Evidence map›Paper›PMID 40732140›Full record

ArticleMicroorganisms2025

Carbapenem-Resistant Enterobacteriaceae (CRE) in Children with Cancer: The Impact of Rapid Diagnostics and Targeted Colonization Strategies on Improving Outcomes.

Youssef Madney, Sally Mahfouz, Ahmed Bayoumi, Omayma Hassanain, Omneya Hassanain, Ahmed A Sayed, Deena Jalal, Maryam Lotfi, May Tolba, Ghada A Ziad and 5 more

Abstract read
In one paragraph

Article in Microorganisms, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Molecular Insights into Carbapenem Resistance inInternational journal of molecular sciences · 2026
    Review
  5. Article
  6. 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

15 authors.

Youssef MadneyPediatric Oncology Department, Children's Cancer Hospital Egypt (CCHE-57357), Cairo 11311, Egypt.ORCID 0000-0003-0511-1562
Sally MahfouzPediatric Oncology Department, Children's Cancer Hospital Egypt (CCHE-57357), Cairo 11311, Egypt.ORCID 0009-0000-4465-5891
Ahmed BayoumiPediatric Oncology Department, National Cancer Institute, Cairo University, Cairo 12613, Egypt.ORCID 0009-0000-0086-1466
Omayma HassanainResearch Department, Children's Cancer Hospital Egypt (CCHE-57357), Cairo 11311, Egypt.
Omneya HassanainResearch Department, Children's Cancer Hospital Egypt (CCHE-57357), Cairo 11311, Egypt.
Ahmed A SayedGenomic and Metagenomics Research Program, Department of Basic Research, Children's Cancer Hospital Egypt (CCHE-57357), Cairo 11311, Egypt.ORCID 0000-0003-4044-4709
Deena JalalGenomic and Metagenomics Research Program, Department of Basic Research, Children's Cancer Hospital Egypt (CCHE-57357), Cairo 11311, Egypt.
Maryam LotfiGenomic and Metagenomics Research Program, Department of Basic Research, Children's Cancer Hospital Egypt (CCHE-57357), Cairo 11311, Egypt.ORCID 0009-0009-2108-5633
May TolbaDepartment of Pharmaceutical Services and Sciences, Children's Cancer Hospital Egypt (CCHE-57357), Cairo 11311, Egypt.ORCID 0009-0001-8723-252X
Ghada A ZiadMicrobiology Unit, Children's Cancer Hospital Egypt (CCHE-57357), Cairo 11311, Egypt.ORCID 0009-0005-3364-3429
Mervat ElananyMicrobiology Unit, Children's Cancer Hospital Egypt (CCHE-57357), Cairo 11311, Egypt.
Mohamed HashemResearch Department, Children's Cancer Hospital Egypt (CCHE-57357), Cairo 11311, Egypt.ORCID 0009-0006-5563-765X
Gehad TahaDepartment of Surgical Oncology, Children's Cancer Hospital Egypt (CCHE-57357), Cairo 11311, Egypt.
Lobna ShalabyPediatric Oncology Department, Children's Cancer Hospital Egypt (CCHE-57357), Cairo 11311, Egypt.
Alaa ElhaddadPediatric Oncology Department, Children's Cancer Hospital Egypt (CCHE-57357), Cairo 11311, Egypt.ORCID 0000-0003-3538-5038

Funding

Pfizer Global Medical Grants 54699605
6 · The paper itself

Abstract

Carbapenem-resistant Enterobacteriaceae (CRE) pose an emerging threat, with a high mortality rate among children with cancer. This study aimed to evaluate the impact of routine rectal swab surveillance and rapid PCR-based detection of carbapenemase genes to facilitate the early initiation of appropriate treatment and assess its effects on outcomes. The study compared two groups of pediatric cancer patients with CRE bloodstream infections: a retrospective cohort of 254 patients from 2013 to 2017, and a prospective cohort of 186 patients from 2020 to 2022, following the implementation of these tools. A rapid diagnostic test in the prospective cohort resulted in the early initiation of proper antibiotics in 85% (165/186) of patients, compared to only 58% (147/254) in the retrospective group. This led to a decrease in the need for ICU admission related to sepsis from CRE and a significant reduction in the 30-day mortality rate (16% vs. 30%,

Indexed as

cancercarbapenem-resistant Enterobacteriaceae (CRE)childrenrapid diagnostics

Identifiers

PMID40732140
PMCPMC12300897

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Registered trials

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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.