Evidence map›Paper›PMID 41013355›Full record

ArticleBMC neurology2025

Enterococci-related healthcare-associated ventriculitis and meningitis: a multicenter retrospective case series from clinical practice.

Yuyang Qiu, Yi Ye, Qiujun Yang, Jixun Zhao, Xiaobo Gong, Yimin Ma, Guangzhi Shi, Guiyun Li, Guofeng Wu

Abstract readMulticenter Study
In one paragraph

Article in BMC neurology, 2025. 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.

Yuyang Qiu *Department of Emergency, the Second People's Hospital of Guiyang, No.547, Jinyang South Road, Guiyang, Guanshanhu , China.
Yi Ye *Department of Emergency, Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Qiujun YangGuizhou Medical University, Guiyang, China.
Jixun ZhaoDepartment of Clinical Nutrition, Guizhou Rehabilitation Hospital, Guiyang, China.
Xiaobo GongDepartment of Hepatobiliary Surgery, the Second People's Hospital of Guiyang, Guiyang, China.
Yimin MaDepartment of Emergency, the Second People's Hospital of Guiyang, No.547, Jinyang South Road, Guiyang, Guanshanhu , China.
Guangzhi ShiDepartment of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Guiyun Li *Department of Emergency, the Second People's Hospital of Guiyang, No.547, Jinyang South Road, Guiyang, Guanshanhu , China. liguiyun4580@163.com.
Guofeng Wu *Department of Emergency, Affiliated Hospital of Guizhou Medical University, Guiyang, China.

Funding

Guiyang high level innovative youth health talent project fund 2021-SWJJ-010National Natural Science Foundation of China 81971126, 82001380
6 · The paper itself

Abstract

Healthcare-associated ventriculitis and meningitis (HCAVM) is a severe infection and is associated with high morbidity, mortality, and poor functional prognosis, and the associated microorganisms can be skin flora or nosocomial pathogens, most commonly Gram-negative bacteria. Enterococci-related HCAVM have rarely been discussed systemically, the related drug resistance and outcomes have been poorly researched. In this multicenter retrospective case series, we analyzed patients with Enterococci-related HCAVM from three tertiary hospitals. Our study assessed bacterial resistance patterns, antimicrobial treatment strategies, and clinical outcomes in this patient cohort. A total of 94 strains of Enterococci causing HCAVM were identified, including 58 strains of Enterococcus faecalis and 34 strains of Enterococcus faecium. Vancomycin resistance rate was 7.4%(7/94), which only occurred in E. faecium. The linezolid resistance rate was 1.1%(1/94). Ten tested antimicrobial agents showed higher resistance rates against E. faecium than against E. faecalis. Vancomycin was used in 88 patients as empirical treatment, which was changed to linezolid in 12 patients, including those with vancomycin-resistant E. faecium. Four (4.3%) patients experienced ineffective treatments, eight (8.5%) had poor outcomes, and the treatment course was 15.3 ± 10.9 days. In conclusion, our findings reveal the different resistance rates of Enterococcus faecalis and Enterococcus faecium to vancomycin and linezolid, reveal the clinical epidemiological characteristics of Enterococci-related HCAVM, and provide an important reference for the selection of antimicrobial agents.

Indexed as

Cerebral VentriculitisCross InfectionGram-Positive Bacterial InfectionsMeningitis, BacterialAdultAgedAged, 80 and overAnti-Bacterial AgentsEnterococcus faecalisEnterococcus faeciumFemaleHumansMaleMiddle AgedRetrospective StudiesVancomycinAnti-Bacterial AgentsVancomycinAntimicrobial susceptibility testEnterococciHealthcare-associated ventriculitis and meningitisLinezolidVancomycin

Identifiers

PMID41013355
PMCPMC12465780

What Socratic holds

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LicenceCC BY-NC-ND
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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.