Evidence map›Paper›PMID 41250695›Full record

ArticleCureus2025

Genome Sequencing to Prevent Hospital-Acquired Infections Caused by Carbapenem-Resistant Acinetobacter baumannii Due to Importation and Intra-facility Transmission in a Regional Hospital Network: Study Protocol for Implementation Research.

Basanti Pathi, Jyoti Prakash Sahoo, Ashoka Mahapatra, Rajashree Panigrahy, Sanghamitra Padhi, Priya Ranjan Lenka, Indrani Mohanty, Balamurugan Ramadass, Kumudini Panigrahi, Shikha Dixit and 1 more

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Basanti PathiMicrobiology, Kalinga Institute of Medical Sciences, Bhubaneswar, IND.
Jyoti Prakash SahooPharmacology, Kalinga Institute of Medical Sciences, Bhubaneswar, IND.
Ashoka MahapatraMicrobiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
Rajashree PanigrahyMicrobiology, Institute of Medical Sciences (IMS) Siksha 'O' Anusandhan University Medical Hospital, Bhubaneswar, IND.
Sanghamitra PadhiMicrobiology, Maharaja Krushna Chandra Gajapati Medical College and Hospital, Brahmapur, IND.
Priya Ranjan LenkaMicrobiology, Saheed Laxman Nayak Medical College and Hospital, Koraput, IND.
Indrani MohantyMicrobiology, Pandit Raghunath Murmu Medical College and Hospital, Baripada, IND.
Balamurugan RamadassBiochemistry, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
Kumudini PanigrahiMicrobiology, Kalinga Institute of Medical Sciences, Bhubaneswar, IND.
Shikha DixitEpidemiology, The INCLEN Trust International, New Delhi, IND.
Manoja K DasPublic Health, The INCLEN Trust International, New Delhi, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesCarbapenem-resistant

methodsThis study adopts an integrated prospective facility-based surveillance with a quasi-experimental design using the plan-do-study-act (PDSA) implementation research cycles with mixed-methods data collection approaches. The study will be conducted over three years at six tertiary care medical institutions in Odisha. Prospective surveillance over 24 months at these hospitals will monitor the CRAb isolates to identify HAI outbreaks and intra- and inter-facility transmissions. The metagenomic and genome-wide sequencing (GWS) shall document CRAb phylogenetic lineages for outbreaks and intra- and inter-facility transmissions. Geospatial mapping shall document the spatial characterization of CRAb transmission for the index cases. Formative research shall identify potential risk factors at various levels for HAIs, outbreaks, intra- and inter-facility CRAb transmissions, hospital infection prevention, surveillance, and antibiotic stewardship efforts, using the Consolidated Framework for Implementation Research (CFIR). Based on this information, contextualized strategies and interventions to strengthen hospital infection prevention, surveillance, and antibiotic stewardship efforts shall be implemented at these facilities using incremental PDSA cycles. Data from these PDSA cycles shall be compared to document the impact on CRAb outbreaks and process indicators. The practices' and interventions' feasibility, acceptability, and sustainability shall be documented.

resultsWe do not have any observations, as we have not started the study yet.

conclusionThe study shall generate evidence on genoepidemiology, transmission dynamics of HAIs due to CRAb in Odisha, India, and the associated risk factors. The lessons from context-specific implementation strategies (covering infection surveillance, prevention strategies, and antibiotic stewardship domains) to tackle CRAb-associated HAIs outbreaks and the feasibility, acceptability, and sustainability shall inform the policy and practices. The geographic signatures of horizontal CRAb-associated HAIs will generate a new knowledge base to design future intervention measures.

Indexed as

acinetobacter baumanniiantibiotic susceptibility testantimicrobial resistancecarbapenem-resistancehospital-acquired infectionimplementation researchinter-facility transmissionmetagenomicsmultilocus sequence typing (mlst)plan-do-study-act

Identifiers

PMID41250695
PMCPMC12619989

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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.