Evidence map›Paper›PMID 37612723›Full record

ArticleTrials2023

Protocol of a multicenter, single-blind, randomized, parallel controlled trial evaluating the effect of microbiological rapid on-site evaluation (M-ROSE) guiding anti-infection treatment in patients with severe hospital-acquired pneumonia.

Xiuli Wang, Kaifei Wang, Fei Xie, Zhihai Han, Yuhong Liu, Lei Pan, Guangfa Zhu, Zhixin Cao, Peng Yan, Li Xiao and 10 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05300776 (A Multi-center Prospective Clinical Study of M-ROSE Combined With mNGS to Guide the Individualized Anti-infection Treatment, Prevention and Control of Drug-resistant Bacteria in Severe Hospital-acquired Pneumonia), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 53% 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.

NCT05300776 naunknown statusnot on this map

A Multi-center Prospective Clinical Study of M-ROSE Combined With mNGS to Guide the Individualized Anti-infection Treatment, Prevention and Control of Drug-resistant Bacteria in Severe Hospital-acquired Pneumonia

TypeinterventionalSponsorChinese PLA General HospitalRan2022 to 2024Enrolled166ConditionsPneumoniaArmsM-ROSE analysis
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Review
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

20 authors at 4 institutions in 1 country.

Xiuli Wang *College of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Kaifei Wang *College of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Fei XieCollege of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Zhihai HanCollege of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Yuhong LiuCollege of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Lei PanDepartment of Respiratory and Critical Care, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Guangfa ZhuDepartment of Respiratory and Critical Care Medicine, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Zhixin CaoDepartment of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Peng YanDepartment of Respiratory and Critical Care Medicine, AMHT Group Aerospace 731 Hospital, Beijing, China.
Li XiaoCollege of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Zhimei DuanCollege of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Ye HuCollege of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Kun XiaoCollege of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Xuxin ChenCollege of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Han FuCollege of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Yinghan ShiCollege of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Yuwei SongCollege of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Xiaobo HanCollege of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Wuxiang XiePeking University Clinical Research Institute, Peking University Health Science Center, No. 38 Xueyuan Road, Haidian District, Beijing, 100191, China. xiewuxiang@hsc.pku.edu.cn.
Lixin XieCollege of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China. xielx301@126.com.
Chinese PLA General Hospital · CNCapital Medical University · CNAerospace Center Hospital · CNPeking University · CN

Funding

Capital's Funds for Health Improvement and Research 2022-1-5091
6 · The paper itself

Abstract

introductionThe mortality rate of hospitalized patients with severe hospital-acquired pneumonia (SHAP) remains high. Empirical broad-spectrum antibiotic coverage and the misuse of high-grade antibiotics could lead to the emergence of multi-drug and even pandrug-resistant bacteria. In addition to metagenomic next-generation sequencing (mNGS), microbiological rapid on-site evaluation (M-ROSE) might be a useful technique to identify the pathogens in the early stage; however, the effect of M-ROSE guiding anti-infection treatment on prognostic outcomes of SHAP patients is still unclear. METHODS/

designThis is a multicenter, single-blind, prospective, randomized controlled trial to evaluate the effect of M-ROSE guiding anti-infection treatment in SHAP patients, which will provide new strategies for the prevention and control of clinical multi-drug resistance bacteria. A total of 166 patients with SHAP, aged 18 years and over, will be recruited from seven centers in Beijing and randomly assigned to the intervention group (M-ROSE combined with mNGS) or the control group (mNGS only) in a 1:1 ratio using the central randomization system. Patients in the intervention group will accept M-ROSE and mNGS analysis, and the control group will accept mNGS analysis. Individualized anti-infective treatment and routine treatment will be selected according to the analysis results. The primary outcome is the ICU outcome (mortality). The safety of the intervention measures will be evaluated during the entire trial period. This trial will be the first randomized controlled trial to evaluate the effect of M-ROSE guiding treatment on mortality in patients with SHAP and may change the prevalence of multi-drug resistant bacteria. ETHICS AND DISSEMINATION: This trial adheres to the Declaration of Helsinki and guidelines of Good Clinical Practice. Signed informed consent will be obtained from all participants. The trial has been approved by the Chinese PLA General Hospital (Approval Number: 20220322001).

trial registrationClinicalTrials.gov NCT05300776. Registered on 25 March 2022.

Indexed as

Anti-Infective AgentsPneumoniaAdolescentAdultHospitals, GeneralHumansMulticenter Studies as TopicProspective StudiesRandomized Controlled Trials as TopicRapid On-site EvaluationSingle-Blind MethodAnti-Infective AgentsDrug-resistance bacteriaIndividual antibiotic treatmentmNGSM-ROSESevere hospital-acquired pneumonia

Identifiers

PMID37612723
PMCPMC10464107
OpenAlexW4386095655

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.