Evidence map›Paper›PMID 38836044›Full record

ArticleAntimicrobial stewardship & healthcare epidemiology : ASHE2024

The changing epidemiology of

Sandrine Couture, Charles Frenette, Ian Schiller, Rowin Alfaro, Nandini Dendukuri, Daniel Thirion, Yves Longtin, Vivian G Loo

Abstract read
In one paragraph

Article in Antimicrobial stewardship & healthcare epidemiology : ASHE, 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
–field-weighted citation impact
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.

  1. The fitness connection of antibiotic resistance.Frontiers in microbiology · 2025
    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

8 authors.

Sandrine CoutureMcGill University, Montréal, QC, Canada.
Charles FrenetteMcGill University, Montréal, QC, Canada.ORCID https://orcid.org/0000-0002-8996-0766
Ian SchillerResearch Institute of the McGill University Health Centre, Montréal, QC, Canada.
Rowin AlfaroResearch Institute of the McGill University Health Centre, Montréal, QC, Canada.
Nandini DendukuriMcGill University, Montréal, QC, Canada.
Daniel ThirionUniversité de Montréal, Montréal, QC, Canada.ORCID https://orcid.org/0000-0002-2474-2186
Yves LongtinMcGill University, Montréal, QC, Canada.ORCID https://orcid.org/0000-0002-4532-379X
Vivian G LooMcGill University, Montréal, QC, Canada.ORCID https://orcid.org/0000-0001-8242-9043

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To describe the epidemiology of healthcare-associated Design: Time-series analysis. Setting: Two Canadian tertiary care hospitals based in Montréal, Québec. Patients: Patients with a positive assay for toxigenic Methods: The incidence of HA-CDI and antibiotic utilization from 2003 to 2020 were analyzed with available Results: The incidence of HA-CDI decreased between 2003 and 2020 at both hospitals from 26.5 cases per 10,000 patient-days in 2003 to 4.9 cases per 10,000 patient-days in 2020 respectively. Over the study period, there were an increase in the utilization of third-generation cephalosporins and a decrease in usage of fluoroquinolones and clindamycin. A decrease in fluoroquinolone utilization was associated with a significant decrease in HA-CDI incidence as well as decrease in the NAP1/027 strain by approximately 80% in both hospitals. Conclusions: Decreased utilization of fluoroquinolones in two Québec hospitals was associated with a decrease in the incidence of HA-CDI and a genotype shift from NAP1/027 to non-NAP1/027 strains.

Identifiers

PMID38836044
PMCPMC11149029

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.