Evidence map›Paper›PMID 35865821›Full record

ArticleFrontiers in cellular and infection microbiology2022

The Gastrointestinal Load of Carbapenem-Resistant Enterobacteriacea Is Associated With the Transition From Colonization to Infection by

Letícia Busato Migliorini, Laura Leaden, Romário Oliveira de Sales, Nathalia Pellegrini Correa, Maryana Mara Marins, Paula Célia Mariko Koga, Alexandra do Rosario Toniolo, Fernando Gatti de Menezes, Marines Dalla Valle Martino, Jesús Mingorance and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cellular and infection microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

11 citing papers in PubMed, 19 citations in OpenAlex.

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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 2 institutions in 2 countries.

Letícia Busato MiglioriniAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
Laura LeadenAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
Romário Oliveira de SalesAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
Nathalia Pellegrini CorreaAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
Maryana Mara MarinsAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
Paula Célia Mariko KogaLaboratório Clínico, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
Alexandra do Rosario TonioloServiço de Controle de Infecção Hospitalar, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
Fernando Gatti de MenezesServiço de Controle de Infecção Hospitalar, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
Marines Dalla Valle MartinoLaboratório Clínico, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
Jesús MingoranceServicio de Microbiología, Hospital Universitario La Paz, IdiPAZ, Madrid, Spain.
Patricia SeverinoAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
Hospital Israelita Albert Einstein · BRHospital Universitario La Paz · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Healthcare-associated infections by carbapenem-resistant Objective: We investigated the transition from carriage to infection by Methods: KpKPC isolates detected within a 10-year period in a single tertiary-care hospital were characterized by pulsed-field gel electrophoresis (PFGE), multilocus sequencing typing, capsular lipopolysaccharide and polysaccharide typing, antimicrobial susceptibility profiles, and the presence of virulence genes. The gastrointestinal load of carbapenem-resistant Enterobacteriaceae and of Results: No PGFE type; ST-, K-, or O-serotypes; antimicrobial susceptibility profiles; or the presence of virulence markers, such yersiniabactin and colibactin, were associated with carriage or infection, with ST437 and ST11 being the most prevalent clones. Admission to intensive and semi-intensive care units was a risk factor for the development of infections (OR 2.79, 95% CI 1.375 to 5.687, Conclusion: The presence of resistance and virulence mechanisms were not associated with progression from colonization to infection, while intestinal colonization by carbapenem-resistant Enterobacteriacea and, more specifically, the load of gastrointestinal carriage emerged as an important determinant of infection.

Indexed as

Carbapenem-Resistant EnterobacteriaceaeCross InfectionKlebsiella InfectionsAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesCarbapenemsHumansKlebsiella pneumoniaeMicrobial Sensitivity TestsMultilocus Sequence TypingAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesCarbapenemsbla KPC geneCarbapenem-resistant Enterobacteriaceae (CRE)gastrointestinal carriageKlebsiella pneumoniaevirulence factors

Identifiers

PMID35865821
PMCPMC9294314
OpenAlexW4283813306

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.