Risk factors for nosocomial infection in patients undergoing extracorporeal membrane oxygenation support treatment: A systematic review and meta-analysis
To evaluate the risk factors of nosocomial infection during Extracorporeal membrane oxygenation (ECMO) treatment through systematic evaluation and meta-analysis, in order to provide evidence-based basis for clinical treatment and prevention of nosocomial infection during ECMO treatment. Computer sea...
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| Veröffentlicht in: | PloS one 2024-11, Vol.19 (11), p.e0308078 |
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| creator | Lv, Xiangui Han, Yan Liu, Daiqiang Chen, Xinwei Chen, Lvlin Huang, Huang Huang, Chao |
| description | To evaluate the risk factors of nosocomial infection during Extracorporeal membrane oxygenation (ECMO) treatment through systematic evaluation and meta-analysis, in order to provide evidence-based basis for clinical treatment and prevention of nosocomial infection during ECMO treatment.
Computer search of Cochrane Library, PubMed, Embase, and Web of Science databases was conducted to establish a database of relevant literature published in March 2023. Two researchers independently screened literature, extracted data, and evaluated quality based on inclusion and exclusion criteria, and then analyzed the data using STATA 14.0 software. This plan is registered with PROSPERO as CRD42021271083.
A total of 2955 ECMO patients, including 933 nosocomial infected patients, were included in 23 articles. Meta analysis showed that immunosuppression, Heart transplantation, VA-ECMO, CRRT, red blood cell input, ECMO support time, mechanical ventilation time, ICU hospitalization time, and total hospitalization time were the risk factors for nosocomial infection in patients supported by ECMO.
ECMO treatment for nosocomial infections in patients is related to multiple factors. In clinical work, medical staff should identify high-risk groups of ECMO nosocomial infections, actively take preventive measures, and reduce the incidence and mortality of nosocomial infections. |
| doi_str_mv | 10.1371/journal.pone.0308078 |
| format | Article |
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Computer search of Cochrane Library, PubMed, Embase, and Web of Science databases was conducted to establish a database of relevant literature published in March 2023. Two researchers independently screened literature, extracted data, and evaluated quality based on inclusion and exclusion criteria, and then analyzed the data using STATA 14.0 software. This plan is registered with PROSPERO as CRD42021271083.
A total of 2955 ECMO patients, including 933 nosocomial infected patients, were included in 23 articles. Meta analysis showed that immunosuppression, Heart transplantation, VA-ECMO, CRRT, red blood cell input, ECMO support time, mechanical ventilation time, ICU hospitalization time, and total hospitalization time were the risk factors for nosocomial infection in patients supported by ECMO.
ECMO treatment for nosocomial infections in patients is related to multiple factors. In clinical work, medical staff should identify high-risk groups of ECMO nosocomial infections, actively take preventive measures, and reduce the incidence and mortality of nosocomial infections.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0308078</identifier><identifier>PMID: 39585868</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Antibiotics ; Bias ; Biology and Life Sciences ; Blood ; Blood oxygenation, Extracorporeal ; Care and treatment ; Cohort analysis ; Critically ill ; Cross infection ; Cross Infection - epidemiology ; Cross Infection - prevention & control ; Data analysis ; Diagnosis ; Erythrocytes ; Evidence-based medicine ; Extracorporeal membrane oxygenation ; Extracorporeal Membrane Oxygenation - adverse effects ; Health aspects ; Health risks ; Health services ; Heart ; Heart transplantation ; Heart Transplantation - adverse effects ; Heart transplants ; Hospitalization ; Hospitals ; Humans ; Immunosuppression ; Immunotherapy ; Intubation ; Mechanical properties ; Mechanical ventilation ; Medicine and Health Sciences ; Membranes ; Meta-analysis ; Methods ; Mortality ; Nosocomial infection ; Nosocomial infections ; Online databases ; Ostomy ; Overview ; Oxygenation ; Patient outcomes ; Patients ; People and Places ; Physical Sciences ; Pneumonia ; Research and Analysis Methods ; Risk assessment ; Risk Factors ; Risk groups ; Systematic review ; Tracheotomy ; Transplantation ; Ventilation ; Ventilators</subject><ispartof>PloS one, 2024-11, Vol.19 (11), p.e0308078</ispartof><rights>Copyright: © 2024 Lv et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2024 Public Library of Science</rights><rights>2024 Lv et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 Lv et al 2024 Lv et al</rights><rights>2024 Lv et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c572t-3d0c8f7db14c505fcf9de6450dd5f0ade3a4cbf7f64873b2f0a0089b5c2254c93</cites><orcidid>0000-0001-7203-9201</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11588223/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11588223/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39585868$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lv, Xiangui</creatorcontrib><creatorcontrib>Han, Yan</creatorcontrib><creatorcontrib>Liu, Daiqiang</creatorcontrib><creatorcontrib>Chen, Xinwei</creatorcontrib><creatorcontrib>Chen, Lvlin</creatorcontrib><creatorcontrib>Huang, Huang</creatorcontrib><creatorcontrib>Huang, Chao</creatorcontrib><title>Risk factors for nosocomial infection in patients undergoing extracorporeal membrane oxygenation support treatment: A systematic review and meta-analysis</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>To evaluate the risk factors of nosocomial infection during Extracorporeal membrane oxygenation (ECMO) treatment through systematic evaluation and meta-analysis, in order to provide evidence-based basis for clinical treatment and prevention of nosocomial infection during ECMO treatment.
