Evidence map›Paper›PMID 37593953›Full record

ArticleInfection control and hospital epidemiology2024

Epidemiology and preventability of hospital-onset bacteremia and fungemia in 2 hospitals in India.

Sumanth Gandra, Sanjeev K Singh, Murali Chakravarthy, Merlin Moni, Pruthu Dhekane, Zubair Mohamed, Fathima Shameen, Anil K Vasudevan, Priyadarshini Senthil, Tejaswini Saravanan and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Infection control and hospital epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Hospital-onset methicillin-resistantInfection control and hospital epidemiology · 2026
    Article
  3. Article
  4. Hospital-onset bacteraemia and fungaemia as a novel automated surveillance indicator: results from four European university hospitals, 2018 to 2022.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Observational
  5. Article
  6. Article
  7. 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

18 authors at 5 institutions in 2 countries.

Sumanth GandraDivision of Infectious Diseases, Department of Internal Medicine, Washington University School of Medicine in St. Louis, Missouri, United States.ORCID 0000-0003-1482-0854
Sanjeev K SinghAmrita Institute of Medical Sciences, Kochi, Kerala, India.
Murali ChakravarthyFortis Hospital, Bengaluru, Karnataka, India.
Merlin MoniAmrita Institute of Medical Sciences, Kochi, Kerala, India.
Pruthu DhekaneFortis Hospital, Bengaluru, Karnataka, India.
Zubair MohamedAmrita Institute of Medical Sciences, Kochi, Kerala, India.
Fathima ShameenAmrita Institute of Medical Sciences, Kochi, Kerala, India.
Anil K VasudevanAmrita Institute of Medical Sciences, Kochi, Kerala, India.ORCID 0000-0002-7240-4691
Priyadarshini SenthilFortis Hospital, Bengaluru, Karnataka, India.
Tejaswini SaravananFortis Hospital, Bengaluru, Karnataka, India.
Anu GeorgeAmrita Institute of Medical Sciences, Kochi, Kerala, India.
Dorothy SinclairDivision of Infectious Diseases, Department of Internal Medicine, Washington University School of Medicine in St. Louis, Missouri, United States.
Dustin StwalleyDivision of Infectious Diseases, Department of Internal Medicine, Washington University School of Medicine in St. Louis, Missouri, United States.ORCID 0000-0002-6427-0590
Jacaranda van RheenenDivision of Infectious Diseases, Department of Internal Medicine, Washington University School of Medicine in St. Louis, Missouri, United States.
Matthew WestercampCenters for Disease Control and Prevention, Atlanta, Georgia, United States.
Rachel M SmithCenters for Disease Control and Prevention, Atlanta, Georgia, United States.
Surbhi LeekhaDivision of Infectious Diseases, Department of Internal Medicine, University of Maryland Medical School, Baltimore, Maryland, United States.
David K WarrenDivision of Infectious Diseases, Department of Internal Medicine, Washington University School of Medicine in St. Louis, Missouri, United States.
Amrita Institute of Medical Sciences and Research Centre · INWashington University in St. Louis · USFortis Hospital · INCenters for Disease Control and Prevention · USUniversity of Maryland, Baltimore · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
CDC HHS HHSD200201691804IIntramural CDC HHS CC999999NCATS NIH HHS UL1 TR002345
6 · The paper itself

Abstract

objectiveStudies evaluating the incidence, source, and preventability of hospital-onset bacteremia and fungemia (HOB), defined as any positive blood culture obtained after 3 calendar days of hospital admission, are lacking in low- and middle-income countries (LMICs). DESIGN, SETTING, AND

participantsAll consecutive blood cultures performed for 6 months during 2020-2021 in 2 hospitals in India were reviewed to assess HOB and National Healthcare Safety Network (NHSN) reportable central-line-associated bloodstream infection (CLABSI) events. Medical records of a convenience sample of 300 consecutive HOB events were retrospectively reviewed to determine source and preventability. Univariate and multivariable logistic regression analyses were performed to identify factors associated with HOB preventability.

resultsAmong 6,733 blood cultures obtained from 3,558 hospitalized patients, there were 409 and 59 unique HOB and NHSN-reportable CLABSI events, respectively. CLABSIs accounted for 59 (14%) of 409 HOB events. There was a moderate but non-significant correlation (r = 0.51;

conclusionsHOB may have utility as a healthcare-associated infection metric in LMIC settings because it captures preventable bloodstream infections beyond NHSN-reportable CLABSIs.

Indexed as

BacteremiaCatheterization, Central VenousCatheter-Related InfectionsCross InfectionFungemiaSepsisHospitalsHumansRetrospective Studies

Identifiers

PMID37593953
PMCPMC10877540
OpenAlexW4385968452

What OpenQuestion holds

Textmetadata
LicenceTDM
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.