Evidence map›Paper›PMID 39023632›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2024

Clinical and microbiological features of a cohort of patients with Acinetobacter baumannii bloodstream infections.

Chongyang Wu, Yu Yuan, Sishi Tang, Chen Liu, Chao He

Abstract read
In one paragraph

Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

  1. Antimicrobial Resistance and Virulence ofAntibiotics (Basel, Switzerland) · 2026
    Article
  2. Genomic Epidemiology of Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2026
    Article
  3. Article
  4. 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

5 authors.

Chongyang WuDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
Yu YuanDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
Sishi TangDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
Chen LiuDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
Chao HeDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China. hechao@wchscu.cn.

Funding

funding of Science and Technology Department of Sichuan Province No. 2021YFS0183National Natural Science Foundation of China No.81201342
6 · The paper itself

Abstract

purposeAcinetobacter baumannii is emerging as a pathogen that is a focus of global concern due to the frequent occurrence of the strains those are extensively resistant to antibiotics. This study was aimed to analyze the clinical and microbiological characteristics of a cohort of patients with A. baumannii bloodstream infections (BSIs) in western China.

methodsA retrospective study of the patients at West China Hospital of Sichuan University with A. baumannii BSIs between Jan, 2018 and May, 2023 was conducted. Antimicrobial susceptibility of A. baumannii isolates was tested by microdilution broth method. Whole-genome sequencing and genetic analysis were also performed for these isolates.

resultsAmong the 117 patients included, longer intensive care unit stay, higher mortality, and more frequent invasive procedures and use of more than 3 classes of antibiotics were observed among the carbapenem-resistant A. baumannii (CRAB)-infected group (n = 76), compared to the carbapenem-susceptible A. baumannii (CSAB)-infected group (n = 41, all P ≤ 0.001). Twenty-four sequence types (STs) were determined for the 117 isolates, and 98.7% (75/76) of CRAB were identified as ST2. Compared to non-ST2 isolates, ST2 isolates exhibited higher antibiotic resistance, and carried more resistance and virulence genes (P < 0.05). In addition, 80 (68.4%) isolates were CRISPR-positive, showed higher antibiotic susceptibility, and harbored less resistance and virulence genes, in comparison to CRISPR-negative ones (P < 0.05). Phylogenetic clustering based on coregenome SNPs indicated a sporadic occurrence of clonal transmission.

conclusionOur findings demonstrate a high frequency of ST2 among A. baumannii causing BSIs, and high antibiotic susceptibility of non-ST2 and CRISPR-positive isolates. It is necessary to strengthen the surveillance of this pathogen.

Indexed as

Acinetobacter baumanniiAcinetobacter InfectionsAnti-Bacterial AgentsBacteremiaMicrobial Sensitivity TestsAdultAgedAged, 80 and overCarbapenemsChinaDrug Resistance, Multiple, BacterialFemaleHumansMaleMiddle AgedRetrospective StudiesAnti-Bacterial AgentsCarbapenemsAcinetobacter baumanniiBloodstream infectionClustered regularly interspaced short palindromic repeats (CRISPR)ResistanceSequence type 2

Identifiers

PMID39023632
PMCPMC11349859

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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.