Evidence map›Paper›PMID 41009904›Full record

ArticleAntibiotics (Basel, Switzerland)2025

Burden of Healthcare-Associated Infections and Antimicrobial Resistance in a Romanian Cardiovascular and Transplant Center: Factors Associated with Mortality.

Mihaela-Alexandra Budianu, Cristina Nicoleta Ciurea, Liviu Moraru, Septimiu Voidăzan

Abstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
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  3. Observational
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  8. Observational
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

4 authors.

Mihaela-Alexandra BudianuDepartment of Epidemiology, University of Medicine, Pharmacy, Science and Technology "George Emil Palade" of Tîrgu Mureș, 540139 Târgu Mureș, Romania.ORCID 0000-0002-0602-2564
Cristina Nicoleta CiureaDepartment of Microbiology, University of Medicine, Pharmacy, Science and Technology "George Emil Palade" of Tîrgu Mureș, 540139 Târgu Mureș, Romania.ORCID 0000-0003-2262-7456
Liviu MoraruDepartment of Anatomy, University of Medicine, Pharmacy, Science and Technology "George Emil Palade" of Tîrgu Mureș, 540139 Târgu Mureș, Romania.
Septimiu VoidăzanDepartment of Epidemiology, University of Medicine, Pharmacy, Science and Technology "George Emil Palade" of Tîrgu Mureș, 540139 Târgu Mureș, Romania.ORCID 0000-0002-6467-6275

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesHealthcare-associated infections (HAIs) are a major burden in tertiary hospitals, particularly in high-risk populations such as cardiovascular and transplant patients. The emergence of antimicrobial resistance (AMR) further complicates management, contributes to poor outcomes and increases costs. This study aimed to describe the burden of HAIs, the antimicrobial resistance patterns of the main pathogens, and to identify predictors of mortality among patients hospitalized in a Romanian cardiovascular and transplant center.

methodsWe conducted a retrospective study including all patients with HAIs reported to the Infection Prevention and Control Service of the Emergency Institute for Cardiovascular Diseases and Transplantation, Târgu Mureș, Romania, between 2023 and the first quarter of 2025. Descriptive statistics summarized demographic and clinical data. Univariable and multivariable logistic regression were used to assess risk factors for mortality. Antimicrobial resistance was evaluated through cumulative antibiograms.

resultsA total of 139 HAIs were reported during the study period, with a prevalence of 1.05% in 2023 and 1.0% in 2024. The most common pathogens were SARS-CoV-2 (15%),

conclusionsAlthough the prevalence of HAIs in our study was low, the cases that occurred in cardiovascular and transplant patients were often severe, frequently involved multidrug-resistant organisms, and were associated with high mortality. Strengthening infection prevention and antimicrobial stewardship is essential to reduce the impact of HAIs in this vulnerable population.

Indexed as

Acinetobacter baumanniiantibiotic resistanceHAIsICUKlebsiella pneumoniae

Identifiers

PMID41009904
PMCPMC12466688

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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.