Evidence map›Paper›PMID 37014580›Full record

ArticleAnnals of intensive care2023

Bridging gut microbiota composition with extended-spectrum beta-lactamase Enterobacteriales faecal carriage in critically ill patients (microbe cohort study).

Renaud Prevel, Raphaël Enaud, Arthur Orieux, Adrian Camino, Pierre Sioniac, Fatima M'Zali, Véronique Dubois, Patrick Berger, Alexandre Boyer, Laurence Delhaes and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Annals of intensive care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04131569 (Association of Gut Microbiota Diversity With Extended-spectrum Beta-lactamase Producing Enterobacteriales Fecal Carriage and Subsequent Infection in Intensive Care Unit), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

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

NCT04131569 unknown statusnot on this map

Association of Gut Microbiota Diversity With Extended-spectrum Beta-lactamase Producing Enterobacteriales Fecal Carriage and Subsequent Infection in Intensive Care Unit: Microbe Study

TypeobservationalSponsorUniversity of BordeauxRan2019 to 2020Enrolled60ConditionsExtended Spectrum Beta-Lactamase Producing Bacteria Infection, Microbial Colonization, Critical IllnessArmsESBL-E fecal carriage screening according to routine care
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. 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.

Renaud PrevelMedical Intensive Care Unit, CHU Bordeaux, 33000, Bordeaux, France. renaud.prevel@hotmail.fr.ORCID http://orcid.org/0000-0003-2942-7350
Raphaël EnaudCentre de Recherche Cardio-Thoracique de Bordeaux Univ Bordeaux Inserm UMR 1045, 33000, Bordeaux, France.
Arthur OrieuxMedical Intensive Care Unit, CHU Bordeaux, 33000, Bordeaux, France.
Adrian CaminoCentre de Recherche Cardio-Thoracique de Bordeaux Univ Bordeaux Inserm UMR 1045, 33000, Bordeaux, France.
Pierre SioniacMedical Intensive Care Unit, CHU Bordeaux, 33000, Bordeaux, France.
Fatima M'ZaliUniv Bordeaux UMR 5234 CNRS, 33000, Bordeaux, France.
Véronique DuboisUniv Bordeaux UMR 5234 CNRS, 33000, Bordeaux, France.
Patrick BergerCentre de Recherche Cardio-Thoracique de Bordeaux Univ Bordeaux Inserm UMR 1045, 33000, Bordeaux, France.
Alexandre BoyerMedical Intensive Care Unit, CHU Bordeaux, 33000, Bordeaux, France.
Laurence DelhaesCentre de Recherche Cardio-Thoracique de Bordeaux Univ Bordeaux Inserm UMR 1045, 33000, Bordeaux, France.
Didier GrusonMedical Intensive Care Unit, CHU Bordeaux, 33000, Bordeaux, France.

Funding

Centre Hospitalier Universitaire de Bordeaux MD/PhD program
6 · The paper itself

Abstract

backgroundThe worldwide dissemination of extended spectrum beta-lactamase producing Enterobacteriales (ESBL-E) is of major concern. Microbiota may play a role in the host resistance to colonization with ESBL-E, but the underlying mechanisms remain unknown. We aimed to compare the gut microbiota composition between ESBL-producing E. coli or K. pneumoniae carriers and ESBL-E non-carriers according to the bacterial species.

resultsAmong 255 patients included, 11 (4,3%) were colonized with ESBL-producing E. coli and 6 (2,4%) with ESBL-producing K. pneumoniae, which were compared with age- and sex-matched ESBL-E non carriers. While no significant differences were found between ESBL-producing E. coli carriers and non-carriers, gut bacteriobiota α-diversity was decreased in ESBL-K. pneumoniae faecal carriers compared both with non-carriers (p = 0.05), and with ESBL-producing E. coli carriers. The presence of Sellimonas intestinalis was associated with the absence of ESBL-producing E. coli fecal carriage. Campylobacter ureolyticus, Campylobacter hominis, bacteria belonging to Clostridium cluster XI and Saccharomyces sp. were associated with the absence of ESBL-producing K. pneumoniae faecal carriage.

conclusionsThe composition of the gut microbiota differs between ESBL-producing E. coli and K. pneumoniae faecal carriers suggesting that microbial species should be taken into account when investigating the role of gut microbiota in resistance to gut colonization with ESBL-E. TRIAL REGISTRATION NUMBER: NCT04131569, date of registration: October 18, 2019.

Indexed as

Colonization resistanceExtended-spectrum beta-lactamaseIntensive care unitMicrobiotaMycobiota

Identifiers

PMID37014580
PMCPMC10073396

What OpenQuestion holds

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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.