Evidence map›Paper›PMID 41869813›Full record

ArticleMicrobiology spectrum2026

Microbial signatures and host immune responses associated with the development of ventilator-associated pneumonia among patients with neurological injuries.

Leonardo Mancabelli, Emanuele Palomba, Federico Magni, Liliane Chatenoud, Ilaria Olgiati, Chiara Buracchi, Cristina Bugarin, Giuseppe Gaipa, Chiara Abbruzzese, Matteo Filippini and 13 more

Abstract read
In one paragraph

Article in Microbiology spectrum, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

23 authors.

Leonardo MancabelliDepartment of Medicine and Surgery, University of Parma, Parma, Italy.ORCID 0000-0002-1744-2214
Emanuele PalombaDepartment of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.
Federico MagniNeuroIntensive Care Unit, Department Neuroscience, IRCCS Fondazione San Gerardo dei Tintori, Monza, Italy.
Liliane ChatenoudIstituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Ilaria OlgiatiIstituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Chiara BuracchiTettamanti Center, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Cristina BugarinTettamanti Center, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Giuseppe GaipaTettamanti Center, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Chiara AbbruzzeseDepartment of Anaesthesia, Critical Care and Emergency, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Matteo FilippiniDepartment of Anesthesia, Intensive Care and Emergency, ASST Spedali Civili University Hospital, Brescia, Italy.
Andrea ForastieriDépartement Anesthésie Réanimation, Hospitalier Universitaire (CHU) Saint-Etienne, Saint-Étienne, France.
Roberto FumagalliDepartment of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy.
Federico GeraldiniSant'Antonio Anesthesia and Intensive Care Unit, University-Hospital of Padua, Padua, Italy.
Edoardo PicettiDepartment of Anaesthesia and Intensive Care, Parma University Hospital, Parma, Italy.
Leonardo TerranovaInternal Medicine Department, Respiratory Unit and Cystic Fibrosis Adult Center, Foundation IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.
Rosanna VaschettoDepartment of Anaesthesia and Intensive Care, Azienda Ospedaliero Universitaria Maggiore della Carità, Novara, Italy.
Tommaso ZoerleNeuroscience Intensive Care Unit, Department of Anaesthesia and Critical Care, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Marco VenturaInterdepartmental Research Centre "Microbiome Research Hub", University of Parma, Parma, Italy.ORCID 0000-0002-4875-4560
Giuseppe CiterioNeuroIntensive Care Unit, Department Neuroscience, IRCCS Fondazione San Gerardo dei Tintori, Monza, Italy.
Andrea GoriDepartment of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.
Alessandra BanderaDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy.ORCID 0000-0001-9440-4601
Laura Alagna *Infectious Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Francesca Turroni *Interdepartmental Research Centre "Microbiome Research Hub", University of Parma, Parma, Italy.ORCID 0000-0001-5363-0231

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ventilator-associated pneumonia (VAP) remains a leading complication in mechanically ventilated patients, yet the contribution of the respiratory microbiota remains poorly understood. The PULMIVAP study is a multicenter, longitudinal cohort investigation of respiratory microbiota composition and host immune responses in critically ill adults intubated for non-pulmonary conditions. A total of 146 intubated adult patients were enrolled across eight Italian ICUs, forming matched groups of 73 with VAP and 73 without. Oropharyngeal swabs and endotracheal aspirates were collected at intubation and either at VAP diagnosis or at a matched point in controls for a total of 584 biological samples. Metataxonomic analyses revealed substantial temporal shifts in microbial communities across both upper and lower respiratory compartments, with a trend toward reduced microbial richness in patients who developed VAP. Several genera, such as

Indexed as

16S rRNAendotracheal aspiratehuman microbiotaoropharyngeal swabsventilator-associated pneumonia

Identifiers

PMID41869813
PMCPMC13141929

What OpenQuestion holds

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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.