Evidence map›Paper›PMID 35664456›Full record

ArticleCommunications medicine2022

Antibiotic-resistant organisms establish reservoirs in new hospital built environments and are related to patient blood infection isolates.

Kimberley V Sukhum, Erin P Newcomer, Candice Cass, Meghan A Wallace, Caitlin Johnson, Jeremy Fine, Steven Sax, Margaret H Barlet, Carey-Ann D Burnham, Gautam Dantas and 1 more

Open access · goldAbstract read
In one paragraph

Article in Communications medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 3% 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

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. One Health in hospital settings: the role of water as an invisible reservoir of opportunistic pathogens.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2026
    Observational
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  15. Enhanced Spread of Carbapenem-ResistantInfection and drug resistance · 2026
    Article
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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

11 authors at 1 institution in 1 country.

Kimberley V Sukhum *The Edison Family Center for Genome Sciences and Systems Biology, Washington University School of Medicine in St Louis, St Louis, MO USA.
Erin P Newcomer *The Edison Family Center for Genome Sciences and Systems Biology, Washington University School of Medicine in St Louis, St Louis, MO USA.ORCID 0000-0002-2028-0359
Candice CassDepartment of Medicine, Washington University School of Medicine in St Louis, St Louis, MO USA.
Meghan A WallaceDepartment of Pathology and Immunology, Washington University School of Medicine in St Louis, St Louis, MO USA.
Caitlin JohnsonDepartment of Pathology and Immunology, Washington University School of Medicine in St Louis, St Louis, MO USA.
Jeremy FineDepartment of Pathology and Immunology, Washington University School of Medicine in St Louis, St Louis, MO USA.
Steven SaxDepartment of Medicine, Washington University School of Medicine in St Louis, St Louis, MO USA.
Margaret H BarletDepartment of Medicine, Washington University School of Medicine in St Louis, St Louis, MO USA.ORCID 0000-0002-7025-0246
Carey-Ann D BurnhamDepartment of Pathology and Immunology, Washington University School of Medicine in St Louis, St Louis, MO USA.
Gautam DantasThe Edison Family Center for Genome Sciences and Systems Biology, Washington University School of Medicine in St Louis, St Louis, MO USA.ORCID 0000-0003-0455-8370
Jennie H KwonDepartment of Medicine, Washington University School of Medicine in St Louis, St Louis, MO USA.ORCID 0000-0002-7824-6276
Washington University in St. Louis · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
STRUCTURAL, MECHANISTIC, & EVOLUTIONARY CHARACTERIZATION OF TETRACYCLINE DESTRUCTASESU01AI123394 · NIAID · WASHINGTON UNIVERSITY · PI DANTAS, GAUTAM, WENCEWICZ, TIMOTHY ADAM · 2020 to 2025
$4.1M
Longitudinal Analysis of the Fecal Microbiome and Resistome of Patients with Multidrug-Resistant Urinary Tract Infections and Predictors of RecurrenceK23AI137321 · NIAID · WASHINGTON UNIVERSITY · PI KWON, JENNIE H · 2019 to 2022
$675k
AHRQ HHS R01 HS027621NCATS NIH HHS UL1 TR002345NIAID NIH HHS K23 AI137321NIAID NIH HHS U01 AI123394
6 · The paper itself

Abstract

Background: Healthcare-associated infections due to antibiotic-resistant organisms pose an acute and rising threat to critically ill and immunocompromised patients. To evaluate reservoirs of antibiotic-resistant organisms as a source of transmission to patients, we interrogated isolates from environmental surfaces, patient feces, and patient blood infections from an established and a newly built intensive care unit. Methods: We used selective culture to recover 829 antibiotic-resistant organisms from 1594 environmental and 72 patient fecal samples, in addition to 81 isolates from blood cultures. We conducted antibiotic susceptibility testing and short- and long-read whole genome sequencing on recovered isolates. Results: Antibiotic-resistant organism burden is highest in sink drains compared to other surfaces. Conclusions: These results highlight antibiotic-resistant organism reservoirs in hospital built environments as an important target for infection prevention in hospitalized patients.

Indexed as

Antimicrobial resistanceComparative genomicsDisease preventionGenetic variationInfectious-disease epidemiology

Identifiers

PMID35664456
PMCPMC9160058
OpenAlexW4281769206

What OpenQuestion holds

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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.