Evidence map›Paper›PMID 40862284›Full record

ArticleJournal of clinical and translational hepatology2025

Clinical, Microbiological, and Antibiotic Treatment Characteristics of Bacterial Infections in Patients with Liver Cirrhosis in China: A Multicenter Study.

Xiuding Zhang, Haoda Weng, Qinzhi Deng, Min Deng, Xuwei Wu, Zuxiong Huang, Shourong Liu, Rui Wu, Chunlian Ma, Yao Xu and 32 more

Abstract read
In one paragraph

Article in Journal of clinical and translational hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
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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

42 authors.

Xiuding ZhangState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Haoda WengState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Qinzhi DengDepartment of Infectious Diseases, Ningbo No. 2 Hospital, Ningbo, Zhejiang, China.
Min DengDepartment of Infectious Diseases, Affiliated Hospital of Jiaxing University/The First Hospital of Jiaxing, Jiaxing, Zhejiang, China.
Xuwei WuMengchao Hepatobiliary Hospital of Fujian Medical University, Fuzhou, Fujian, China.
Zuxiong HuangMengchao Hepatobiliary Hospital of Fujian Medical University, Fuzhou, Fujian, China.
Shourong LiuDepartment of Infectious Diseases, Hangzhou Xixi Hospital, Hangzhou Sixth People's Hospital, Hangzhou Xixi Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Rui WuDepartment of Infectious Diseases, Hangzhou Xixi Hospital, Hangzhou Sixth People's Hospital, Hangzhou Xixi Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Chunlian MaDepartment of Infectious Diseases, The First People's Hospital of Wenling, Taizhou, Zhejiang, China.
Yao XuLinyi People's Hospital, Linyi, Shandong, China.
Jianfeng ZhongDepartment of Infectious Diseases, Huzhou Central Hospital, Huzhou, Zhejiang, China.
Jie YangDepartment of Infectious Diseases, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui, Zhejiang, China.
Yinxia WuDepartment of Infectious Diseases, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui, Zhejiang, China.
Huajiang ShenDepartment of Infectious Diseases, Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang, China.
Feng DingDepartment of Infectious Diseases, Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang, China.
Fang WangDepartment of Infectious Diseases, Beilun District People's Hospital, Ningbo, Zhejiang, China.
Xuezhen ZhaiThe Fifth People's Hospital of Huaian, Huaian, Jiangsu, China.
Chunxian PengDepartment of Infectious Diseases, Quzhou People's Hospital, Quzhou, Zhejiang, China.
Haotang RenWeifang People's Hospital, Weifang, Shandong, China.
Jie JinDepartment of Infectious Diseases, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, Zhejiang, China.
Xiangfei XuDepartment of Infectious Diseases, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, Zhejiang, China.
Xiaofei LiDepartment of Infectious Diseases, Yiwu Central Hospital, Yiwu, Zhejiang, China.
Xiaoting YeDepartment of Infectious Diseases, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Guoqing QianDepartment of Infectious Diseases, Ningbo First Hospital, Ningbo, Zhejiang, China.
Shuilin SunThe Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
Xuebing YaoThe Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
Haifeng MiaoDepartment of Infectious Diseases, The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang, China.
Qianggu XiaoDepartment of Infectious Diseases, The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang, China.
Shaoheng YeDongguan Ninth People's Hospital, Dongguan Infectious Diseases Hospital, Dongguan, Guangdong, China.
Qing ZhangDepartment of Gastroenterology, First Hospital of Yangtze University, Jingzhou, Hubei, China.
Xinyi XuState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Xia YuState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Yue YuState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Yan LanState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Huilan TuState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Xianbin XuState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Xinrong ZhangGastroenterology and Hepatology, School of Medicine, Stanford University Medical Center, Palo Alto, CA, USA.
Rui HuangDepartment of Infectious Diseases, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, China.
Xiaohan QianState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Qiao YangDepartment of Infectious Diseases, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Jifang ShengState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.ORCID https://orcid.org/0000-0003-0732-155
Yu ShiState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.ORCID https://orcid.org/0000-0002-9392-7176

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Epidemiological data on bacterial infections in cirrhosis in China remain limited. Therefore, we aimed to conduct a multicenter study to investigate the characteristics and outcomes of patients with cirrhosis and bacterial infections in China. Methods: We retrospectively enrolled 1,438 hospitalized adult patients with cirrhosis and bacterial or fungal infections from 24 hospitals across China between January 2018 and September 2024. Data on demographics, clinical features, microbiology, treatment, and outcomes were collected. Results: A total of 1,783 infection episodes were recorded, including 1,668 first infections and 115 second infections. Most infections were community-acquired (86.6%). Pneumonia was the most common infection type (26.7%), followed by spontaneous bacterial peritonitis (19.5%) and spontaneous bacteremia (14.1%). Among 754 pathogens isolated from 620 patients, Klebsiella pneumoniae (20.1%) was nearly as common as Conclusions: The clinical and microbiological characteristics of bacterial infections in patients with cirrhosis in China differ substantially from those reported in other regions. These findings highlight the need for region-specific management and prevention strategies, particularly in light of the changing microbiological landscape, high MDR prevalence, and suboptimal antibiotic practices.

Indexed as

AntibioticsBacterial infectionsCirrhosisEpidemiologyMulticenter studyMultidrug resistance

Identifiers

PMID40862284
PMCPMC12375819

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