Evidence map›Paper›PMID 37657654›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2024

Risk factors, management, and clinical outcomes of invasive Mycoplasma and Ureaplasma infections after lung transplantation.

Patrick C K Tam, Rochelle Hardie, Barbara D Alexander, Michael E Yarrington, Mark J Lee, Chris R Polage, Julia A Messina, Eileen K Maziarz, Jennifer L Saullo, Rachel Miller and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Prostatic Abscess due toCase reports in infectious diseases · 2025
    Article
  6. Article
  7. Donor-derived Mycoplasma and Ureaplasma infections in lung transplant recipients: A prospective study of donor and recipient respiratory tract screening and recipient outcomes.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2024
    Article
  8. Article
  9. The complete genome sequence of unculturableFrontiers in cellular and infection microbiology · 2024
    Article
  10. Outcomes of a Routine Screening Protocol to Prevent Metamycoplasma and Ureaplasma Infection in Lung Transplant Recipients.Transplant infectious disease : an official journal of the Transplantation Society
    Article
  11. Infections Management in the Lung Transplant Setting in Italy: A Web-Survey.Transplant infectious disease : an official journal of the Transplantation Society
    Article
  12. Making Sense of Mollicute Screening in Lung Transplant Recipients: Challenges and Opportunities.Transplant infectious disease : an official journal of the Transplantation Society
    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

16 authors at 2 institutions in 1 country.

Patrick C K TamDivision of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina, USA. Electronic address: Patrick.Tam@duke.edu.
Rochelle HardieDivision of Infectious Diseases, College of Medicine, University of Florida, Gainesville, Florida, USA.
Barbara D AlexanderDivision of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina, USA; Duke University Clinical Microbiology Laboratory, Durham, North Carolina, USA.
Michael E YarringtonDivision of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina, USA; Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina, USA.
Mark J LeeDuke University Clinical Microbiology Laboratory, Durham, North Carolina, USA.
Chris R PolageDuke University Clinical Microbiology Laboratory, Durham, North Carolina, USA.
Julia A MessinaDivision of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina, USA.
Eileen K MaziarzDivision of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina, USA.
Jennifer L SaulloDivision of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina, USA.
Rachel MillerDivision of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina, USA.
Cameron R WolfeDivision of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina, USA.
Sana ArifDivision of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina, USA.
John M ReynoldsDepartment of Medicine, Transplant Pulmonology, Duke University School of Medicine, Durham, North Carolina, USA.
John C HaneyDivision of Cardiovascular and Thoracic Surgery, Duke University School of Medicine, Durham, North Carolina, USA.
John R PerfectDivision of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina, USA.
Arthur W BakerDivision of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina, USA; Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina, USA. Electronic address: Arthur.Baker@duke.edu.
Duke University · USUniversity of Florida · US

Funding

Combined Use of Statistical Process Control and Whole Genome Sequencing to Detect and Investigate Nontuberculous Mycobacterial Clusters and OutbreaksK08AI163462 · NIAID · DUKE UNIVERSITY · PI BAKER, ARTHUR W · 2021 to 2025
$942k
NIAID NIH HHS K08 AI163462
6 · The paper itself

Abstract

Mollicute infections, caused by Mycoplasma and Ureaplasma species, are serious complications after lung transplantation; however, understanding of the epidemiology and outcomes of these infections remains limited. We conducted a single-center retrospective study of 1156 consecutive lung transplants performed from 2010-2019. We used log-binomial regression to identify risk factors for infection and analyzed clinical management and outcomes. In total, 27 (2.3%) recipients developed mollicute infection. Donor characteristics independently associated with recipient infection were age ≤40 years (prevalence rate ratio [PRR] 2.6, 95% CI 1.0-6.9), White race (PRR 3.1, 95% CI 1.1-8.8), and purulent secretions on donor bronchoscopy (PRR 2.3, 95% CI 1.1-5.0). Median time to diagnosis was 16 days posttransplant (IQR: 11-26 days). Mollicute-infected recipients were significantly more likely to require prolonged ventilatory support (66.7% vs 21.4%), undergo dialysis (44.4% vs 6.3%), and remain hospitalized ≥30 days (70.4% vs 27.4%) after transplant. One-year posttransplant mortality in mollicute-infected recipients was 12/27 (44%), compared to 148/1129 (13%) in those without infection (P <.0001). Hyperammonemia syndrome occurred in 5/27 (19%) mollicute-infected recipients, of whom 3 (60%) died within 10 weeks posttransplant. This study highlights the morbidity and mortality associated with mollicute infection after lung transplantation and the need for better screening and management protocols.

Indexed as

Lung TransplantationMycoplasmaUreaplasma InfectionsAdultHumansRetrospective StudiesRisk Factorslung transplantationmollicute infectionMycoplasma speciesUreaplasma species

Identifiers

PMID37657654
PMCPMC10902193
OpenAlexW4386303958

What OpenQuestion holds

Textmetadata
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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.