Evidence map›Paper›PMID 38446335›Full record

ArticlePulmonary therapy2024

Staphylococcus aureus Pneumonia in Can Tho, Vietnam: Clinical Characteristics, Antimicrobial Resistance Profile and Risk Factors of Mortality.

Thu Vo-Pham-Minh, Dang Tran-Cong, Hung Phan-Viet, Thien Dinh-Chi, Tran Nguyen-Thi-Hong, Thuy Cao-Thi-My, Hien Nguyen-Thi-Dieu, Duong Vo-Thai, Vu Nguyen-Thien, Sy Duong-Quy

Open access · goldAbstract read
In one paragraph

Article in Pulmonary therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.2field-weighted citation impact, top 24% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

10 authors at 2 institutions in 2 countries.

Thu Vo-Pham-MinhDepartment of Internal Medicine, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho City, 94000, Vietnam.
Dang Tran-CongDepartment of Internal Medicine, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho City, 94000, Vietnam.
Hung Phan-VietDepartment of Internal Medicine, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho City, 94000, Vietnam.
Thien Dinh-ChiDepartment of Internal Medicine, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho City, 94000, Vietnam.
Tran Nguyen-Thi-HongDepartment of Internal Medicine, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho City, 94000, Vietnam.
Thuy Cao-Thi-MyRespiratory Department, Can Tho Central General Hospital, Can Tho City, 94000, Vietnam.
Hien Nguyen-Thi-DieuMicrobiological Department, Can Tho Central General Hospital, Can Tho City, 94000, Vietnam.
Duong Vo-ThaiMicrobiological Department, Can Tho Central General Hospital, Can Tho City, 94000, Vietnam.
Vu Nguyen-ThienPharmacy Department, Can Tho University of Medicine and Pharmacy Hospital, Can Tho City, 94000, Vietnam.
Sy Duong-QuyBio-Medical Research Centre, Lam Dong Medical College, Da Lat, Vietnam. sduongquy.jfvp@gmail.com.ORCID http://orcid.org/0000-0002-5926-9544
Can Tho University · VNDalat University · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionStaphylococcus aureus (S. aureus) is an important pathogen in both community-acquired and hospital-acquired pneumonia. S. aureus pneumonia has a high mortality rate and serious complications. Resistance to multiple antibiotics is a major challenge in the treatment of S. aureus pneumonia. Understanding the antibiotic resistance profile of S. aureus and the risk factors for mortality can help optimize antibiotic regimens and improve patient outcomes in S. aureus pneumonia.

methodsA prospective cohort study of 118 patients diagnosed with S. aureus pneumonia between May 2021 and June 2023 was conducted, with a 30-day follow-up period. Demographic information, comorbidities, Charlson Comorbidity Index, clinical characteristics, outcomes, and complications were collected for each enrolled case. The data were processed and analyzed using R version 3.6.2.

resultsS. aureus pneumonia has a 30-day mortality rate of approximately 50%, with complication rates of 22% for acute respiratory distress syndrome (ARDS), 26.3% for septic shock, and 14.4% for acute kidney injury (AKI). Among patients with methicillin-resistant S. aureus (MRSA) pneumonia treated with vancomycin (n = 40), those with a vancomycin minimum inhibitory concentration (MIC) ≤ 1 had significantly higher cumulative survival at day 30 compared to those with MIC ≥ 2 (log-rank test p = 0.04). The prevalence of MRSA among S. aureus isolates was 84.7%. Hemoptysis, methicillin resistance, acidosis (pH < 7.35), and meeting the Infectious Diseases Society of America/American Thoracic Society (IDSA/ATS) criteria for severe pneumonia were significantly associated with mortality in a multivariate Cox regression model based on the adaptive least absolute shrinkage and selection operator (LASSO).

conclusionsS. aureus pneumonia is a severe clinical condition with high mortality and complication rates. MRSA has a high prevalence in Can Tho City, Vietnam. Hemoptysis, methicillin resistance, acidosis (pH < 7.35), and meeting the IDSA/ATS criteria for severe pneumonia are risk factors for mortality in S. aureus pneumonia.

Indexed as

Antimicrobial resistancePneumoniaRisk factorsStaphylococcus aureus

Identifiers

PMID38446335
PMCPMC11282013
OpenAlexW4392506487

What OpenQuestion holds

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LicenceCC BY-NC
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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.