Evidence map›Paper›PMID 40652275›Full record

ArticleAntimicrobial resistance and infection control2025

The evolving epidemiology of Carbapenemase-producing Enterobacterales in Canadian acute care facilities, 2010-2023.

Robyn Mitchell, Laura Mataseje, Joëlle Cayen, Erin McGill, Kristine Cannon, Ian Davis, Tamara Duncombe, Chelsey Ellis, Jennifer Ellison, Jennifer Happe and 20 more

Abstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  3. Review
  4. Incidence of colonization and infection with carbapenemase-producing Enterobacterales in Toronto and Peel Region, Ontario, 2007-2024.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2026
    Article
  5. Postsurgical infection with carbapenemase-producing Enterobacterales in a 45-year-old woman.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  6. Article
  7. Plasmid genomic epidemiology ofMicrobial genomics · 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

30 authors.

Robyn MitchellPublic Health Agency of Canada, 130 Colonnade Road, Ottawa, ON, K1A 0K9, Canada. robyn.mitchell@phac-aspc.gc.ca.
Laura MatasejeNational Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, MB, Canada.
Joëlle CayenPublic Health Agency of Canada, 130 Colonnade Road, Ottawa, ON, K1A 0K9, Canada.
Erin McGillPublic Health Agency of Canada, 130 Colonnade Road, Ottawa, ON, K1A 0K9, Canada.
Kristine CannonAlberta Health Services, Calgary, AB, Canada.
Ian DavisDalhousie University, Halifax, NS, Canada.
Tamara DuncombeFraser Health Authority, Surrey, BC, Canada.
Chelsey EllisThe Moncton Hospital, Moncton, NB, Canada.
Jennifer EllisonAlberta Health Services, Calgary, AB, Canada.
Jennifer HappeAlberta Health Services, Calgary, AB, Canada.
Susy S HotaUniversity Health Network, Toronto, ON, Canada.
Kevin C KatzNorth York General Hospital, Toronto, ON, Canada.
Pamela KibseyVancouver Island Health Authority, Victoria, BC, Canada.
Santina LeeHealth Sciences Centre, Winnipeg, MB, Canada.
Jerome A LeisSunnybrook Health Sciences Centre, Toronto, ON, Canada.
Xena LiNorth York General Hospital, Toronto, ON, Canada.
Allison McGeerSinai Health System, Toronto, ON, Canada.
Jessica MinionSaskatchewan Health Authority, Regina, SK, Canada.
Sonja MustoHealth Sciences Centre, Winnipeg, MB, Canada.
Connie PattersonMcGill University Health Centre, Montréal, QC, Canada.
Ewa RajdaMcGill University Health Centre, Montréal, QC, Canada.
Stephanie W SmithUniversity of Alberta, Edmonton, AB, Canada.
Jocelyn A SrigleyBC Children's & Women's Hospitals, Vancouver, BC, Canada.
Kathryn N SuhThe Ottawa Hospital, Ottawa, ON, Canada.
Nisha ThampiChildren's Hospital of Eastern Ontario, Ottawa, Canada.
Jen TomlinsonHealth Sciences Centre, Winnipeg, MB, Canada.
Joseph VayalumkalAlberta Children's Hospital, Calgary, AB, Canada.
Kristen VersluysInterior Health, Kelowna, BC, Canada.
Titus WongProvincial Health Services Authority, Vancouver, BC, Canada.
Yves LongtinJewish General Hospital, Montréal, QC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarbapenemase-producing Enterobacterales (CPE) are associated with substantial morbidity and mortality with limited treatment options and have an ability to spread rapidly in healthcare settings. We analyzed surveillance data from the Canadian Nosocomial Infection Surveillance Program to describe trends and the epidemiology of CPE from 2010 to 2023.

methodsParticipating acute-care hospitals submitted eligible isolates to the National Microbiology Laboratory for detection of carbapenemase genes. Trained infection control professionals applied standardized definitions to collect epidemiological data by chart review from 30-97 hospitals from 2010 to 2023.

resultsThe national incidence of CPE infection (0.03 to 0.14 per 10,000 patient days; R

conclusionsSurveillance data from a national network of Canadian acute care hospitals indicates that while the incidence of CPE in Canada remains low, it is accelerating at an exponential rate. Our findings suggest that nosocomial transmission is driving the recent increase in CPE incidence in Canada. Improved infection control measures and antimicrobial stewardship as well as access to newer antimicrobials are all urgently needed.

Indexed as

Bacterial Proteinsbeta-LactamasesCarbapenem-Resistant EnterobacteriaceaeCross InfectionEnterobacteriaceaeEnterobacteriaceae InfectionsCanadaHospitalsHumansIncidenceBacterial Proteinsbeta-LactamasescarbapenemaseCarbapenemase-producing EnterobacteralesEpidemiologyInfection preventionNosocomial transmissionSurveillance

Identifiers

PMID40652275
PMCPMC12256002

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.