Evidence map›Paper›PMID 36258239›Full record

Observational studyCritical care (London, England)2022

Different epidemiology of bloodstream infections in COVID-19 compared to non-COVID-19 critically ill patients: a descriptive analysis of the Eurobact II study.

Niccolò Buetti, Alexis Tabah, Ambre Loiodice, Stéphane Ruckly, Abdullah Tarik Aslan, Giorgia Montrucchio, Andrea Cortegiani, Nese Saltoglu, Bircan Kayaaslan, Firdevs Aksoy and 13 more

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Critical care (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03937245 (Epidemiology and Determinants of Outcomes of Hospital Acquired Blood Stream Infections in the Intensive Care), which is not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 2% 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.

NCT03937245 completednot on this map

Epidemiology and Determinants of Outcomes of Hospital Acquired Blood Stream Infections in the Intensive Care: the Eurobact II Multinational Cohort Study

Typeobservational_patient_registrySponsorOutcome ReaRan2019 to 2021Enrolled3,058ConditionsBacteremia, Sepsis, Hospital Acquired Condition, Resistance Bacterial
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Genomic Characterization of Multiple Antibiotic-ResistantAntibiotics (Basel, Switzerland) · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Trends inMicroorganisms · 2024
    Article
  12. Article
  13. Evaluation of T2 Magnetic Resonance (T2MRAntibiotics (Basel, Switzerland) · 2024
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Invasive candidiasis.Nature reviews. Disease primers · 2024
    Review
  19. Review
  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

23 authors at 18 institutions in 9 countries.

Niccolò BuettiInfection Control Program and WHO Collaborating Centre on Patient Safety, Geneva University Hospitals and Faculty of Medicine, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland. niccolo.buetti@gmail.com.
Alexis TabahIntensive Care Unit, Redcliffe Hospital, Metro North Hospital and Health Services, Brisbane, QLD, Australia.
Ambre LoiodiceICURESEARCH, 26 rue Garibaldi, Fontaine, France.
Stéphane RucklyICURESEARCH, 26 rue Garibaldi, Fontaine, France.
Abdullah Tarik AslanDepartment of Internal Medicine, Hacettepe University, Sihhiye, Ankara, Turkey.
Giorgia MontrucchioDepartment of Surgical Sciences, University of Turin, Turin, Italy.
Andrea CortegianiDepartment of Surgical Oncological and Oral Science (Di.Chir.On.S.), University of Palermo, Palermo, Italy.
Nese SaltogluDepartment of Infectious Diseases and Clinical Microbiology, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Bircan KayaaslanDepartment of Infectious Diseases and Clinical Microbiology, Ankara City Hospital, Ankara Yıldırım Beyazıt University, Ankara, Turkey.
Firdevs AksoyDepartment of Infectious Diseases and Clinical Microbiology, Karadeniz Technical University, Ortahisar, Turkey.
Akova MuratDepartment of Infectious Diseases and Clinical Microbiology, Hacettepe University, Ankara, Turkey.
Özlem AkdoğanDepartment of Infectious Diseases and Clinical Microbiology, Erol Olçok Research and Training Hospital, Hitit University, Çorum Merkez, Turkey.
Kemal Tolga SaracogluDepartment of Anesthesiology and Reanimation, Kartal Dr. Lütfi Kırdar City Hospital, Kartal, Turkey.
Cem ErdoganDepartment of Anesthesiology and Reanimation, Medipol Mega Hospital, Bağcılar, Turkey.
Marc LeoneDepartment of Anesthesiology and Intensive Care Unit, Hospital Nord, Assistance Publique Hôpitaux Universitaires de Marseille, Aix Marseille University, Marseille, France.
Ricard FerrerIntensive Care Department. SODIR Research Group, Vall d'Hebron Institute of Research VHIR, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
José-Artur PaivaIntensive Care Medicine Department, Centro Hospitalar Universitário São João (CHUSJ), Porto, Portugal.
Yoshiro HayashiDepartment of Intensive Care Medicine, Kameda General Hospital, Kamogawa, Japan.
Mahesh RamananCaboolture and The Prince Charles Hospitals, Metro North Hospital and Health Services, Brisbane, QLD, Australia.
Andrew Conway MorrisDivision of Anaesthesia, Department of Medicine, University of Cambridge, Cambridge, UK.
François BarbierMédecine Intensive Réanimation, Centre Hospitalier Régional d'Orléans, Orléans, France.
Jean-François TimsitINSERM, IAME, Université Paris-Cité, 75006, Paris, France.
Eurobact 2 study group
Hacettepe University · TRUniversité Claude Bernard Lyon 1 · FRAix-Marseille Université · FRAzienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo · ITThe University of Queensland · AUAnkara Yıldırım Beyazıt University · TRAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITDr Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi · TRHitit Üniversitesi · TRIstanbul University-Cerrahpaşa · TRKameda Medical Center · JPKaradeniz Technical University · TRQueensland University of Technology · AUUniversidade do Porto · PTUniversité de Tours · FRUniversity of Cambridge · GBUniversity of Geneva · CHVall d'Hebron Institut de Recerca · ES

Funding

Medical Research Council MR/V006118/1Swiss National Science Foundation P4P4PM_194449
6 · The paper itself

Abstract

backgroundThe study aimed to describe the epidemiology and outcomes of hospital-acquired bloodstream infections (HABSIs) between COVID-19 and non-COVID-19 critically ill patients.

methodsWe used data from the Eurobact II study, a prospective observational multicontinental cohort study on HABSI treated in ICU. For the current analysis, we selected centers that included both COVID-19 and non-COVID-19 critically ill patients. We performed descriptive statistics between COVID-19 and non-COVID-19 in terms of patients' characteristics, source of infection and microorganism distribution. We studied the association between COVID-19 status and mortality using multivariable fragility Cox models.

resultsA total of 53 centers from 19 countries over the 5 continents were eligible. Overall, 829 patients (median age 65 years [IQR 55; 74]; male, n = 538 [64.9%]) were treated for a HABSI. Included patients comprised 252 (30.4%) COVID-19 and 577 (69.6%) non-COVID-19 patients. The time interval between hospital admission and HABSI was similar between both groups. Respiratory sources (40.1 vs. 26.0%, p < 0.0001) and primary HABSI (25.4% vs. 17.2%, p = 0.006) were more frequent in COVID-19 patients. COVID-19 patients had more often enterococcal (20.5% vs. 9%) and Acinetobacter spp. (18.8% vs. 13.6%) HABSIs. Bacteremic COVID-19 patients had an increased mortality hazard ratio (HR) versus non-COVID-19 patients (HR 1.91, 95% CI 1.49-2.45).

conclusionsWe showed that the epidemiology of HABSI differed between COVID-19 and non-COVID-19 patients. Enterococcal HABSI predominated in COVID-19 patients. COVID-19 patients with HABSI had elevated risk of mortality. Trial registration ClinicalTrials.org number NCT03937245 . Registered 3 May 2019.

Indexed as

COVID-19Cross InfectionSepsisAgedCohort StudiesCritical IllnessHumansIntensive Care UnitsMaleBacteremiaBloodstream infectionCOVID-19EnterococcusICU-acquired

Identifiers

PMID36258239
PMCPMC9578203
OpenAlexW4306694482

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.