Computer search of Cochrane Library, PubMed, Embase, and Web of Science databases was conducted to establish a database of relevant literature published in March 2023. Two researchers independently screened literature, extracted data, and evaluated quality based on inclusion and exclusion criteria, and then analyzed the data using STATA 14.0 software. This plan is registered with PROSPERO as CRD42021271083.
A total of 2955 ECMO patients, including 933 nosocomial infected patients, were included in 23 articles. Meta analysis showed that immunosuppression, Heart transplantation, VA-ECMO, CRRT, red blood cell input, ECMO support time, mechanical ventilation time, ICU hospitalization time, and total hospitalization time were the risk factors for nosocomial infection in patients supported by ECMO.
ECMO treatment for nosocomial infections in patients is related to multiple factors. In clinical work, medical staff should identify high-risk groups of ECMO nosocomial infections, actively take preventive measures, and reduce the incidence and mortality of nosocomial infections.</description><subject>Antibiotics</subject><subject>Bias</subject><subject>Biology and Life Sciences</subject><subject>Blood</subject><subject>Blood oxygenation, Extracorporeal</subject><subject>Care and treatment</subject><subject>Cohort analysis</subject><subject>Critically ill</subject><subject>Cross infection</subject><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - prevention & control</subject><subject>Data analysis</subject><subject>Diagnosis</subject><subject>Erythrocytes</subject><subject>Evidence-based medicine</subject><subject>Extracorporeal membrane oxygenation</subject><subject>Extracorporeal Membrane Oxygenation - adverse effects</subject><subject>Health aspects</subject><subject>Health risks</subject><subject>Health services</subject><subject>Heart</subject><subject>Heart transplantation</subject><subject>Heart Transplantation - adverse effects</subject><subject>Heart transplants</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Immunosuppression</subject><subject>Immunotherapy</subject><subject>Intubation</subject><subject>Mechanical properties</subject><subject>Mechanical ventilation</subject><subject>Medicine and Health Sciences</subject><subject>Membranes</subject><subject>Meta-analysis</subject><subject>Methods</subject><subject>Mortality</subject><subject>Nosocomial infection</subject><subject>Nosocomial infections</subject><subject>Online databases</subject><subject>Ostomy</subject><subject>Overview</subject><subject>Oxygenation</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>People and Places</subject><subject>Physical Sciences</subject><subject>Pneumonia</subject><subject>Research and Analysis Methods</subject><subject>Risk assessment</subject><subject>Risk Factors</subject><subject>Risk groups</subject><subject>Systematic review</subject><subject>Tracheotomy</subject><subject>Transplantation</subject><subject>Ventilation</subject><subject>Ventilators</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk9tu1DAQhiMEoqXwBggsISG42MWJ48ThBq0qDpUqVSqHW2vWh9QliYPtlO6j8LbMdrfVLuoFykWs8Tf_eE5Z9jyn85zV-btLP4UBuvnoBzOnjApaiwfZYd6wYlYVlD3cOR9kT2K8pJQzUVWPswPWcMFFJQ6zP-cu_iQWVPIhEusDGXz0yvcOOuIGa1RyfsATGSE5M6RIpkGb0Ho3tMRcpwDKh9EHg3xv-mWAwRB_vWrNADeucRrxOpGESOpR4T1ZkLiKyfQIKBLMlTO_CQwa_RPMAJNaRRefZo8sdNE82_6Psu-fPn47_jI7Pft8crw4nSleF2nGNFXC1nqZl4pTbpVttKlKTrXmloI2DEq1tLWtSlGzZYE2SkWz5KooeKkadpS93OiOnY9yW9UoWc6KuuaiLpE42RDaw6Ucg-shrKQHJ28MPrQSAqbSGdkAdqHC0KBs2UAJ0JjaaEobrXOeG9T6sI02LXujFdYjQLcnun8zuAvZ-iuZ51yIomCo8GarEPyvycQkexeV6TosvJ82DxdlwZo1-uof9P70tlQLmAH23K-buhaVC5HXVd0UGPcom99D4adN7xTOoHVo33N4u-eATMJ5aWGKUZ58Pf9_9uzHPvt6h73AuUsX0XfTetjiPlhuQBV8jMHYuyrnVK5X6LYacr1CcrtC6PZit0N3Trc7w_4CIbcb9A</recordid><startdate>20241125</startdate><enddate>20241125</enddate><creator>Lv, Xiangui</creator><creator>Han, Yan</creator><creator>Liu, Daiqiang</creator><creator>Chen, Xinwei</creator><creator>Chen, Lvlin</creator><creator>Huang, Huang</creator><creator>Huang, Chao</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-7203-9201</orcidid></search><sort><creationdate>20241125</creationdate><title>Risk factors for nosocomial infection in patients undergoing extracorporeal membrane oxygenation support treatment: A systematic review and meta-analysis</title><author>Lv, Xiangui ; Han, Yan ; Liu, Daiqiang ; Chen, Xinwei ; Chen, Lvlin ; Huang, Huang ; Huang, Chao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c572t-3d0c8f7db14c505fcf9de6450dd5f0ade3a4cbf7f64873b2f0a0089b5c2254c93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Antibiotics</topic><topic>Bias</topic><topic>Biology