Evidence map›Paper›PMID 37308270›Full record

ArticleBMJ open2023

Clinical characteristics of carbapenem-resistant

Fei Wang, Xiaocui Zou, Boting Zhou, Tao Yin, Ping Wang

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 35% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Determinants of Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2026
    Article
  3. Review
  4. Article
  5. Genomic analysis of carbapenem-resistantFrontiers in microbiology · 2025
    Article
  6. Molecular Epidemiological Characteristics ofInfection and drug resistance · 2025
    Article
  7. Article
  8. Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2023
    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

5 authors at 1 institution in 2 countries.

Fei WangDepartment of Pharmacy, Xiangya Hospital Central South University, Changsha, China.
Xiaocui ZouDepartment of Pharmacy, Xiangya Hospital Central South University, Changsha, China.
Boting ZhouDepartment of Pharmacy, Xiangya Hospital Central South University, Changsha, China.
Tao YinDepartment of Pharmacy, Xiangya Hospital Central South University, Changsha, China.
Ping WangDepartment of Pharmacy, Xiangya Hospital Central South University, Changsha, China wangliu200798@126.com.ORCID 0000-0003-4407-416X
Central South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCarbapenem-resistant

designRetrospective single-centre study. DATA SOURCE: Clinical data were obtained from electronic medical records.

participantsPatients isolated with KP in the ICU from January 2012 to December 2020.

main outcome measuresThe prevalence and changing trend of CRKP were determined. The extent of KP isolates resistance to carbapenems, the specimen types of KP isolates, and the sources of CRKP patients and CRKP isolates were all examined. The risk factors for CRKP infection/colonisation were also assessed.

resultsThe rate of CRKP in KP isolates raised from 11.11% in 2012 to 48.92% in 2020. CRKP isolates were detected in one site in 266 patients (70.56%). The percentage of CRKP isolates not susceptible to imipenem increased from 42.86% in 2012 to 98.53% in 2020. The percentage of CRKP patients from general wards in our hospital and other hospitals gradually converged in 2020 (47.06% vs 52.94%). CRKP isolates were mainly acquired in our ICU (59.68%). Younger age (p=0.018), previous admission (p=0.018), previous ICU stay (p=0.008), prior use of surgical drainage (p=0.012) and gastric tube (p=0.001), and use of carbapenems (p=0.000), tigecycline (p=0.005), β-lactams/β-lactamase inhibitors (p=0.000), fluoroquinolones (p=0.033), and antifungal drugs (p=0.011) within the prior 3 months were independent risk factors for CRKP infection/colonisation.

conclusionsOverall, the rate of KP isolates resistance to carbapenems increased, and the severity of this resistance significantly increased. Intensive and local infection/colonisation control measures are necessary for ICU patients, especially those with risk factors for CRKP infection/colonisation.

Indexed as

Carbapenem-Resistant EnterobacteriaceaeKlebsiella pneumoniaeCarbapenemsFluoroquinolonesHumansIntensive Care UnitsRetrospective StudiesCarbapenemsFluoroquinolonesadult intensive & critical careepidemiologyinfection controlmicrobiology

Identifiers

PMID37308270
PMCPMC10277079
OpenAlexW4380319905

What OpenQuestion holds

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LicenceCC BY-NC
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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.