Evidence map›Paper›PMID 39194256›Full record

ArticleMicrobiology spectrum2024

Prevalence and impact of multidrug-resistant bacteria in solid cancer patients with bloodstream infection: a 25-year trend analysis.

Carlos Lopera, Patricia Monzó, Tommaso Francesco Aiello, Mariana Chumbita, Olivier Peyrony, Antonio Gallardo-Pizarro, Cristina Pitart, Guillermo Cuervo, Laura Morata, Marta Bodro and 6 more

Abstract read
In one paragraph

Article in Microbiology spectrum, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Risk factors for antibiotic resistance and 30-day mortality among adult patients with acute leukemia and Escherichia coli bloodstream infection.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  6. Observational
  7. Article
  8. Article
  9. Article
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  11. Article
  12. Article
  13. Article
  14. Review
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  16. Clinical outcomes in patients with cancer and Gram-negative bloodstream infection: impact of carbapenem resistance.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  17. Article
  18. Article
  19. Review
  20. 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

16 authors.

Carlos LoperaInfectious Diseases Department, Hospital Clínic de Barcelona, Barcelona, Spain.
Patricia MonzóInfectious Diseases Department, Hospital Clínic de Barcelona, Barcelona, Spain.
Tommaso Francesco AielloInfectious Diseases Department, Hospital Clínic de Barcelona, Barcelona, Spain.ORCID 0000-0003-4441-6318
Mariana ChumbitaInfectious Diseases Department, Hospital Clínic de Barcelona, Barcelona, Spain.ORCID 0000-0001-5372-6444
Olivier PeyronyEmergency Department, Hôpital Saint-Louis, Assistance Publique - Hôpitaux de Paris, Paris, France.
Antonio Gallardo-PizarroInfectious Diseases Department, Hospital Clínic de Barcelona, Barcelona, Spain.
Cristina PitartMicrobiology Department, Hospital Clínic de Barcelona, Barcelona, Spain.
Guillermo CuervoInfectious Diseases Department, Hospital Clínic de Barcelona, Barcelona, Spain.
Laura MorataInfectious Diseases Department, Hospital Clínic de Barcelona, Barcelona, Spain.
Marta BodroInfectious Diseases Department, Hospital Clínic de Barcelona, Barcelona, Spain.ORCID 0000-0002-0520-8279
Sabina HerreraInfectious Diseases Department, Hospital Clínic de Barcelona, Barcelona, Spain.
Ana Del RíoInfectious Diseases Department, Hospital Clínic de Barcelona, Barcelona, Spain.
José Antonio MartínezInfectious Diseases Department, Hospital Clínic de Barcelona, Barcelona, Spain.
Alex SorianoInfectious Diseases Department, Hospital Clínic de Barcelona, Barcelona, Spain.
Pedro Puerta-Alcalde *Infectious Diseases Department, Hospital Clínic de Barcelona, Barcelona, Spain.ORCID 0000-0003-2490-0217
Carolina Garcia-Vidal *Infectious Diseases Department, Hospital Clínic de Barcelona, Barcelona, Spain.ORCID 0000-0002-8915-0683

Funding

Agencia de Gestion de Ayudas Universitarias y de Investigacion SGR 01324 Q5856414GInstituto de Salud Carlos III JR20/00012, PI21/00498, ICI21/00103Instituto de Salud Carlos III PI21/01640, ICI21/00103La Ligue Nationale contre le Cancer AAPMRC 2022/OP
6 · The paper itself

Abstract

The study aimed to describe the epidemiology of multidrug-resistant (MDR) bacteria among solid cancer (SC) patients with bloodstream infections (BSIs), evaluating inappropriate empiric antibiotic treatment (IEAT) use and mortality trends over a 25-year period. All BSI occurrences in adult SC patients at a university hospital were analyzed across five distinct five-year intervals. MDR bacteria were classified as extended-spectrum beta-lactamases (ESBL)-producing and/or Carbapenem-resistant Enterobacterales, non-fermenting Gram-negative bacilli (GNB) resistant to at least three antibiotic classes, methicillin-resistant IMPORTANCE: Multidrug-resistant (MDR) bacteria pose a global public health threat as they are more challenging to treat, and they are on the rise. Solid cancer patients are often immunocompromised due to their disease and cancer treatments, making them more susceptible to infections. Understanding the changes and trends in bloodstream infections in solid cancer patients is crucial, to help physicians make informed decisions about appropriate antibiotic therapies, manage infections in this vulnerable population, and prevent infection. Solid cancer patients often require intensive and prolonged treatments, including surgery, chemotherapy, and radiation therapy. Infections can complicate these treatments, leading to treatment delays, increased healthcare costs, and poorer patient outcomes. Investigating new strategies to combat MDR infections and researching novel antibiotics in these patients is of paramount importance to avoid these negative impacts.

Indexed as

Anti-Bacterial AgentsBacteremiaDrug Resistance, Multiple, BacterialNeoplasmsAdultAgedAged, 80 and overFemaleGram-Negative BacteriaHumansMaleMethicillin-Resistant Staphylococcus aureusMiddle AgedPrevalenceRisk FactorsVancomycin-Resistant EnterococciAnti-Bacterial Agentsbloodstream infectionsGram-negative bacilliinappropriate empirical antibiotic therapymultidrug-resistantsolid cancer

Identifiers

PMID39194256
PMCPMC11448387

What OpenQuestion holds

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LicenceCC BY
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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.