Evidence map›Paper›PMID 36290072›Full record

ArticleAntibiotics (Basel, Switzerland)2022

A Seven-Year Microbiological and Molecular Study of Bacteremias Due to Carbapenemase-Producing

Matthaios Papadimitriou-Olivgeris, Christina Bartzavali, Eleftherios Karachalias, Anastasia Spiliopoulou, Ekaterini Tsiata, Georgios Siakallis, Stelios F Assimakopoulos, Fevronia Kolonitsiou, Markos Marangos

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.6field-weighted citation impact, top 41% 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

9 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Predictive value of extra-rectal colonization and theInfection prevention in practice · 2026
    Article
  3. A Seven-Year Study of Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2026
    Article
  4. Observational
  5. Double carbapenemases inAntimicrobial agents and chemotherapy · 2025
    Article
  6. Review
  7. Article
  8. Laboratory Surveillance ofTropical medicine and infectious disease · 2023
    Article
  9. 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

9 authors at 4 institutions in 4 countries.

Matthaios Papadimitriou-OlivgerisDivision of Infectious Diseases, School of Medicine, University of Patras, 26504 Patras, Greece.ORCID 0000-0003-0565-5105
Christina BartzavaliDepartment of Microbiology, School of Medicine, University of Patras, 26504 Patras, Greece.
Eleftherios KarachaliasIndependent Researcher, Cardiff CF14 5PQ, UK.
Anastasia SpiliopoulouDepartment of Microbiology, School of Medicine, University of Patras, 26504 Patras, Greece.ORCID 0000-0001-9125-8098
Ekaterini TsiataDepartment of Pharmacy, University General Hospital of Patras, 26504 Patras, Greece.
Georgios SiakallisDepartment of Basic and Clinical Sciences, University of Nicosia Medical School, Nicosia 2408, Cyprus.
Stelios F AssimakopoulosDivision of Infectious Diseases, School of Medicine, University of Patras, 26504 Patras, Greece.ORCID 0000-0002-6901-3681
Fevronia KolonitsiouDepartment of Microbiology, School of Medicine, University of Patras, 26504 Patras, Greece.ORCID 0000-0002-4348-6077
Markos MarangosDivision of Infectious Diseases, School of Medicine, University of Patras, 26504 Patras, Greece.
University of Patras · GRCardiff University · GBGeneral University Hospital of Patras · GRUniversity of Nicosia · CY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Ceftazidime/avibactam (CZA) is a new option for the treatment of KPC-producing Klebsiella pneumoniae. The aim of this study was to determine resistance patterns and carbapenemase genes among K. pneumoniae (CP-Kp) bacteremic isolates before and after CZA introduction. Methods: K. pneumoniae from blood cultures of patients being treated in a Greek university hospital during 2015−21 were included. PCR for blaKPC, blaVIM, blaNDM and blaOXA-48 genes was performed. Results: Among 912 K. pneumoniae bacteremias: 725 (79.5%) were due to carbapenemase-producing isolates; 488 (67.3%) carried blaKPC; 108 (14.9%) blaVIM; 100 (13.8%) blaNDM; and 29 (4%) carried a combination of blaKPC, blaVIM or blaNDM. The incidence of CP-Kp bacteremias was 59 per 100,000 patient-days. The incidence of CP-Kp changed from a downward pre-CZA trend to an upward trend in the CZA period (p = 0.007). BSIs due to KPC-producing isolates showed a continuous downward trend in the pre-CZA and CZA periods (p = 0.067), while BSIs due to isolates carrying blaVIM or blaNDM changed from a downward trend in the pre-CZA to an upward trend in the CZA period (p < 0.001). Conclusions: An abrupt change in the epidemiology of CP-Kp was observed in 2018, due to the re-emergence of VIM-producing isolates after the suppression of KPC-producing ones via the use of CZA.

Indexed as

bloodstream infectioncarbapenemasecarbapenem-resistanceceftazidime/avibactamcolistinfosfomycinKPCNDMtigecyclineVIM

Identifiers

PMID36290072
PMCPMC9598502
OpenAlexW4306362274

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.