Evidence map›Paper›PMID 35909003›Full record

ArticleAmerican journal of infection control2023

Carbapenem-Resistant enterobacterales in individuals with and without health care risk factors -Emerging infections program, United States, 2012-2015.

Sandra N Bulens, Hannah E Reses, Uzma A Ansari, Julian E Grass, Clayton Carmon, Valerie Albrecht, Adrian Lawsin, Gillian McAllister, Jonathan Daniels, Yeon-Kyeng Lee and 23 more

Open access · greenAbstract read
In one paragraph

Article in American journal of infection control, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Human Cases of Carbapenemase-Producing Escherichia coli Linked to Spread Between Animals and the Environment in a Veterinary Facility-Massachusetts, USA, 2023.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Risk factors for Carbapenem-resistant Enterobacterales infections: A case-control study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Carbapenemase producingInfection prevention in practice · 2024
    Article
  15. Emergence of pandrug-resistant carbapenemase-producingFrontiers in cellular and infection microbiology · 2024
    Article
  16. Article
  17. Review
  18. 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

33 authors at 9 institutions in 3 countries.

Sandra N BulensCenters for Disease Control and Prevention, Atlanta, GA. Electronic address: zgf6@cdc.gov.
Hannah E ResesCenters for Disease Control and Prevention, Atlanta, GA.
Uzma A AnsariCenters for Disease Control and Prevention, Atlanta, GA.
Julian E GrassCenters for Disease Control and Prevention, Atlanta, GA.
Clayton CarmonCenters for Disease Control and Prevention, Atlanta, GA.
Valerie AlbrechtCenters for Disease Control and Prevention, Atlanta, GA.
Adrian LawsinCenters for Disease Control and Prevention, Atlanta, GA.
Gillian McAllisterCenters for Disease Control and Prevention, Atlanta, GA.
Jonathan DanielsCenters for Disease Control and Prevention, Atlanta, GA.
Yeon-Kyeng LeeCenters for Disease Control and Prevention, Atlanta, GA.
Sarah YiCenters for Disease Control and Prevention, Atlanta, GA.
Isaac SeeCenters for Disease Control and Prevention, Atlanta, GA; Commissioned Corps, U.S. Public Health Service, Rockville, MD.
Jesse T JacobGeorgia Emerging Infections Program, Decatur, GA; Emory University School of Medicine, Atlanta, GA.
Chris W BowerGeorgia Emerging Infections Program, Decatur, GA; Atlanta Veterans Affairs Medical Center, Decatur, GA; Foundation for Atlanta Veterans Education & Research, Decatur, GA.
Lucy WilsonMaryland Department of Health, Baltimore, MD.
Elisabeth VaethMaryland Department of Health, Baltimore, MD.
Ruth LynfieldMinnesota Department of Health, St. Paul, MN.
Paula Snippes VagnoneMinnesota Department of Health, St. Paul, MN.
Kristin M ShawMinnesota Department of Health, St. Paul, MN.
Ghinwa DumyatiNew York Rochester Emerging Infections Program at the University of Rochester Medical Center, Rochester, NY.
Rebecca TsayNew York Rochester Emerging Infections Program at the University of Rochester Medical Center, Rochester, NY.
Erin C PhippsNew Mexico Emerging Infections Program, Santa Fe, NM; University of New Mexico, Albuquerque, NM.
Wendy BambergColorado Department of Public Health and Environment, Denver, Colorado.
Sarah J JanelleColorado Department of Public Health and Environment, Denver, Colorado.
Zintars G BeldavsOregon Health Authority, Portland, Oregon.
P Maureen CassidyOregon Health Authority, Portland, Oregon.
Marion KainerTennessee Department of Health, Nashville, TN.
Daniel MuletaTennessee Department of Health, Nashville, TN.
Jacquelyn T MounseyTennessee Department of Health, Nashville, TN.
Alison Laufer-HalpinCenters for Disease Control and Prevention, Atlanta, GA; Commissioned Corps, U.S. Public Health Service, Rockville, MD.
Maria KarlssonCenters for Disease Control and Prevention, Atlanta, GA.
Joseph D LutgringCenters for Disease Control and Prevention, Atlanta, GA.
Maroya Spalding WaltersCenters for Disease Control and Prevention, Atlanta, GA; Commissioned Corps, U.S. Public Health Service, Rockville, MD.
Centers for Disease Control and Prevention · USTennessee Department of Health · USColorado Department of Public Health and Environment · USMaryland Department of Health · USMinnesota Department of Health · USOregon Health Authority · USNew Mexico Department of Health · USUniversity of Rochester Medical Center · USVeterans Health Administration · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundCarbapenem-resistant Enterobacterales (CRE) are usually healthcare-associated but are also emerging in the community.

methodsActive, population-based surveillance was conducted to identify case-patients with cultures positive for Enterobacterales not susceptible to a carbapenem (excluding ertapenem) and resistant to all third-generation cephalosporins tested at 8 US sites from January 2012 to December 2015. Medical records were used to classify cases as health care-associated, or as community-associated (CA) if a patient had no known health care risk factors and a culture was collected <3 days after hospital admission. Enterobacterales isolates from selected cases were submitted to CDC for whole genome sequencing.

resultsWe identified 1499 CRE cases in 1194 case-patients; 149 cases (10%) in 139 case-patients were CA. The incidence of CRE cases per 100,000 population was 2.96 (95% CI: 2.81, 3.11) overall and 0.29 (95% CI: 0.25, 0.35) for CA-CRE. Most CA-CRE cases were in White persons (73%), females (84%) and identified from urine cultures (98%). Among the 12 sequenced CA-CRE isolates, 5 (42%) harbored a carbapenemase gene.

conclusionsTen percent of CRE cases were CA; some isolates from CA-CRE cases harbored carbapenemase genes. Continued CRE surveillance in the community is critical to monitor emergence outside of traditional health care settings.

Indexed as

CarbapenemsEnterobacteriaceae InfectionsAnti-Bacterial Agentsbeta-LactamasesEnterobacteriaceaeFemaleHealth FacilitiesHumansMicrobial Sensitivity TestsRisk FactorsUnited StatesAnti-Bacterial Agentsbeta-LactamasesCarbapenemsCarbapenemase-producing enterobacteralesCarbapenemsCommunity-associated diseaseHealthcare-associated infectionsMulti-drug resistant gram-negative organisms

Identifiers

PMID35909003
PMCPMC10881240
OpenAlexW4288075275

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.