and Life Sciences</topic><topic>Blood</topic><topic>Blood oxygenation, Extracorporeal</topic><topic>Care and treatment</topic><topic>Cohort analysis</topic><topic>Critically ill</topic><topic>Cross infection</topic><topic>Cross Infection - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lv, Xiangui</au><au>Han, Yan</au><au>Liu, Daiqiang</au><au>Chen, Xinwei</au><au>Chen, Lvlin</au><au>Huang, Huang</au><au>Huang, Chao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for nosocomial infection in patients undergoing extracorporeal membrane oxygenation support treatment: A systematic review and meta-analysis</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2024-11-25</date><risdate>2024</risdate><volume>19</volume><issue>11</issue><spage>e0308078</spage><pages>e0308078-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>To evaluate the risk factors of nosocomial infection during Extracorporeal membrane oxygenation (ECMO) treatment through systematic evaluation and meta-analysis, in order to provide evidence-based basis for clinical treatment and prevention of nosocomial infection during ECMO treatment.
Computer search of Cochrane Library, PubMed, Embase, and Web of Science databases was conducted to establish a database of relevant literature published in March 2023. Two researchers independently screened literature, extracted data, and evaluated quality based on inclusion and exclusion criteria, and then analyzed the data using STATA 14.0 software. This plan is registered with PROSPERO as CRD42021271083.
A total of 2955 ECMO patients, including 933 nosocomial infected patients, were included in 23 articles. Meta analysis showed that immunosuppression, Heart transplantation, VA-ECMO, CRRT, red blood cell input, ECMO support time, mechanical ventilation time, ICU hospitalization time, and total hospitalization time were the risk factors for nosocomial infection in patients supported by ECMO.
ECMO treatment for nosocomial infections in patients is related to multiple factors. In clinical work, medical staff should identify high-risk groups of ECMO nosocomial infections, actively take preventive measures, and reduce the incidence and mortality of nosocomial infections.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>39585868</pmid><doi>10.1371/journal.pone.0308078</doi><tpages>e0308078</tpages><orcidid>https://orcid.org/0000-0001-7203-9201</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2024-11, Vol.19 (11), p.e0308078 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_3132775874 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Antibiotics Bias Biology and Life Sciences Blood Blood oxygenation, Extracorporeal Care and treatment Cohort analysis Critically ill Cross infection Cross Infection - epidemiology Cross Infection - prevention & control Data analysis Diagnosis Erythrocytes Evidence-based medicine Extracorporeal membrane oxygenation Extracorporeal Membrane Oxygenation - adverse effects Health aspects Health risks Health services Heart Heart transplantation Heart Transplantation - adverse effects Heart transplants Hospitalization Hospitals Humans Immunosuppression Immunotherapy Intubation Mechanical properties Mechanical ventilation Medicine and Health Sciences Membranes Meta-analysis Methods Mortality Nosocomial infection Nosocomial infections Online databases Ostomy Overview Oxygenation Patient outcomes Patients People and Places Physical Sciences Pneumonia Research and Analysis Methods Risk assessment Risk Factors Risk groups Systematic review Tracheotomy Transplantation Ventilation Ventilators |
| title | Risk factors for nosocomial infection in patients undergoing extracorporeal membrane oxygenation support treatment: A systematic review and meta-analysis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-03T08%3A33%3A31IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Risk%20factors%20for%20nosocomial%20infection%20in%20patients%20undergoing%20extracorporeal%20membrane%20oxygenation%20support%20treatment:%20A%20systematic%20review%20and%20meta-analysis&rft.jtitle=PloS%20one&rft.au=Lv,%20Xiangui&rft.date=2024-11-25&rft.volume=19&rft.issue=11&rft.spage=e0308078&rft.pages=e0308078-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0308078&rft_dat=%3Cgale_plos_%3EA817679222%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3132775874&rft_id=info:pmid/39585868&rft_galeid=A817679222&rft_doaj_id=oai_doaj_org_article_9a0786dd5acf49a4aa9e7ed009dd151e&rfr_iscdi=true |