Evidence map›Paper›PMID 39280116›Full record

ArticleSpartan medical research journal2024

Clinical predictors of hospital-acquired bloodstream infections: A healthcare system analysis.

Harjinder Singh, Radhika Sheth, Mehakmeet Bhatia, Abdullah Muhammad, Candi Bachour, David Metcalf, Vivek Kak

Abstract read
In one paragraph

Article in Spartan medical research journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Harjinder SinghInternal Medicine Henry Ford Allegiance Health, Jackson, MI, USA.
Radhika ShethInternal Medicine Henry Ford Allegiance Health, Jackson, MI, USA.
Mehakmeet BhatiaInternal Medicine Henry Ford Allegiance Health, Jackson, MI, USA.
Abdullah MuhammadInternal Medicine Henry Ford Allegiance Health, Jackson, MI, USA.
Candi BachourResearch and sponsored programs Henry Ford Allegiance Health, Jackson, MI, USA.
David MetcalfResearch and sponsored programs Henry Ford Allegiance Health, Jackson, MI, USA.
Vivek KakInfectious Disease Henry Ford Allegiance Health, Jackson, MI, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study was performed to identify patient factors associated with hospital-acquired bloodstream infections (HABSI) to guide blood culture collection and empiric antibiotic therapy.

methodsA retrospective case-control study reviewed the medical records of 350 patients admitted to our health system from September 2017 to April 2020. The patients were 18 years and older and had at least one set of new positive non-contaminant blood cultures collected after 48 hours of admission, defined as HABSI. We developed clinical variables through a literature review associated with it. Univariate relationships between each variable and bacteremia were evaluated by chi-square test. A predictive model was developed through stepwise multivariate logistic regression.

resultsThe univariate analysis and stepwise regression analysis showed that temperature >100.4° F (OR: 1.9, CI 1.1 to 3.4), male sex (OR: 1.8, CI 1.0 to 3.0), and platelet count <150,000/µL (OR: 1.8, CI 1.0 to 3.2) were statistically associated with a positive blood culture.

conclusionsThis model helps identify patients with clinical characteristics associated with the likelihood of HABSI. This model can help guide the appropriate initiation of empiric antibiotics in clinical situations and assist with antibiotic stewardship.

Indexed as

antibiotic stewardshipbacteremiaempiric antibioticssepsis

Identifiers

PMID39280116
PMCPMC11402462

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