Evidence map›Paper›PMID 36002081›Full record

ArticleAmerican journal of infection control2023

ESKAPE bacteria characterization reveals the presence of Acinetobacter baumannii and Pseudomonas aeruginosa outbreaks in COVID-19/VAP patients.

Miguel Ángel Loyola-Cruz, Emilio Mariano Durán-Manuel, Clemente Cruz-Cruz, Laura Margarita Márquez-Valdelamar, Juan Carlos Bravata-Alcántara, Iliana Alejandra Cortés-Ortíz, Mónica Alethia Cureño-Díaz, Gabriela Ibáñez-Cervantes, Verónica Fernández-Sánchez, Graciela Castro-Escarpulli and 1 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 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 11% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  5. Genetic Determinants Linked to MDR/XDR inPathogens (Basel, Switzerland) · 2026
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  7. Genetic Diversity ofPathogens (Basel, Switzerland) · 2025
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  12. Phenotypical and Molecular Characterization ofLife (Basel, Switzerland) · 2025
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  16. Review
  17. Article
  18. Article
  19. Treatment and Management ofInfection and drug resistance · 2024
    Review
  20. Typing ofPathogens (Basel, Switzerland) · 2023
    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

11 authors at 3 institutions in 1 country.

Miguel Ángel Loyola-CruzHospital Juárez de México, Mexico City, Mexico; Laboratorio de Investigación Clínica y Ambiental, Departamento de Microbiología, Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Mexico City, Mexico.
Emilio Mariano Durán-ManuelHospital Juárez de México, Mexico City, Mexico.
Clemente Cruz-CruzHospital Juárez de México, Mexico City, Mexico.
Laura Margarita Márquez-ValdelamarInstituto de Biología, Universidad Nacional Autónoma de México, Mexico City, México.
Juan Carlos Bravata-AlcántaraHospital Juárez de México, Mexico City, Mexico.
Iliana Alejandra Cortés-OrtízHospital Juárez de México, Mexico City, Mexico.
Mónica Alethia Cureño-DíazHospital Juárez de México, Mexico City, Mexico.
Gabriela Ibáñez-CervantesHospital Juárez de México, Mexico City, Mexico.
Verónica Fernández-SánchezHospital Juárez de México, Mexico City, Mexico.
Graciela Castro-EscarpulliLaboratorio de Investigación Clínica y Ambiental, Departamento de Microbiología, Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Mexico City, Mexico. Electronic address: chelacastro@hotmail.com.
Juan Manuel Bello-LópezHospital Juárez de México, Mexico City, Mexico. Electronic address: juanmanuelbello81@hotmail.com.
Hospital Juárez de México · MXInstituto Politécnico Nacional · MXUniversidad Nacional Autónoma de México · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA decrease of detection of outbreaks by multidrug-resistant bacteria in critical areas has been reduced due to COVID-19 pandemic. Therefore, molecular epidemiological surveillance should be a primary tool to reveal associations not evident by classical epidemiology. The aim of this work was to demonstrate the presence of hidden outbreaks in the first wave of the COVID-19 pandemic and to associate their possible origin.

methodsA population of 96 COVID-19 patients was included in the study (April to June 2020) from Hospital Juárez de México. Genetic identification and antimicrobial susceptibility testing of VAP causative agents isolated from COVID-19 patients was performed. Resistance phenotypes were confirmed by PCR. Clonal association of isolates was performed by analysis of intergenic regions obtained. Finally, the association of clonal cases of VAP patients was performed by timelines.

resultsESKAPE and non-ESKAPE bacteria were identified as causative agents of VAP. ESKAPE bacteria were classified as MDR and XDR. Only A. baumannii and P. aeruginosa were identified as clonally distributed in 13 COVID-19/VAP patients. Time analysis showed that cross-transmission existed between patients and care areas.

conclusionsAcinetobacter baumannii and Pseudomonas aeruginosa were involved in outbreaks non-detected in COVID-19/VAP patients in the first wave of COVID-19 pandemic.

Indexed as

Acinetobacter baumanniiCOVID-19Pneumonia, Ventilator-AssociatedAnti-Bacterial AgentsDrug Resistance, Multiple, BacterialHumansPandemicsPseudomonas aeruginosaAnti-Bacterial AgentsBacteria ESKAPEClonal dispersionCOVID-19ERIC-PCRVentilator associated pneumonia

Identifiers

PMID36002081
PMCPMC9393108
OpenAlexW4292559881

What OpenQuestion holds

Textmetadata
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.