Evidence map›Paper›PMID 38903794›Full record

ArticleFrontiers in microbiology2024

Understanding the burden of antibiotic resistance: a decade of carbapenem-resistant Gram-negative bacterial infections in Italian intensive care units.

Giovanni Scaglione, Matilde Perego, Marta Colaneri, Camilla Genovese, Fabio Brivio, Alice Covizzi, Bruno Viaggi, Alessandra Bandera, Andrea Gori, Stefano Finazzi and 1 more

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In one paragraph

Article in Frontiers in microbiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Giovanni Scaglione *Department of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.
Matilde Perego *Laboratory of Clinical Data Science, Department of Public Health, Mario Negri Institute for Pharmacological Research IRCCS, Ranica, Italy.
Marta ColaneriDepartment of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.
Camilla GenoveseDepartment of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.
Fabio BrivioDepartment of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.
Alice CovizziDepartment of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.
Bruno ViaggiDepartment of Anaesthesiology, Neuro-Intensive Care Unit, Careggi University Hospital, Florence, Italy.
Alessandra BanderaDepartment of Pathophysiology and Transplantation, University of Milano, Milan, Italy.
Andrea GoriDepartment of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.
Stefano FinazziLaboratory of Clinical Data Science, Department of Public Health, Mario Negri Institute for Pharmacological Research IRCCS, Ranica, Italy.
Emanuele PalombaDepartment of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: In patients admitted to intensive care units (ICUs), Gram-negative bacteria (GNB) infections pose significant challenges due to their contribution to morbidity, mortality, and healthcare costs. During the SARS-CoV-2 pandemic, Italy witnessed a rise in healthcare-associated infections (HAIs), with GNBs involved in a substantial proportion of cases. Concerningly, carbapenem-resistant GNBs (CR-GNBs) have increased worldwide, posing therapeutic challenges. Methods: Retrospective multicentre study analysing data from over 299,000 patients admitted to Italian ICUs from 2013 to 2022. Results: The study revealed an average of 1.5 infections per patient, with HAIs peaking during the pandemic years. Ventilator associated pneumonia (VAP) emerged as the most common HAI, with Discussion: Our findings underscore the pressing need for enhanced infection control measures, particularly in the ICU setting, to mitigate the rising prevalence of CR-GNBs and their impact on patient outcomes. The study provides valuable insights into the epidemiology of HAIs in Italian ICUs and highlights the challenges posed by CR-GNBs, especially in the context of the SARS-CoV-2 pandemic, which exacerbated the issue and may serve as a crucial example for the management of future viral pandemics.

Indexed as

carbapenem-resistantepidemiologygram-negativehospital-acquired infectionsintensive care unitmultidrug-resistant

Identifiers

PMID38903794
PMCPMC11188344

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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.