Evidence map›Paper›PMID 39533229›Full record

ArticleBMC infectious diseases2024

Critically ill patients will benefit from single isolated laminar-air-flow wards by improving the environmental microbial composition.

Tianji Zhang, Xiao Cui, Xinlei He, Jiajun Wu, Yuxuan Li, Wei Yan, Yuxin Leng

Abstract read
In one paragraph

Article in BMC infectious diseases, 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

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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

2 citing papers in PubMed.

  1. Article
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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

7 authors.

Tianji ZhangDepartment of Intensive Care Unit, Peking University Third Hospital, North Garden Road, No. 49, Beijing, Haidian District, 100191, People's Republic of China.
Xiao CuiDepartment of Intensive Care Unit, Peking University Third Hospital, North Garden Road, No. 49, Beijing, Haidian District, 100191, People's Republic of China.
Xinlei HeDepartment of Intensive Care Unit, Peking University Third Hospital, North Garden Road, No. 49, Beijing, Haidian District, 100191, People's Republic of China.
Jiajun WuDepartment of Intensive Care Unit, Peking University Third Hospital, North Garden Road, No. 49, Beijing, Haidian District, 100191, People's Republic of China.
Yuxuan LiDepartment of Intensive Care Unit, Peking University Third Hospital, North Garden Road, No. 49, Beijing, Haidian District, 100191, People's Republic of China.
Wei YanDepartment of Respiratory and Critical Care Medicine, Peking University Third Hospital, North Garden Road, No. 49, Beijing, Haidian District, 100191, People's Republic of China. 13801209830@139.com.
Yuxin LengDepartment of Intensive Care Unit, Peking University Third Hospital, North Garden Road, No. 49, Beijing, Haidian District, 100191, People's Republic of China. lengyx@bjmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospital-associated infection (HAI) is an important issue in intensive care units (ICUs). We still lack direct evidence on whether the ICU patients and/or the medical system can benefit from single isolated laminar-air-flow (LAF) wards.

methodsHigh-touched-surface (HTS) swabs from 5 sites in two kinds of wards with different ventilation systems were longitudinally collected for 16 S rRNA sequencing and Type IIB restriction site-associated DNA sequencing for Microbiome (2bRAD-M). Samples were collected for 3 months. The clinical data of patients admitted to different wards during the sampling time and the whole year were collected and compared.

resultsThe α-diversity of single wards with isolated LAF was significantly higher than open regions without LAF (p<0.01). β-diversity analysis showed differences between different wards and similarities among the same region. We also identified 3 genera attributed to the most difference between the two kinds of wards. 2bRAD-M analysis further revealed community divergence among different HTS sites. There was an overlap between HTS microbiome profiling and the clinically cultivated pathogens of patients with HAI. People in single wards had a better outcome than those in open regions (p<0.05), indicating that single wards had a protective effect for critically ill patients.

conclusionOverall, there was a prominent difference in the microbiome community between single wards and open regions. Single wards had more balanced communities which may lead to better outcomes for patients. For critically ill patients, single ward is recommended when arranging and constructing.

Indexed as

Critical IllnessCross InfectionIntensive Care UnitsMicrobiotaAgedBacteriaEnvironmental MicrobiologyFemaleHumansMaleMiddle AgedRNA, Ribosomal, 16SRNA, Ribosomal, 16SHospital-associated infectionsIntensive care unitsMicrobiome community

Identifiers

PMID39533229
PMCPMC11558842

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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.