Evidence map›Paper›PMID 39906515›Full record

ArticleGE Portuguese journal of gastroenterology2025

Carbapenem-Resistant Enterobacteriaceae Colonization or Infection Was Not Associated with Post-Liver Transplant Graft Failure: An Observational Cohort Study.

João Caria, Ana C Gonçalves, Gonçalo Cristóvão, Maria Carlos, Sara Magalhães, Vasco Almeida, Fernanda Moreno, Élia Mateus, Hélder Pinheiro, Diana Póvoas and 4 more

Abstract read
In one paragraph

Article in GE Portuguese journal of gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

João CariaInfectious Diseases Division, Curry Cabral Hospital, Lisbon, Portugal.
Ana C GonçalvesInfectious Diseases Division, Curry Cabral Hospital, Lisbon, Portugal.
Gonçalo CristóvãoInfectious Diseases Division, Curry Cabral Hospital, Lisbon, Portugal.
Maria CarlosInfectious Diseases Division, Curry Cabral Hospital, Lisbon, Portugal.
Sara MagalhãesInfectious Diseases Division, Curry Cabral Hospital, Lisbon, Portugal.
Vasco AlmeidaInfectious Diseases Division, Curry Cabral Hospital, Lisbon, Portugal.
Fernanda MorenoTransplant Unit, Curry Cabral Hospital, Lisbon, Portugal.
Élia MateusTransplant Unit, Curry Cabral Hospital, Lisbon, Portugal.
Hélder PinheiroInfectious Diseases Division, Curry Cabral Hospital, Lisbon, Portugal.
Diana PóvoasInfectious Diseases Division, Curry Cabral Hospital, Lisbon, Portugal.
Fernando M T MaltezInfectious Diseases Division, Curry Cabral Hospital, Lisbon, Portugal.
Rui PerdigotoTransplant Unit, Curry Cabral Hospital, Nova Medical School, Lisbon, Portugal.
Filipe S CardosoTransplant Unit, Curry Cabral Hospital, Nova Medical School, Lisbon, Portugal.
Hugo P MarquesTransplant Unit, Curry Cabral Hospital, Nova Medical School, Lisbon, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Carbapenem-resistant Enterobacteriaceae (CRE) epidemiology among liver transplant (LT) recipients is variable. We studied the impact of CRE colonization and infection on LT recipients' outcomes. Methods: This observational cohort study included consecutive adult LT recipients between January 2019 and December 2020 at Curry Cabral Hospital, Lisbon, Portugal. Primary exposures were CRE colonization (rectal swabs under a screening program) and infection within 1 year of index LT. Primary endpoint was graft failure within 1 year of the index LT. Results: Among 209 patients, the median (interquartile range [IQR]) age was 57 (47-64) years and 155 (74.2%) were male. CRE colonization was identified in 28 (13.4%) patients during the first year posttransplant (median [IQR] number of rectal swabs per patient of 4 [2-7]). CRE resistance genes identified were OXA48 in 8 (3.6%) patients, KPC in 19 (67.9%) patients, and VIM in 1 (3.6%) patient. Any bacterial/fungal and CRE infections were diagnosed in 88 (42.1%) and 6 (2.9%) patients, respectively, during the first year posttransplant. After adjusting for confounders, neither CRE colonization (aOR [95% CI] = 1.83 [0.71-4.70]; Discussion/Conclusion: Under a screening program, CRE colonization and infection prevalence was low and neither was associated with graft failure.

Indexed as

CarbapenemColonizationInfectionLiver transplantationMultidrug resistance

Identifiers

PMID39906515
PMCPMC11790264

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