Evidence map›Paper›PMID 37771842›Full record

ArticleInfection and drug resistance2023

Effect of Follow-Up Cerebrospinal Fluid Cultures in Post-Neurosurgical Patients' Outcome with Gram-Negative Bacterial Meningitis/Encephalitis.

Jialu Sun, Yijun Shi, Yaowei Ding, Siqi Wang, Lingye Qian, Xin Luan, Guoge Li, Yuxin Chen, Xiaotong Li, Hong Lv and 2 more

Open access · goldAbstract read
In one paragraph

Article in Infection and drug resistance, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Ceftazidime-avibactam versus polymyxin B for carbapenem-resistant gram-negative bacteria-associated post-neurosurgical meningitis: a retrospective comparative study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    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

12 authors at 3 institutions in 1 country.

Jialu SunLaboratory, Beijing Tiantan Hospital, Capital Medical University, Beijing, People's Republic of China.
Yijun ShiLaboratory, Beijing Tiantan Hospital, Capital Medical University, Beijing, People's Republic of China.
Yaowei DingLaboratory, Beijing Tiantan Hospital, Capital Medical University, Beijing, People's Republic of China.
Siqi WangLaboratory, Beijing Tiantan Hospital, Capital Medical University, Beijing, People's Republic of China.
Lingye QianLaboratory, Beijing An Zhen Hospital, Capital Medical University, Beijing, People's Republic of China.
Xin LuanLaboratory, Beijing Tiantan Hospital, Capital Medical University, Beijing, People's Republic of China.
Guoge LiLaboratory, Beijing Tiantan Hospital, Capital Medical University, Beijing, People's Republic of China.
Yuxin ChenLaboratory, Beijing Tiantan Hospital, Capital Medical University, Beijing, People's Republic of China.
Xiaotong LiLaboratory, Beijing Tiantan Hospital, Capital Medical University, Beijing, People's Republic of China.
Hong LvLaboratory, Beijing Tiantan Hospital, Capital Medical University, Beijing, People's Republic of China.
Guanghui Zheng *Laboratory, Beijing Tiantan Hospital, Capital Medical University, Beijing, People's Republic of China.
Guojun Zhang *Laboratory, Beijing Tiantan Hospital, Capital Medical University, Beijing, People's Republic of China.
Capital Medical University · CNBeijing Tian Tan Hospital · CNBeijing Anzhen Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To investigate the factors associated with follow-up CSF cultures (FUCCs) in post-neurosurgical patients with gram-negative bacterial meningitis/encephalitis and the effect of FUCCs on treatment management and patient outcomes. Methods: This single-centered retrospective cohort study enrolled post-neurosurgical patients with gram-negative bacterial meningitis/encephalitis at a tertiary-care university hospital between 2012 and 2022. The risk factors for 28-day mortality were evaluated using multivariate Cox analysis. FUCC-related risk factors were also analyzed. Results: Among the 844 enrolled patients, 504 (59.7%) underwent FUCC, and FUCC was found to be associated with lower rates of both all-cause (hazard ratio (HR) 0.391; 95% confidence interval (CI), 0.235-0.651; p<0.001) and attributable mortality (HR 0.463; 95% CI, 0.239-0.897; p=0.023) in Post-neurosurgical patients diagnosed with Gram-negative bacterial meningitis/encephalitis. Moreover, the results of the study underscored that patients with persistent gram-negative bacterial meningitis/encephalitis had a lower all-cause/attributable short-term survival rate according to 28-day mortality Kaplan-Meier analysis (P=0.001/0.006). Conclusion: Performing FUCC has been demonstrated to lower mortality rates in Post-neurosurgical patients suffering from Gram-negative bacterial meningitis/encephalitis. The higher mortality rate observed in patients with persistent gram-negative bacterial meningitis/encephalitis suggests that performing FUCC is a crucial component of proper patient care and management, and is therefore recommended for use by clinicians as a standard practice. This finding underscores the significance of consistent implementation of FUCC in the management and prognosis of patients with Post-neurosurgical infections.

Indexed as

all-cause 28-day mortalityfollow-up cerebrospinal fluid culturesgram-negative bacterial meningitis/encephalitispersistent meningitis/encephalitisrisk factors

Identifiers

PMID37771842
PMCPMC10522782
OpenAlexW4386962495

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.