-positive bacteremia in hematological patients.

Ignacio Torres, Dixie Huntley, Mar Tormo, Marisa Calabuig, Juan Carlos Hernández-Boluda, María José Terol, Carlos Carretero, Paula de Michelena, Ariadna Pérez, José Luis Piñana and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

19 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Antibiotic therapy in febrile neutropenia in haematological patients: current considerations and future challenges.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    Review
  7. Article
  8. Observational
  9. Article
  10. Observational
  11. Article
  12. Antibiotics (Basel, Switzerland) · 2024
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. The threat of multidrug-resistant/extensively drug-resistant Gram-negative respiratory infections: another pandemic.European respiratory review : an official journal of the European Respiratory Society · 2022
    Article
  18. Article
  19. 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

13 authors at 2 institutions in 1 country.

Ignacio TorresMicrobiology Service, Clinic University Hospital, INCLIVA Health Research Institute, Valencia, Spain.
Dixie HuntleyMicrobiology Service, Clinic University Hospital, INCLIVA Health Research Institute, Valencia, Spain.
Mar TormoHematology Department, Clinic University Hospital, INCLIVA Health Research Institute, Valencia, Spain.
Marisa CalabuigHematology Department, Clinic University Hospital, INCLIVA Health Research Institute, Valencia, Spain.
Juan Carlos Hernández-BoludaHematology Department, Clinic University Hospital, INCLIVA Health Research Institute, Valencia, Spain.
María José TerolHematology Department, Clinic University Hospital, INCLIVA Health Research Institute, Valencia, Spain.
Carlos CarreteroHematology Department, Clinic University Hospital, INCLIVA Health Research Institute, Valencia, Spain.
Paula de MichelenaMicrobiology Service, Clinic University Hospital, INCLIVA Health Research Institute, Valencia, Spain.
Ariadna PérezHematology Department, Clinic University Hospital, INCLIVA Health Research Institute, Valencia, Spain.
José Luis PiñanaHematology Department, Clinic University Hospital, INCLIVA Health Research Institute, Valencia, Spain.
Javier ColominaMicrobiology Service, Clinic University Hospital, INCLIVA Health Research Institute, Valencia, Spain.
Carlos SolanoHematology Department, Clinic University Hospital, INCLIVA Health Research Institute, Valencia, Spain.
David NavarroMicrobiology Service, Clinic University Hospital, INCLIVA Health Research Institute, Valencia, Spain. david.navarro@uv.es.
INCLIVA Health Research Institute · ESUniversitat de València · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate the multi-drug resistant bacteria (MDRB) colonization rate in hematological patients hospitalized for any cause using a multi-body-site surveillance approach, and determine the extent to which this screening strategy helped anticipate MDRB bloodstream infections (BSI).

methodsSingle-center retrospective observational study including 361 admissions documented in 250 adult patients. Surveillance cultures of nasal, pharyngeal, axillary and rectal specimens (the latter two combined) were performed at admission and subsequently on a weekly basis. Blood culture samples were incubated in an automated continuous monitoring blood culturing instrument (BACTEC FX).

resultsIn total, 3463 surveillance cultures were performed (pharyngeal, n = 1201; axillary-rectal, n = 1200; nasal, n = 1062). MDRB colonization was documented in 122 out of 361 (33.7%) admissions corresponding to 86 patients (34.4%). A total of 149 MDRB were isolated from one or more body sites, of which most were Gram-negative bacteria, most frequently non-fermenting (n = 83) followed by Enterobacterales (n = 51). BSI were documented in 102 admissions (28%) involving 87 patients. Overall, the rate of BSI caused by MDRB was significantly higher (p = 0.04) in the presence of colonizing MDRB (16 out of 47 admissions in 14 patients) than in its absence (9 out of 55 admissions in 9 patients). Colonization by any MDRB was independently associated with increased risk of MDRB-BSI (HR, 3.70; 95% CI, 1.38-9.90; p = 0.009).

conclusionMDRB colonization is a frequent event in hematological patients hospitalized for any reason and is associated with an increased risk of MDRB BSI. The data lend support to the use of MDRB colonization surveillance cultures for predicting the occurrence of MDRB BSI in this cohort.

Indexed as

BacteremiaPharmaceutical PreparationsSepsisAdultAnti-Bacterial AgentsDrug Resistance, Multiple, BacterialGram-Negative BacteriaHumansRetrospective StudiesAnti-Bacterial AgentsPharmaceutical PreparationsBloodstream infectionColonizationHematological patientsMulti-drug resistant bacteria (MDRB)

Identifiers

PMID35189833
PMCPMC8862203
OpenAlexW4213205658

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.