Evidence map›Paper›PMID 39020244›Full record

ReviewAnnals of intensive care2024

Biomarkers in pulmonary infections: a clinical approach.

Pedro Póvoa, Luís Coelho, José Pedro Cidade, Adrian Ceccato, Andrew Conway Morris, Jorge Salluh, Vandack Nobre, Saad Nseir, Ignacio Martin-Loeches, Thiago Lisboa and 4 more

Abstract readReview
In one paragraph

Review in Annals of intensive care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

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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

14 authors.

Pedro PóvoaDepartment of Intensive Care, Hospital de São Francisco Xavier, ULSLO, Lisbon, Portugal. pedro.povoa@nms.unl.pt.ORCID http://orcid.org/0000-0002-7069-7304
Luís CoelhoDepartment of Intensive Care, Hospital de São Francisco Xavier, ULSLO, Lisbon, Portugal.ORCID http://orcid.org/0000-0003-0701-3624
José Pedro CidadeDepartment of Intensive Care, Hospital de São Francisco Xavier, ULSLO, Lisbon, Portugal.ORCID http://orcid.org/0000-0002-9538-8487
Adrian CeccatoCritical Care Center, Institut d'Investigació i Innovació Parc Taulí I3PT-CERCA, Hospital Universitari Parc Taulí, Univeristat Autonoma de Barcelona, Sabadell, Spain.ORCID http://orcid.org/0000-0001-9454-062X
Andrew Conway MorrisDivision of Anaesthesia, Department of Medicine, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-3211-3216
Jorge SalluhPostgraduate Program, D'Or Institute for Research and Education (IDOR), Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0002-8164-1453
Vandack NobreSchool of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.ORCID http://orcid.org/0000-0002-7922-0422
Saad Nseir1Univ. Lille, UMR 8576-UGSF-Unité de Glycobiologie Structurale et Fonctionnelle, 59000, Lille, France.ORCID http://orcid.org/0000-0002-7618-0357
Ignacio Martin-LoechesDepartment of Intensive Care Medicine, Multidisciplinary Intensive Care Research Organization (MICRO), St. James Hospital, Dublin, Ireland.ORCID http://orcid.org/0000-0002-5834-4063
Thiago LisboaPostgraduate Program Pulmonary Science, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0003-4306-2212
Paula RamirezCIBER of Respiratory Diseases (CIBERES), Institute of Health Carlos III, Madrid, Spain.ORCID http://orcid.org/0000-0002-7598-3350
Anahita Rouzé1Univ. Lille, UMR 8576-UGSF-Unité de Glycobiologie Structurale et Fonctionnelle, 59000, Lille, France.ORCID http://orcid.org/0000-0002-1330-3161
Daniel A SweeneyDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of California, La Jolla, San Diego, CA, USA.ORCID http://orcid.org/0000-0002-5398-3528
Andre C KalilDepartment of Internal Medicine, Division of Infectious Diseases, University of Nebraska Medical Center, Omaha, NE, USA.ORCID http://orcid.org/0000-0002-6489-6294

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe acute respiratory infections, such as community-acquired pneumonia, hospital-acquired pneumonia, and ventilator-associated pneumonia, constitute frequent and lethal pulmonary infections in the intensive care unit (ICU). Despite optimal management with early appropriate empiric antimicrobial therapy and adequate supportive care, mortality remains high, in part attributable to the aging, growing number of comorbidities, and rising rates of multidrug resistance pathogens. Biomarkers have the potential to offer additional information that may further improve the management and outcome of pulmonary infections. Available pathogen-specific biomarkers, for example, Streptococcus pneumoniae urinary antigen test and galactomannan, can be helpful in the microbiologic diagnosis of pulmonary infection in ICU patients, improving the timing and appropriateness of empiric antimicrobial therapy since these tests have a short turnaround time in comparison to classic microbiology. On the other hand, host-response biomarkers, for example, C-reactive protein and procalcitonin, used in conjunction with the clinical data, may be useful in the diagnosis and prediction of pulmonary infections, monitoring the response to treatment, and guiding duration of antimicrobial therapy. The assessment of serial measurements overtime, kinetics of biomarkers, is more informative than a single value. The appropriate utilization of accurate pathogen-specific and host-response biomarkers may benefit clinical decision-making at the bedside and optimize antimicrobial stewardship.

Indexed as

C-reactive proteinHost-response biomarkersPathogen-specific biomarkersProcalcitoninPulmonary infections

Identifiers

PMID39020244
PMCPMC11254884

What OpenQuestion holds

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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.