Evidence map›Paper›PMID 37534297›Full record

ArticleInfection prevention in practice2023

Clinical, microbiological characteristics and predictors of mortality in patients with carbapenemase-producing Enterobacterales bloodstream infections: a multicentre study.

Vanesa Anton-Vazquez, Terry John Evans, Samitha Fernando, Donald Somasunderam, Kate David, Mark Melzer, Lois Hawkins, Stephen Morris-Jones, Mauricio Arias, Borana Drazho and 2 more

Open access · goldAbstract read
In one paragraph

Article in Infection prevention in practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.1field-weighted citation impact, top 26% 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

12 citing papers in PubMed, 11 citations in OpenAlex.

  1. Sanitation, antibiotics, and the end of the antibiotic era.Public health in practice (Oxford, England) · 2026
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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

12 authors at 7 institutions in 1 country.

Vanesa Anton-VazquezInfection Care Group, St George's University Hospitals NHS Foundation Trust, London, UK.
Terry John EvansMedical Microbiology, University College London Hospital NHS Foundation Trust, London, UK.
Samitha FernandoInfectious Diseases and Medical Microbiology, King's College Hospital NHS Foundation Trust, London, UK.
Donald SomasunderamDepartment of Infection, Barts Health NHS Trust, Royal London Hospital, London, UK.
Kate DavidDepartment of Infection, Barts Health NHS Trust, Royal London Hospital, London, UK.
Mark MelzerDepartment of Infection, Barts Health NHS Trust, Royal London Hospital, London, UK.
Lois HawkinsMedical Microbiology, Epsom and St. Helier University Hospitals NHS Trust, London, UK.
Stephen Morris-JonesMedical Microbiology, University College London Hospital NHS Foundation Trust, London, UK.
Mauricio AriasInfectious Diseases and Medical Microbiology, King's College Hospital NHS Foundation Trust, London, UK.
Borana DrazhoInfectious Diseases and Medical Microbiology, King's College Hospital NHS Foundation Trust, London, UK.
Martino Dall'AntoniaMedical Microbiology, Queen Elizabeth Hospital, Lewisham & Greenwich NHS Trust, London, UK.
Timothy PlancheInfection Care Group, St George's University Hospitals NHS Foundation Trust, London, UK.
Barts Health NHS Trust · GBKing's College Hospital NHS Foundation Trust · GBUniversity College London Hospitals NHS Foundation Trust · GBEpsom and St Helier University Hospitals NHS Trust · GBQueen Elizabeth Hospital · GBSt George's Hospital · GBSt George’s University Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To investigate the clinical, microbiological characteristics and outcomes of patients with bloodstream infections (BSI) due to carbapenemase-producing Enterobacterales (CPE). Methods: A multicentre retrospective observational study of patients with BSIs due to CPE admitted to six UK hospitals was conducted between 2011 and 2021. Multivariate analysis was used to identify factors predicting 30-day case fatality rate (CFR). Results: There were 84 episodes of CPE-BSIs, 37 (44%) due to OXA-48, 35 (42%) to metallo-betalactamases (MBL) and 12 (14%) to KPC. 63% of patients were male with a median age of 64 years. Common organisms included Conclusion: Strategies targeting high-risk patients and adherence to infection prevention bundles for urinary devices and central venous catheters can reduce OXA-48 and KPC-BSIs. Early recognition and management of severe sepsis, prompt initiation of appropriate antimicrobial therapy and development of novel antimicrobials are crucial to mitigate the high CFR associated with CPE-BSIs

Indexed as

Bloodstream infectionCarbapenemase-producing enterobacterales (CPE)KPCMBLNDMOXA-48

Identifiers

PMID37534297
PMCPMC10393540
OpenAlexW4383620251

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.