Evidence map›Paper›PMID 41816717›Full record

ArticleTurkish journal of medical sciences2026

Evaluation of colonization with multidrug-resistant microorganisms and the incidence of attributable infections in patients undergoing hematopoietic stem cell transplantation.

Burcu Çalişkan Demirkiran, Gülşen Iskender, İpek Mumcuoğlu, Duygu Mert, Sinan Dal, Tuba Dal, Semra Tunçbilek, Mustafa Ertek, Fevzi Altuntaş

Abstract read
In one paragraph

Article in Turkish journal of medical sciences, 2026. 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

9 authors.

Burcu Çalişkan DemirkiranDepartment of Infectious Diseases and Clinical Microbiology, Dr Abdurrahman Yurtaslan Ankara Training and Research Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0001-9525-0122
Gülşen IskenderDepartment of Infectious Diseases and Clinical Microbiology, Dr Abdurrahman Yurtaslan Ankara Training and Research Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0001-7619-1366
İpek MumcuoğluDepartment of Medical Microbiology, Dr Abdurrahman Yurtaslan Ankara Training and Research Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-6392-8880
Duygu MertDepartment of Infectious Diseases and Clinical Microbiology, Dr Abdurrahman Yurtaslan Ankara Training and Research Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-6810-2199
Sinan DalDivision of Hematology, Department of Internal Medicine, Dr Abdurrahman Yurtaslan Ankara Training and Research Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0003-0788-9853
Tuba DalDepartment of Medical Microbiology, Dr Abdurrahman Yurtaslan Ankara Training and Research Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0001-7045-1462
Semra TunçbilekDepartment of Infectious Diseases and Clinical Microbiology, Dr Abdurrahman Yurtaslan Ankara Training and Research Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-8860-5738
Mustafa ErtekDepartment of Infectious Diseases and Clinical Microbiology, Dr Abdurrahman Yurtaslan Ankara Training and Research Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-9397-8432
Fevzi AltuntaşDivision of Hematology, Department of Internal Medicine, Dr Abdurrahman Yurtaslan Ankara Training and Research Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0001-6872-3780

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/aim: The global rise in multidrug-resistant organisms (MDROs) has led to an increased incidence of MDRO infections following hematopoietic stem cell transplantation (HSCT), particularly during the preengraftment period. The objective of this study was to evaluate the relationship between pretransplant colonization by MDROs or carbapenem-resistant Materials and methods: This prospective cohort study included patients diagnosed with hematological malignancies who underwent HSCT at the bone marrow transplant unit of Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital between 01 May 2023 and 30 July 2024. Weekly surveillance cultures were obtained at admission and thereafter, including axillary, inguinal, and perianal swabs for MDRO/CRE detection and stool samples for vancomycin-resistant Results: A total of 118 patients were included in the study. The infection rate with CRE pathogens in patients colonized at least once and in those without CRE colonization was 23.3% and 1.3%, respectively (p = 0.004). The incidences of sepsis (p = 0.003), septic shock (p = 0.01), intensive care unit transfer (p = 0.006), and 28-day mortality (p < 0.001) were significantly higher among patients colonized at admission. Conclusion: Early detection of CRE colonization through surveillance culture screening may facilitate timely initiation of appropriate antibiotic therapy for CRE infections during the early preengraftment period, potentially improving clinical outcomes and survival.

Indexed as

Drug Resistance, Multiple, BacterialEnterobacteriaceae InfectionsHematopoietic Stem Cell TransplantationAdultAnti-Bacterial AgentsFemaleHematologic NeoplasmsHumansIncidenceMaleMiddle AgedProspective StudiesVancomycin-Resistant EnterococciYoung AdultAnti-Bacterial AgentsHematopoietic stem cell transplantationmultidrug-resistant organismssurveillance culture

Identifiers

PMID41816717
PMCPMC12974306

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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.