Evidence map›Paper›PMID 37067448›Full record

ArticleMicrobiology spectrum2023

Development of a Broth Microdilution Method To Characterize Chlorhexidine MICs among Bacteria Collected from 2005 to 2019 at Three U.S. Sites.

Joseph D Lutgring, Julian E Grass, David Lonsway, Brian B Yoo, Erin Epson, Megan Crumpler, Karen Galliher, Kathleen O'Donnell, Matthew Zahn, Eric Evans and 14 more

Open access · goldAbstract read
In one paragraph

Article in Microbiology spectrum, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 21% 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, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Variable chlorhexidine MICs acrossAntimicrobial agents and chemotherapy · 2026
    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

24 authors at 7 institutions in 1 country.

Joseph D LutgringDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0001-5723-8317
Julian E GrassDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
David LonswayDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0002-7359-7587
Brian B YooDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Erin EpsonCalifornia Department of Public Health, Richmond, California, USA.
Megan CrumplerOrange County Health Care Agency, Santa Ana, California, USA.
Karen GalliherOrange County Health Care Agency, Santa Ana, California, USA.
Kathleen O'DonnellOrange County Health Care Agency, Santa Ana, California, USA.
Matthew ZahnOrange County Health Care Agency, Santa Ana, California, USA.
Eric EvansEmory University, Rollins School of Public Health, Atlanta, Georgia, USA.
Jesse T JacobEmory University, Rollins School of Public Health, Atlanta, Georgia, USA.ORCID 0000-0001-9811-6260
Alexander PageEmory University, School of Medicine, Atlanta, Georgia, USA.
Sarah W SatolaEmory University, School of Medicine, Atlanta, Georgia, USA.
Gillian SmithGeorgia Emerging Infections Program, Atlanta, Georgia, USA.
Marion KainerTennessee Department of Health, Nashville, Tennessee, USA.
Daniel MuletaTennessee Department of Health, Nashville, Tennessee, USA.
Christopher D WilsonTennessee Department of Health, Nashville, Tennessee, USA.
Mary K HaydenRush University Medical Center, Division of Infectious Diseases, Chicago, Illinois, USA.
Sujan ReddyDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Christopher A ElkinsDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0002-6029-9812
J Kamile RasheedDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Maria KarlssonDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0002-2463-0598
Shelley S MagillDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Alice Y GuhDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Centers for Disease Control and Prevention · USEmory University · USOrange County Healthcare Agency · USTennessee Department of Health · USCalifornia Department of Public Health · USRush University Medical Center · USVeterans Health Administration · US

Funding

NCEZID CDC HHS U54 CK000481NCEZID CDC HHS U54 CK000607
6 · The paper itself

Abstract

Chlorhexidine bathing to prevent transmission of multidrug-resistant organisms has been adopted by many U.S. hospitals, but increasing chlorhexidine use has raised concerns about possible emergence of resistance. We sought to establish a broth microdilution method for determining chlorhexidine MICs and then used the method to evaluate chlorhexidine MICs for bacteria that can cause health care-associated infections. We adapted a broth microdilution method for determining chlorhexidine MICs, poured panels, established quality control ranges, and tested Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae, and Enterobacter cloacae complex isolates collected at three U.S. sites. Chlorhexidine MICs were determined for 535 isolates including 129 S. aureus, 156 E. coli, 142 K. pneumoniae, and 108 E. cloacae complex isolates. The respective MIC distributions for each species ranged from 1 to 8 mg/L (MIC

Indexed as

Anti-Bacterial AgentsChlorhexidineBacteriaEscherichia coliKlebsiella pneumoniaeMicrobial Sensitivity TestsStaphylococcus aureusAnti-Bacterial AgentsChlorhexidinebroth microdilutionchlorhexidinesusceptibility testing

Identifiers

PMID37067448
PMCPMC10269762
OpenAlexW4366084107

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.