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World-wide variation in incidence of Acinetobacter associated ventilator associated pneumonia: a meta-regression

Overview of attention for article published in BMC Infectious Diseases, October 2016
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Title
World-wide variation in incidence of Acinetobacter associated ventilator associated pneumonia: a meta-regression
Published in
BMC Infectious Diseases, October 2016
DOI 10.1186/s12879-016-1921-4
Pubmed ID
Authors

James C. Hurley

Abstract

Acinetobacter species such as Acinetobacter baumanii are of increasing concern in association with ventilator associated pneumonia (VAP). In the ICU, Acinetobacter infections are known to be subject to seasonal variation but the extent of geographic variation is unclear. The objective here is to define the extent and possible reasons for geographic variation for Acinetobacter associated VAP whether or not these isolates are reported as Acinetobacter baumanii. A meta-regression model of VAP associated Acinetobacter incidence within the published literature was undertaken using random effects methods. This model incorporated group level factors such as proportion of trauma admissions, year of publication and reporting practices for Acinetobacter infection. The search identified 117 studies from seven worldwide regions over 29 years. There is significant variation in Acinetobacter species associated VAP incidence among seven world-wide regions. The highest incidence is amongst reports from the Middle East (mean; 95 % confidence interval; 8.8; 6 · 2-12 · 7 per 1000 mechanical ventilation days) versus that from North American ICU's (1 · 2; 0 · 8-2 · 1). There is a similar geographic related disparity in incidence among studies reporting specifically as Acinetobacter baumanii. The incidence in ICU's with a majority of admission being for trauma is >2.5 times that of other ICU's. There is greater than fivefold variation in Acinetobacter associated VAP among reports from various geographic regions worldwide. This variation is not explainable by variations in rates of VAP overall, admissions for trauma, publication year or Acinetobacter reporting practices as group level variables.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 59 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 59 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 14 24%
Researcher 7 12%
Other 6 10%
Student > Ph. D. Student 4 7%
Student > Doctoral Student 3 5%
Other 7 12%
Unknown 18 31%
Readers by discipline Count As %
Medicine and Dentistry 22 37%
Biochemistry, Genetics and Molecular Biology 5 8%
Nursing and Health Professions 4 7%
Immunology and Microbiology 3 5%
Agricultural and Biological Sciences 1 2%
Other 6 10%
Unknown 18 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 November 2016.
All research outputs
#18,800,225
of 23,299,593 outputs
Outputs from BMC Infectious Diseases
#5,708
of 7,803 outputs
Outputs of similar age
#240,940
of 317,721 outputs
Outputs of similar age from BMC Infectious Diseases
#148
of 224 outputs
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