Evidence map›Paper›PMID 40567323›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2025

Epidemiology and Clinical Outcome of Common Multi-drug Resistant Gram-negative Bacterial Infections in a Network of Hospitals in India (IMPRES): A Multicenter Intensive Care Unit-based Prospective Clinical Study.

Saurabh K Das, Ziyokov Joshi, Deepak Govil, Mehul S Shah, Gunavathy N Jakaraddi, Sharmili Sinha, Ankit Singhal, Ravikumar Krupanandan, Manish Gupta, Shubha Sharma and 23 more

Abstract read
In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2025. 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. Review
  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

33 authors.

Saurabh K DasDepartment of Critical Care Medicine, Max Super Specialty Hospital, Shalimar Bagh, New Delhi, India.ORCID https://orcid.org/0000-0001-7798-4528
Ziyokov JoshiDepartment of Critical Care, Tagore Heart Care and Hospital, Jalandhar, Punjab, India.ORCID https://orcid.org/0000-0001-9911-2843
Deepak GovilDepartment of Critical Care and Anesthesia, Medanta-The Medicity, Gurgaon, India.ORCID https://orcid.org/0000-0002-4624-1614
Mehul S ShahDepartment of Critical Care Medicine, Sir H N Reliance Foundation Hospital and Research Centre, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0002-0720-7632
Gunavathy N JakaraddiDepartment of Critical Care Medicine, SDM College of Medical Sciences and Hospital, Shri Dharmasthala Manjunatheswara University, Dharwad, Karnataka, India.ORCID https://orcid.org/0000-0002-9504-0130
Sharmili SinhaDepartment of Critical Care Medicine, Apollo Hospitals, Bhubaneswar, Odisha, India.ORCID https://orcid.org/0000-0001-5242-9405
Ankit SinghalDepartment of Respiratory and Critical Care, Sri Balaji Action Medical Institute, New Delhi, India.ORCID https://orcid.org/0009-0004-1087-1739
Ravikumar KrupanandanDepartment of Pediatric Intensive Care Unit, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India.ORCID https://orcid.org/0000-0003-0227-9423
Manish GuptaDepartment of Critical Care Medicine, Max Super Specialty Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India.ORCID https://orcid.org/0000-0002-6427-9763
Shubha SharmaDepartment of Critical Care, Shrimann Super Speciality Hospital, Jalandhar, Punjab, India.ORCID https://orcid.org/0009-0006-8996-0420
Shweta R ChandankhedeDepartment of Critical Care Medicine, Care Hospitals, Hyderabad, Telangana, India.ORCID https://orcid.org/0000-0002-6684-1406
Dharma J SamantarayDepartment of Cardiac Anaesthesia and Critical Care Medicine, Care Hospital, Bhubaneswar, Odisha, India.ORCID https://orcid.org/0009-0008-1009-5046
Lakshmikanthcharan SaravanabavanDepartment of Critical Care Medicine, Royalcare Superspeciality Hospitals, Coimbatore, Tamil Nadu, India.ORCID https://orcid.org/0000-0003-1141-0294
Shilpa GundlapallyDepartment of Critical Care, Yashoda Super Specialty Hospital, Hyderabad, Telangana, India.ORCID https://orcid.org/0000-0003-2408-423X
Aniket A KurhadeDepartment of Critical Care, Saideep Healthcare & Research Pvt Ltd, Ahmednagar, Maharashtra, India.ORCID https://orcid.org/0009-0006-9940-8760
Manish GoyalDepartment of Critical Care, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India.ORCID https://orcid.org/0009-0008-1804-6142
Nupur GuptaDepartment of Critical Care, Artemis Hospital, Gurugram, Haryana, India.ORCID https://orcid.org/0009-0003-7615-5041
Deepak R JeswaniDepartment of Critical Care, Criticare Hospital & Research Institute, Nagpur, Maharashtra, India.ORCID https://orcid.org/0000-0002-8481-5842
Anil KumarDepartment of Critical Care Unit, Santosh Medical College & Hospital, Ghaziabad, Uttar Pradesh, India.ORCID https://orcid.org/0009-0003-2937-6271
Rakesh PeriwalDepartment of Critical Care, Apollo Hospital, Guwahati, Assam, India.ORCID https://orcid.org/0009-0003-6664-911X
Ashit HegdeDepartment of Critical Care, P. D. Hinduja Hospital, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0003-4342-122X
Ajay GuptaDepartment of Critical Care, Max Super Specialty Hospital, Shalimar Bagh, New Delhi, India.ORCID https://orcid.org/0009-0000-3864-3747
Jasvir KaurDepartment of Microbiology, Tagore Hospital and Heart Care Center, Jalandhar, Punjab, India.ORCID https://orcid.org/0009-0007-6478-4501
Sweta J PatelDepartment of Critical Care Medicine, Medanta-The Medicity, Gurugram, Haryana, India.ORCID https://orcid.org/0000-0003-2780-7691
Simranjit NokewalDepartment of Critical Care Medicine, Sir H N Reliance Foundation Hospital and Research Centre, Mumbai, Maharashtra, India.ORCID https://orcid.org/0009-0009-8434-2940
Ayesha ShaikhDepartment of Endocrinology, Sir H N Reliance Foundation Hospital and Research Centre, Mumbai, Maharashtra, India.ORCID https://orcid.org/0009-0004-8826-5675
Priyabrat KaranDepartment of Anesthesia and Critical Care, All India Institute of Medical Sciences, Jodhpur, Navi Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0002-0165-7739
Sudeep K KapalavaiDepartment of Paediatric Intensive Care, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India.ORCID https://orcid.org/0000-0001-6818-4158
Meraj AhmedDepartment of Critical, Max Super Specialty Hospital, Ghaziabad, Uttar Pradesh, India.ORCID https://orcid.org/0000-0002-3554-568X
Guduru Sharab RavirajDepartment of Critical Care, Hyderabad, Telangana, India.ORCID https://orcid.org/0009-0003-8784-0538
Brinda KolarDepartment of Critical Care, Saideep Healthcare & Research Pvt Ltd, Ahmednagar, Maharashtra, India.ORCID https://orcid.org/0009-0005-1309-8371
Deepti JeswaniDepartment of ENT & Head Neck, Criticare Hospital & Research Institute, Nagpur, Maharashtra, India.ORCID https://orcid.org/0009-0001-9011-9851
Kanwalpreet SodhiDepartment of Head Critical Care, Deep Hospital, Ludhiana, India.ORCID https://orcid.org/0000-0002-7377-9225

