Evidence map›Paper›PMID 36797734›Full record

Observational studyAnnals of clinical microbiology and antimicrobials2023

Empirical treatment and mortality in bacteremia due to extended spectrum β-lactamase producing Enterobacterales (ESβL-E), a retrospective cross-sectional study in a tertiary referral hospital from Colombia.

Deving Arias Ramos, John Alexander Alzate, Germán Alberto Moreno Gómez, Julián Andrés Hoyos Pulgarín, Juan Camilo Olaya Gómez, Isabella Cortés Bonilla, Camila Vargas Mosquera

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Annals of clinical microbiology and antimicrobials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 47% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. A review of bloodstream infections-pathogens, pathogenesis, diagnostic strategies, treatment methods-challenges and future aspects.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Review
  3. Article
  4. Article
  5. 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

7 authors at 1 institution in 1 country.

Deving Arias RamosUniversidad Tecnológica de Pereira, Pereira, Colombia. deving.arias@gmail.com.ORCID http://orcid.org/0000-0002-0680-0004
John Alexander AlzateHospital Universitario San Jorge, Pereira, Universidad Tecnológica de Pereira, Pereira, Colombia.ORCID http://orcid.org/0000-0002-4242-5897
Germán Alberto Moreno GómezUniversidad Tecnológica de Pereira, Pereira, Colombia.
Julián Andrés Hoyos PulgarínOncólogos de Occidente, Pereira, Colombia.ORCID http://orcid.org/0000-0002-2629-5316
Juan Camilo Olaya GómezUniversidad Tecnológica de Pereira, Pereira, Colombia.
Isabella Cortés BonillaUniversidad Tecnológica de Pereira, Pereira, Colombia.
Camila Vargas MosqueraHospital Universitario San Jorge, Pereira, Universidad Tecnológica de Pereira, Pereira, Colombia.
Technological University of Pereira · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfections caused by extended spectrum β-lactamase (ESβL) producing bacteria are common and problematic. When they cause bloodstream infections, they are associated with significant morbidity and mortality.

methodsA retrospective cross-sectional observational study was conducted in a single center in Pereira, Colombia. It included people hospitalized with bacteremia due to gram-negative bacilli with the extended-spectrum β-lactamase producing phenotype. A logistic regression analysis was constructed. Clinical characteristics and risk factors for death from sepsis were established.

resultsThe prevalence of bacteremia due to Enterobacterales with extended-spectrum β-lactamase producing phenotype was 17%. 110 patients were analyzed. Most patients were men (62%) with a median age of 58 years, hospital mortality was 38%. Admission to intensive care was 45%. The following risk factors for mortality were established: shock requiring vasoactive support, Pitt score > 3 points, and not having an infectious disease consultation (IDC).

conclusionsbacteremia due to Enterobacterales with extended-spectrum β-lactamase producing phenotype have a high mortality. Early recognition of sepsis, identification of risk factors for antimicrobial resistance, and prompt initiation of appropriate empiric antibiotic treatment are important. An infectious disease consultation may help improve outcomes.

Indexed as

BacteremiaEscherichia coli InfectionsAnti-Bacterial Agentsbeta-LactamasesColombiaCross-Sectional StudiesHumansRetrospective StudiesRisk FactorsTertiary Care CentersAnti-Bacterial Agentsbeta-LactamasesAntimicrobial resistanceBacteremiaExtended spectrum β-lactamase (ESβL)

Identifiers

PMID36797734
PMCPMC9933341
OpenAlexW4321097595

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.