Evidence map›Paper›PMID 41397756›Full record

ArticleBMJ open2025

Epidemiological investigation and patterns of antimicrobial use in multidrug-resistant bacteria at a tertiary hospital: a retrospective cohort study.

Man Wang, Ying Cao, Jian-Hong Zhang, Sheng-Nan Ma, Yu Wang, Ting Miao, Wei Xiao, Qiang Fu

Abstract read
In one paragraph

Article in BMJ open, 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. Article
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

8 authors.

Man WangTianjin Fourth Central Hospital, Tianjin, China 13920864938@163.com zhang_jianhong66@sina.com wmxhy2009@163.com.ORCID http://orcid.org/0009-0009-7802-7258
Ying CaoTianjin Fourth Central Hospital, Tianjin, China.ORCID http://orcid.org/0009-0004-0303-9995
Jian-Hong ZhangTianjin Fourth Central Hospital, Tianjin, China 13920864938@163.com zhang_jianhong66@sina.com wmxhy2009@163.com.ORCID http://orcid.org/0000-0002-2919-6946
Sheng-Nan MaTianjin Fourth Central Hospital, Tianjin, China.ORCID http://orcid.org/0000-0003-4892-1557
Yu WangTianjin Fourth Central Hospital, Tianjin, China.ORCID http://orcid.org/0009-0007-1930-5778
Ting MiaoTianjin Fourth Central Hospital, Tianjin, China.ORCID http://orcid.org/0009-0006-1096-7233
Wei XiaoTianjin Fourth Central Hospital, Tianjin, China.ORCID http://orcid.org/0009-0000-7366-499X
Qiang FuTianjin Fourth Central Hospital, Tianjin, China 13920864938@163.com zhang_jianhong66@sina.com wmxhy2009@163.com.ORCID http://orcid.org/0009-0005-6827-5101

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyse trends and characteristics of multidrug-resistant (MDR) bacteria over the past 7 years, in relation to patterns of antimicrobial use, to inform rational antimicrobial use and strengthen hospital infection control measures.

designRetrospective cohort study.

settingA large teaching hospital in Tianjin, a major metropolitan city in northern China.

participantsA total of 190 352 inpatients aged >18 years, admitted between 1 January 2017 and 31 December 2023, were included. Patients were eligible if they had complete clinical data and met the five quality control indicators for multidrug-resistant bacteria (QC-MRB), defined in the 'Hospital Infection Surveillance Specifications' (WS/T 312-2023). Patients with MDR infections before admission or those with duplicate results from multiple specimens were excluded.

resultsStatistical analysis revealed a detection rate of 12.11% for the five QC-MRB and an incidence rate of 0.20%. The findings also indicated an upward trend in the detection and incidence rates of

conclusionsThe hospital's bacterial data align with national trends. It established an interdisciplinary management framework for clinical data analysis and prediction of antimicrobial resistance. This approach enhances infection control measures and supports the rational use of antimicrobials.

Indexed as

Anti-Bacterial AgentsBacterial InfectionsCross InfectionDrug Resistance, Multiple, BacterialAdultAgedCarbapenem-Resistant EnterobacteriaceaeChinaFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesTertiary Care CentersAnti-Bacterial AgentsAntibioticsBACTERIOLOGYEpidemiology

Identifiers

PMID41397756
PMCPMC12706192

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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.