Evidence map›Paper›PMID 42221091›Full record

ReviewFrontiers in medicine2026

Prevention and management of nosocomial infections in patients undergoing extracorporeal membrane oxygenation: a summary of best evidence.

Dan-Dan Xu, Shu-Han Cai, Na-Na Chen, Xin-Bo Ding, Jing Ma, Chao Tian, Zhao-Yang Li, Hui-Lin Li, Fen Hu, Jin Li

Abstract readReview
In one paragraph

Review in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Dan-Dan Xu *Department of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China.
Shu-Han Cai *Department of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China.
Na-Na Chen *Health Science Center, Yangtze University, Jingzhou, China.
Xin-Bo DingDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China.
Jing MaDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China.
Chao TianDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China.
Zhao-Yang LiDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China.
Hui-Lin LiDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China.
Fen HuClinical Research Center of Hubei Critical Care Medicine, Wuhan, China.
Jin LiDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed to systematically search, evaluate, and synthesize the latest evidence on the prevention and management of nosocomial infections in patients supported by extracorporeal membrane oxygenation. Methods: The study included clinical practice guidelines, expert consensus statements, systematic reviews, and other relevant publications. The quality of the included literature was rigorously assessed using appropriate tools such as AGREE II and AMSTAR. Data extraction and evidence synthesis were performed independently by two researchers. A comprehensive search was conducted across multiple databases and sources, including PubMed, Embase, the Cochrane Library, Web of Science, China National Knowledge Infrastructure, Wanfang Data, VIP, SinoMed, the National Guideline Clearinghouse, the Scottish Intercollegiate Guidelines Network, the Extracorporeal Life Support Organization website, and UpToDate. The search covered the period from the inception of each database up to October 31, 2025. Results: Fourteen studies met the inclusion criteria, comprising 2 clinical decisions, 4 guidelines, 4 expert consensus documents, 2 systematic reviews, and 2 cohort studies. All 14 studies were included following quality assessment. A total of 27 evidence items were synthesized and categorized into three domains: (1) infection prevention during extracorporeal membrane oxygenation initiation, (2) infection prevention during extracorporeal membrane oxygenation run, and (3) monitoring and treatment of extracorporeal membrane oxygenation-related infections. Conclusion: The prevention and control of nosocomial infections in patients receiving extracorporeal membrane oxygenation requires a comprehensive, bundle-based management strategy grounded in the best available evidence. The evidence synthesized in this study is both robust and practical. We recommend that clinical institutions adapt these evidence-based recommendations into specific clinical protocols and checklists tailored to their local context, with the ultimate goal of effectively reducing infection rates and improving clinical outcomes in patients receiving extracorporeal membrane oxygenation.

Indexed as

critical illnessevidence summaryextracorporeal membrane oxygenationinfection preventionnosocomial infection

Identifiers

PMID42221091
PMCPMC13219359

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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.