Evidence map›Paper›PMID 35610601›Full record

ArticleBMC infectious diseases2022

Epidemiology and outcomes associated with carbapenem-resistant Acinetobacter baumannii and carbapenem-resistant Pseudomonas aeruginosa: a retrospective cohort study.

Amanda Vivo, Margaret A Fitzpatrick, Katie J Suda, Makoto M Jones, Eli N Perencevich, Michael A Rubin, Swetha Ramanathan, Geneva M Wilson, Martin E Evans, Charlesnika T Evans

Open access · goldAbstract read
In one paragraph

Article 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 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 6% 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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Characterization ofAntimicrobial agents and chemotherapy · 2024
    Trial
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  9. Turning the Tide Against Carbapenem-resistantOpen forum infectious diseases · 2025
    Article
  10. Article
  11. Antimicrobial agents and chemotherapy · 2025
    Review
  12. Article
  13. Article
  14. Review
  15. Observational
  16. Article
  17. Article
  18. The epidemiology of gram-negative bacteremia in Lebanon: a study in four hospitals.Annals of clinical microbiology and antimicrobials · 2024
    Article
  19. Article
  20. 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

10 authors at 6 institutions in 1 country.

Amanda VivoCenter of Innovation for Complex Chronic Healthcare (CINCCH), Edward Hines Jr. VA Medical Center, Hines, IL, USA. Amanda.vivo@va.gov.
Margaret A FitzpatrickCenter of Innovation for Complex Chronic Healthcare (CINCCH), Edward Hines Jr. VA Medical Center, Hines, IL, USA.
Katie J SudaCenter for Health Equity Research and Promotion, VA Pittsburgh Health Care System, Pittsburgh, PA, USA.
Makoto M JonesDepartment of Veterans' Affairs, VA Salt Lake City Healthcare System, Salt Lake City, UT, USA.
Eli N PerencevichDepartment of Veterans' Affairs, Iowa City VA Health Care System, Iowa City, IA, USA.
Michael A RubinDepartment of Veterans' Affairs, VA Salt Lake City Healthcare System, Salt Lake City, UT, USA.
Swetha RamanathanCenter of Innovation for Complex Chronic Healthcare (CINCCH), Edward Hines Jr. VA Medical Center, Hines, IL, USA.
Geneva M WilsonCenter of Innovation for Complex Chronic Healthcare (CINCCH), Edward Hines Jr. VA Medical Center, Hines, IL, USA.
Martin E EvansMRSA/MDRO Program, VHA National Infectious Diseases Service, VA Central Office and the Lexington VA Medical Center, Lexington, KY, USA.
Charlesnika T EvansCenter of Innovation for Complex Chronic Healthcare (CINCCH), Edward Hines Jr. VA Medical Center, Hines, IL, USA.
Edward Hines, Jr. VA Hospital · USNorthwestern University · USUniversity of Utah · USIowa City VA Health Care System · USLexington VA Health Care System · USVA Pittsburgh Healthcare System · US

Funding

HSR&D Research Career Scientist AwardIK6HX003156 · VA · EDWARD HINES JR VA HOSPITAL · PI EVANS, CHARLESNIKA T · 2020 to 2025
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Combating Antimicrobial Resistance through Rapid Implementation of Available Guidelines and Evidence (CARRIAGE)IP1HX001993 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI EVANS, CHARLESNIKA T, PERENCEVICH, ELI N · 2020 to 2021
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HSRD VA IK6 HX003156HSRD VA IP1 HX001993Rehabilitation Research and Development Service B2826-WU.S. Department of Veterans Affairs QUE 15-269
6 · The paper itself

Abstract

backgroundCarbapenem-resistant Acinetobacter baumannii (CRAB) and carbapenem-resistant Pseudomonas aeruginosa (CRPA) are a growing threat. The objective of this study was to describe CRAB and CRPA epidemiology and identify factors associated with mortality and length of stay (LOS) post-culture.

methodsThis was a national retrospective cohort study of Veterans with CRAB or CRPA positive cultures from 2013 to 2018, conducted at Hines Veterans Affairs Hospital. Carbapenem resistance was defined as non-susceptibility to imipenem, meropenem and/or doripenem. Multivariable cluster adjusted regression models were fit to assess the association of post-culture LOS among inpatient and long-term care (LTC) and to identify factors associated with 90-day and 365-day mortality after positive CRAB and CRPA cultures.

resultsCRAB and CRPA were identified in 1,048 and 8,204 unique patients respectively, with 90-day mortality rates of 30.3% and 24.5% and inpatient post-LOS of 26 and 27 days. Positive blood cultures were associated with an increased odds of 90-day mortality compared to urine cultures in patients with CRAB (OR 6.98, 95% CI 3.55-13.73) and CRPA (OR 2.82, 95% CI 2.04-3.90). In patients with CRAB and CRPA blood cultures, higher Charlson score was associated with increased odds of 90-day mortality. In CRAB and CRPA, among patients from inpatient care settings, blood cultures were associated with a decreased LOS compared to urine cultures.

conclusionsPositive blood cultures and more comorbidities were associated with higher odds for mortality in patients with CRAB and CRPA. Recognizing these factors would encourage clinicians to treat these patients in a timely manner to improve outcomes of patients infected with these organisms.

Indexed as

Acinetobacter baumanniiAnti-Bacterial AgentsCarbapenemsHumansMicrobial Sensitivity TestsPseudomonas aeruginosaRetrospective StudiesAnti-Bacterial AgentsCarbapenemsAcinetobacter baumanniiCarbapenem resistant organismsOutcomesPseudomonas aeruginosa

Identifiers

PMID35610601
PMCPMC9128216
OpenAlexW4282928741

What OpenQuestion holds

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Registered trials

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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.