Evidence map›Paper›PMID 41126723›Full record

ArticleTransplant infectious disease : an official journal of the Transplantation Society

Hospital Acquired Infections Among Solid Organ Transplant Recipients Hospitalized in Intensive Care Unit (2018-2024): A Study of the GiViTI Group.

Camilla Genovese, Martina Offer, Marta Colaneri, Francesca Dore, Giorgia Montrucchio, Giovanni Scaglione, Gianpaola Monti, Alessandra Bandera, Bruno Viaggi, Andrea Gori and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Transplant infectious disease : an official journal of the Transplantation Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

14 authors.

Camilla GenoveseDepartment of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.
Martina OfferDepartment of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.ORCID https://orcid.org/0000-0002-5939-9576
Marta ColaneriDepartment of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.
Francesca DoreLaboratory of Clinical Data Science, Department of Medical Epidemiology, Mario Negri Institute for Pharmacological Research IRCCS, Ranica, Italy.
Giorgia MontrucchioDepartment of Anesthesia, Intensive Care and Emergency 'Città della Salute e della Scienza' Hospital, Turin, Italy.
Giovanni ScaglioneDepartment of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.
Gianpaola MontiDipartimento Di Anestesia e Rianimazione, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Alessandra BanderaInfectious Diseases Unit, IRCCS Ca' Granda Ospedale Maggiore Policlinico Foundation, Milan, Italy.
Bruno ViaggiDepartment of Anaesthesiology, Neuro-Intensive Care Unit, Careggi University Hospital, Florence, Italy.
Andrea GoriDepartment of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.
Emanuele PalombaDepartment of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.
Andrea LombardiInfectious Diseases Unit, IRCCS Ca' Granda Ospedale Maggiore Policlinico Foundation, Milan, Italy.
Stefano FinazziLaboratory of Clinical Data Science, Department of Medical Epidemiology, Mario Negri Institute for Pharmacological Research IRCCS, Ranica, Italy.
Italian Group for Evaluation of Interventions in Intensive Care Medicine

Funding

Next Generation EU-MUR PNRR Extended Partnership Initiative INF-ACTNext Generation EU-MUR PNRR Extended Partnership Initiative PE00000007
6 · The paper itself

Abstract

introductionLimited data exist regarding the burden of intensive care unit (ICU)-acquired infections in the early post-solid organ transplant (SOT) period, particularly in multidrug resistant organisms-endemic settings. This study aims at describing the epidemiology, clinical characteristics, and outcomes of patients who developed an ICU-acquired infection following a SOT procedure in Italy from 2018 to 2024.

methodsA multicenter, retrospective study was conducted within the Italian PROSAFE project across 31 ICUs from 2018 to 2024. All adult patients admitted to ICU during the same hospitalization as their organ transplant procedure were included. Bloodstream infections, ventilator associated pneumonia, intra-abdominal infections, and urinary tract infections occurring more than 48 h after ICU admission were retrieved.

resultsAmong 2210 SOT recipients, 154 (6.9%) developed 193 ICU-acquired infections. Ventilator associated pneumonia was the most frequent (74, 38.3%), followed by bloodstream infections (56, 29%). Multidrug resistant organisms were identified in 34/87 (39%) isolates with available antibiogram. ICU-acquired infections were associated with significantly higher intra-ICU mortality (35/154, 22.4% vs. 49/2056, 2.4%; p < 0.001) and longer ICU stays (24 vs. 4 days; p < 0.001). Patients with infections due to multidrug resistant organisms showed higher mortality and length of stay.

conclusionsICU-acquired infections occurred in nearly 7% of SOT recipients admitted to ICU following a SOT procedure, with a significant contribute of multidrug resistant organisms. These infections were associated with striking differences in mortality and length of stay. Finally, this study suggested that patients with MDRO infections showed trends toward higher mortality and length of stay.

Indexed as

Cross InfectionIntensive Care UnitsOrgan TransplantationTransplant RecipientsAdultAgedDrug Resistance, Multiple, BacterialFemaleHospitalizationHumansItalyLength of StayMaleMiddle AgedPneumonia, Ventilator-AssociatedRetrospective Studiesbacterial infections: ICUICU‐acquired infectionsMDROSOT

Identifiers

PMID41126723
PMCPMC12793965

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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.