Evidence map›Paper›PMID 40759983›Full record

ArticleAntimicrobial resistance and infection control2025

Protracted outbreaks of VIM-producing Pseudomonas aeruginosa in a surgical intensive care unit in France, January 2018 to June 2024.

Benjamin Querin, Maxime Danjean, Sarah Jolivet, Jeanne Couturier, Soumaya Oubbéa, Claire Jouans, Christelle Lazare, Théo Montagne, Aurélia Chamming's, Solweig Luce and 7 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 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. Review
  2. Article
  3. Review
  4. UnderstandingMicroorganisms · 2026
    Review
  5. High-risk lineages shape the resistome and virulome of multidrug-resistantFrontiers in cellular and infection microbiology · 2026
    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

17 authors.

Benjamin QuerinUnité de Prévention du Risque Infectieux, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France.
Maxime DanjeanEquipe Opérationnelle d'Hygiène, Hôpitaux Universitaires Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France.
Sarah JolivetUnité de Prévention du Risque Infectieux, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France.
Jeanne CouturierService de Microbiologie de L'Environnement, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France.
Soumaya OubbéaUnité de Prévention du Risque Infectieux, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France.
Claire JouansUnité de Prévention du Risque Infectieux, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France.
Christelle LazareService de Microbiologie de L'Environnement, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France.
Théo MontagneService de Microbiologie de L'Environnement, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France.
Aurélia Chamming'sService de Microbiologie de L'Environnement, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France.
Solweig LuceUnité de Prévention du Risque Infectieux, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France.
Gil DheninUnité de Prévention du Risque Infectieux, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France.
Nathalie AudrainUnité de Prévention du Risque Infectieux, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France.
Fabienne FieuxService de Réanimation Chirurgicale, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France.
Franck VerdonkService de Réanimation Chirurgicale, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France.
Jean-Winoc DecousserEquipe Opérationnelle d'Hygiène, Hôpitaux Universitaires Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France.
Florence StordeurUnité de Prévention du Risque Infectieux, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France.
Frédéric BarbutUnité de Prévention du Risque Infectieux, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France. frederic.barbut@aphp.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPseudomonas aeruginosa is frequently responsible for hospital-acquired infections. It may be isolated in healthcare environment where it can survive. Between January 2018 and June 2024, a growing number of VIM-producing Pseudomonas aeruginosa (PA-VIM) were isolated from patients hospitalized in our surgical intensive care unit (SICU). The aim of this study was to investigate SICU long-term PA-VIM outbreaks involving a persistent environmental reservoir.

methodsInvestigations included an active case finding, a matched case-control study to identify factors associated with PA-VIM acquisition, the identification of environmental reservoirs, a whole-genome sequencing analysis of patient and environmental strains, and the implementation of control measures.

resultsDuring these outbreaks, 32 patients were colonized or identified with at least one PA-VIM positive clinical sample during their SICU stay. Factors significantly associated with the PA-VIM acquisition in the conditional univariate analysis included exposure to antibiotics (e.g., carbapenem) and antifungals, and the use of a nasogastric tube and enteral nutrition. Among 342 environmental samples collected in the SICU (including sink drains, syringes and glasses containing syringes used for enteral nutrition), 67 (19.6%) were found positive for PA-VIM. Core-genome Multi-Locus Sequence Typing analysis identified 2 major clones, each including patients and environmental strains.

conclusionsThese long-lasting outbreaks of PA-VIM were associated to a persistent environmental contamination of sink drains. All the strategies aiming at eradicating PA-VIM reservoirs (disinfection, descaling, or replacement of sink drains) failed or only showed a temporary effect.

Indexed as

beta-LactamasesCross InfectionDisease OutbreaksIntensive Care UnitsPseudomonas aeruginosaPseudomonas InfectionsAdultAgedAnti-Bacterial AgentsCase-Control StudiesFemaleFranceHumansMaleMiddle AgedWhole Genome SequencingAnti-Bacterial Agentsbeta-LactamasesCgMLSTOutbreakPseudomonas aeruginosaSink drainsSurgical intensive care unitVIMWhole-genome sequencing

Identifiers

PMID40759983
PMCPMC12323155

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.