Evidence map›Paper›PMID 40804831›Full record

ArticleDiagnostics (Basel, Switzerland)2025

Impact of Perioperative Antibiotic Prophylaxis Targeting Multidrug-Resistant Gram-Negative Bacteria on Postoperative Infection Rates in Liver Transplant Recipients.

Eleni Massa, Dimitrios Agapakis, Kalliopi Tsakiri, Nikolaos Antoniadis, Elena Angeloudi, Georgios Katsanos, Vasiliki Dourliou, Antigoni Champla, Christina Mouratidou, Dafni Stamou and 6 more

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 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. Article
  2. Review
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

16 authors.

Eleni MassaIntensive Care Unit, General Hospital "Hippokratio", 54642 Thessaloniki, Greece.ORCID 0000-0003-4594-3259
Dimitrios AgapakisDepartment of Internal Medicine, General Hospital "Agios Pavlos", 55134 Thessaloniki, Greece.ORCID 0000-0002-5214-9232
Kalliopi TsakiriIntensive Care Unit, General Hospital "Hippokratio", 54642 Thessaloniki, Greece.
Nikolaos AntoniadisTransplantation Surgery Clinic, "Hippokratio" University Hospital, 54642 Thessaloniki, Greece.ORCID 0000-0002-3988-4515
Elena AngeloudiIntensive Care Unit, General Hospital "Hippokratio", 54642 Thessaloniki, Greece.ORCID 0000-0003-3492-7915
Georgios KatsanosTransplantation Surgery Clinic, "Hippokratio" University Hospital, 54642 Thessaloniki, Greece.
Vasiliki DourliouIntensive Care Unit, General Hospital "Hippokratio", 54642 Thessaloniki, Greece.ORCID 0000-0003-0292-0911
Antigoni ChamplaIntensive Care Unit, General Hospital "Hippokratio", 54642 Thessaloniki, Greece.
Christina MouratidouIntensive Care Unit, General Hospital "Hippokratio", 54642 Thessaloniki, Greece.ORCID 0009-0007-8657-2032
Dafni StamouIntensive Care Unit, General Hospital "Hippokratio", 54642 Thessaloniki, Greece.
Ioannis AlevroudisIntensive Care Unit, General Hospital "Hippokratio", 54642 Thessaloniki, Greece.ORCID 0009-0001-4889-677X
Ariadni FouzaTransplantation Surgery Clinic, "Hippokratio" University Hospital, 54642 Thessaloniki, Greece.
Konstantina-Eleni KarakasiTransplantation Surgery Clinic, "Hippokratio" University Hospital, 54642 Thessaloniki, Greece.
Serafeim-Chrysovalantis KotoulasIntensive Care Unit, General Hospital "Hippokratio", 54642 Thessaloniki, Greece.ORCID 0000-0002-6092-1341
Georgios TsoulfasTransplantation Surgery Clinic, "Hippokratio" University Hospital, 54642 Thessaloniki, Greece.ORCID 0000-0001-5043-7962
Eleni MouloudiIntensive Care Unit, General Hospital "Hippokratio", 54642 Thessaloniki, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infections with multidrug-resistant (MDR) organisms remain a significant cause of morbidity and mortality among liver transplant recipients, despite advances in surgical techniques and immunosuppressive therapy. This prospective observational study aimed to evaluate the impact of targeted perioperative antibiotic prophylaxis against MDR Gram-negative bacteria on postoperative infections and mortality in liver transplant recipients. Seventy-nine adult patients who underwent liver transplantation and were admitted to the ICU for more than 24 h postoperatively were included. Demographics, disease severity scores, comorbidities, and lengths of ICU and hospital stay were recorded. Colonization with carbapenem-resistant Gram-negative bacteria was assessed via preoperative and postoperative cultures from the blood, urine, rectum, and tracheal secretions. Patients were divided into two groups: those with MDR colonization or infection who received targeted prophylaxis and controls who received standard prophylaxis. Infectious complications (30.4%) occurred significantly less frequently than non-infectious ones (62.0%,

Indexed as

liver transplantationmultidrug-resistant Gram-negative bacteriaoutcomeperioperative antibiotic prophylaxis

Identifiers

PMID40804831
PMCPMC12345860

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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.