Evidence map›Paper›PMID 37105554›Full record

ArticleThe clinical respiratory journal2023

Pseudomonas aeruginosa in tracheal aspirate: Colonization, infection, and recurrence.

Larissa Hermann de Souza Nunes, João Felipe Bernardi Lora, Luiz Augusto Fanhani Cracco, Janice Alexandra da Costa Manuel, June Alisson Westarb Cruz, Joao Paulo Telles, Felipe Francisco Tuon

Open access · goldAbstract read
In one paragraph

Article in The clinical respiratory journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
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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 2 institutions in 2 countries.

Larissa Hermann de Souza NunesLaboratory of Emerging Infectious Diseases, School of Medicine, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil.ORCID https://orcid.org/0000-0002-0801-6942
João Felipe Bernardi LoraLaboratory of Emerging Infectious Diseases, School of Medicine, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil.ORCID https://orcid.org/0000-0002-1055-6649
Luiz Augusto Fanhani CraccoLaboratory of Emerging Infectious Diseases, School of Medicine, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil.ORCID https://orcid.org/0000-0001-6076-4211
Janice Alexandra da Costa ManuelAcademia BAI, Luanda, Angola.ORCID https://orcid.org/0000-0001-7551-2164
June Alisson Westarb CruzPontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil.ORCID https://orcid.org/0000-0002-4183-9983
Joao Paulo TellesLaboratory of Emerging Infectious Diseases, School of Medicine, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil.ORCID https://orcid.org/0000-0003-4078-2046
Felipe Francisco TuonLaboratory of Emerging Infectious Diseases, School of Medicine, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil.ORCID https://orcid.org/0000-0003-3471-1786
Pontifícia Universidade Católica do Paraná · BRUniversidade Independente de Angola · AO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPseudomonas aeruginosa respiratory infections are challenging, and the risk of recurrence is a frequent problem. The aim of this study was to investigate the risk factors associated with the presence of P. aeruginosa, and the risk factors related to the recurrence and death of lower airway infections in inpatients in a Brazilian hospital.

methodsRetrospective cohort with inpatients that had a sample of airways culture (tracheal aspirate or bronchoalveolar lavage) with the detection of P. aeruginosa. The patients with clinical criteria of infection were classified as ventilator-associated, hospital-acquired, or community-acquired pneumonia. P. aeruginosa in respiratory samples without symptoms was considered colonization. The antimicrobial treatment adequacy and the clinical data were evaluated. Outcome variables included mortality and recurrence.

resultsOne hundred and fifty-four patients were included in the study, most of them were men, and the majority (102) were considered infected. The average length of stay was superior to 30 days. Previous pulmonary disease was associated with the occurrence of colonization. Aminoglycosides were the most active drug according to susceptibility tests and were successfully used as monotherapy. Septic shock was a risk factor for death in the infected patients. The use of adequate antimicrobial therapy was associated with major survival, independent of the infection classification.

conclusionIt is possible to evaluate clinical data associated with recurrence and mortality in patients with different lung infections by P. aeruginosa. Aminoglycoside monotherapy is safe and effective in P. aeruginosa respiratory infections.

Indexed as

Pneumonia, Ventilator-AssociatedPseudomonas InfectionsAnti-Bacterial AgentsFemaleHumansMalePseudomonas aeruginosaRetrospective StudiesAnti-Bacterial Agentsdrug resistanceP. aeruginosarisk factorsventilator-associated pneumonia

Identifiers

PMID37105554
PMCPMC10214576
OpenAlexW4367172184

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.