Evidence map›Paper›PMID 39868417›Full record

ArticleInfection prevention in practice2025

Hospital toilets and drainage systems as a reservoir for a long-term polyclonal outbreak of clinical infections with multidrug-resistant

Astri Lervik Larsen, Torunn Pedersen, Arnfinn Sundsfjord, Theodor A Ross, Anja Dyresen Guleng, Jon Birger Haug, Anna K Pöntinen, Ørjan Samuelsen

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Infection prevention in practice, 2025. 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

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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. ESBL-ProducingVeterinary sciences · 2025
    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

8 authors.

Astri Lervik LarsenDepartment of Infection Control, Østfold Hospital Trust, Sarpsborg, Norway.
Torunn PedersenNorwegian National Advisory Unit on Detection of Antimicrobial Resistance, Department of Microbiology and Infection Control, University Hospital of North Norway, Tromsø, Norway.
Arnfinn SundsfjordNorwegian National Advisory Unit on Detection of Antimicrobial Resistance, Department of Microbiology and Infection Control, University Hospital of North Norway, Tromsø, Norway.
Theodor A RossDepartment of Physics and Technology, UiT The Arctic University of Norway, Tromsø, Norway.
Anja Dyresen GulengCentre for Laboratory Medicine, Østfold Hospital Trust, Sarpsborg, Norway.
Jon Birger HaugDepartment of Infection Control, Østfold Hospital Trust, Sarpsborg, Norway.
Anna K PöntinenNorwegian National Advisory Unit on Detection of Antimicrobial Resistance, Department of Microbiology and Infection Control, University Hospital of North Norway, Tromsø, Norway.
Ørjan SamuelsenNorwegian National Advisory Unit on Detection of Antimicrobial Resistance, Department of Microbiology and Infection Control, University Hospital of North Norway, Tromsø, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Nosocomial outbreaks with multidrug-resistant bacteria with a probable reservoir in hospital toilets and drainage systems have been increasingly reported. Aim: To investigate an increase in bacteraemia with extended-spectrum β-lactamase (ESBL)-producing Methods: Available clinical Results: WGS revealed four clusters and a polyclonal population consisting of ESBL-producing Conclusion: This investigation uncovered a polyclonal outbreak of multidrug-resistant

Indexed as

Drainage systemsHospitalHospital-acquired infectionKlebsiella speciesMultidrug-resistant micro-organismsToilets

Identifiers

PMID39868417
PMCPMC11760810

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.