Evidence map›Paper›PMID 34791238›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2022

The Urinary Microbiome of Older Adults Residing in a Nursing Home Varies With Duration of Residence and Shows Increases in Potential Pathogens.

Evan S Bradley, Brent Schell, Doyle V Ward, Vanni Bucci, Abigail Zeamer, John P Haran

Open access · greenAbstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 27% of its field
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

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Urobiome or Urinary Tract Infection: A Mysterious Dilemma.International urogynecology journal · 2026
    Article
  3. Article
  4. Review
  5. Gerontologic Biostatistics and Data Science: Aging Research in the Era of Big Data.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Review
  6. Article
  7. Review
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Evan S BradleyDepartment of Emergency Medicine, UMass Memorial Medical Center and University of Massachusetts Medical School, Worcester, Massachusetts, USA.ORCID 0000-0001-7704-6371
Brent SchellDepartment of Emergency Medicine, UMass Memorial Medical Center and University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Doyle V WardProgram in Microbiome Dynamics, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Vanni BucciProgram in Microbiome Dynamics, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Abigail ZeamerDepartment of Microbiology and Physiological Systems, Center for Microbiome Research, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
John P HaranDepartment of Emergency Medicine, UMass Memorial Medical Center and University of Massachusetts Medical School, Worcester, Massachusetts, USA.
University of Massachusetts Chan Medical School · US

Funding

The elderly gut microbiome during transition to long-term care and the risk of Clostridium difficile carriageK23AG057790 · NIA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI HARAN, JOHN PATRICK · 2018 to 2021
$757k
Joseph P. Healy AwardNIA NIH HHS K23 AG057790
6 · The paper itself

Abstract

The community of bacteria that colonize the urinary tract, the urinary microbiome, is hypothesized to influence a wide variety of urinary tract conditions. Older adults who reside in nursing homes are frequently diagnosed and treated for urinary tract conditions such as urinary tract infection. We investigated the urinary microbiome of older adults residing in a nursing home to determine if there are features of the urinary microbiome that are associated with specific conditions and exposure in this population. We were also interested in the stability of urinary microbiome over time and in similarities between the urinary and gastrointestinal microbiome. Urine samples were prospectively collected over a period of 10 months from a cohort of 26 older adults (aged >65 years) residing in a single nursing home located in Central Massachusetts. Serial samples were obtained from 6 individuals over 10 months and 5 participants were concurrently enrolled in a study of the gastrointestinal microbiome. Information collected on participants included demographics, medical history, duration of residence in the nursing home, frailty, dementia symptoms, urinary symptoms, antibiotic treatment, urinary catheterization, and hospitalizations over a 10-month period. Clean catch, midstream urine samples were collected and stored at -80°C. DNA was extracted and 16S rRNA gene sequencing was performed. The length of stay in the nursing facility and the Clinical Frailty Scale correlated with significant changes in microbiome composition. An increase in the relative abundance of a putative urinary pathogen, Aerococcus urinae, was the largest factor influencing change that occurred over the duration of residence.

Indexed as

FrailtyMicrobiotaUrinary Tract InfectionsAgedAnti-Bacterial AgentsHumansNursing HomesRNA, Ribosomal, 16SAnti-Bacterial AgentsRNA, Ribosomal, 16SInfectionOlder adult nursing home residentsUrinary microbiomeUrinary tract infections

Identifiers

PMID34791238
PMCPMC9653004
OpenAlexW3212987491

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.