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aims: India witnessed the exponential rise of antibiotic resistance due to the high burden of communicable disease. The Indian Council of Medical Research reported Patients and methods: This prospective multicentric observational study was conducted in ICUs of 19 hospitals across India. The data collected for each patient included: demography, diagnosis, disease severity score, site of infection, PEAK organism, risk factors for multidrug resistance, antibiotic sensitivity, resistance pattern, total ventilator days, and 28-day mortality. Subgroup analysis of 28-day mortality was done for community-acquired vs hospital-acquired infection, appropriate empirical antibiotic, Carbapenem- and Colistin-resistant infections. Results: A total of 936 patients were included in the analysis. Resistance to Cephalosporin, Fluroquinolones, Piperacillin Tazobactam, Carbapenem, Aminoglycosides, and Colistin was observed in 84, 68, 55, 47, 37, and 4.2% of patients, respectively. The 28-day crude mortality rate was 23.5%, which was higher in the subgroup with isolates resistant to empiric antibiotics compared to those with sensitive isolates (29.6 vs 21.4%, Conclusion: The present study observed a high prevalence of antibiotic resistance in Indian ICUs, contributing to a crude mortality rate of 23.5%. Patients with Carbapenem and Colistin resistance may exhibit higher 28-day crude mortality. How to cite this article: Das SK, Joshi Z, Govil D, Shah MS, Jakaraddi GN, Sinha S,

Indexed as

Acinetobacter baumanniiAntibiotic stewardshipAntimicrobial resistanceCarbapenem resistanceDrug resistanceEmpirical drug therapyHospital acquired infectionSepsisVentilator-associated pneumonia

Identifiers

PMID40567323
PMCPMC12186078

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