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Record W2969801331 · doi:10.1093/jac/dkz283

42936 pathogens from Canadian hospitals: 10 years of results (2007–16) from the CANWARD surveillance study

2019· article· en· W2969801331 on OpenAlexafffundabout
George G. Zhanel, Heather J. Adam, Melanie Baxter, Jeff Fuller, Kimberly A. Nichol, Andrew Denisuik, Alyssa Golden, Rachel Hink, Philippe Lagacé‐Wiens, Andrew Walkty, Michael R. Mulvey, Frank Schweizer, Denice C. Bay, Daryl J. Hoban, James A. Karlowsky, Joseph M. Blondeau, Robert Slinger, Ross Davidson, D. J. Hoban, J Delport, Chelsey Ellis, Michél Laverdière, Vivian G. Loo, Susan M. Poutanen, J Fuller, D. Roscoe, Marc Desjardins, Larissa Matukas, M Goyette, C Lee, Alex Carignan, Marco Bergevin, Romain Pelletier

Bibliographic record

VenueJournal of Antimicrobial Chemotherapy · 2019
Typearticle
Languageen
FieldBiochemistry, Genetics and Molecular Biology
TopicAntibiotic Resistance in Bacteria
Canadian institutionsPublic Health Agency of CanadaSt. Boniface HospitalLondon Health Sciences CentreWestern UniversityUniversity of ManitobaVictoria HospitalHealth Sciences Centre
FundersAchaogenMedicines CompanyZoetisPublic Health Agency of CanadaDiagnostic Services ManitobaSunovionBayerUniversity of ManitobaAstraZenecaAstellas Pharma USPfizerMerckAbbott Laboratories
KeywordsTigecyclineMedicineColistinBroth microdilutionLinezolidAmikacinMeropenemErtapenemAntimicrobialTazobactamMethicillin-resistant Staphylococcus aureusMicrobiologyPseudomonas aeruginosaVancomycinInternal medicineStaphylococcus aureusAntibioticsAntibiotic resistanceImipenemBiologyMinimum inhibitory concentration

Abstract

fetched live from OpenAlex

OBJECTIVES: The CANWARD surveillance study was established in 2007 to annually assess the in vitro susceptibilities of a variety of antimicrobial agents against bacterial pathogens isolated from patients receiving care in Canadian hospitals. METHODS: 42 936 pathogens were received and CLSI broth microdilution testing was performed on 37 355 bacterial isolates. Limited patient demographic data submitted with each isolate were collated and analysed. RESULTS: Of the isolates tested, 43.5%, 33.1%, 13.2% and 10.2% were from blood, respiratory, urine and wound specimens, respectively; 29.9%, 24.8%, 19.0%, 18.1% and 8.2% of isolates were from patients in medical wards, emergency rooms, ICUs, hospital clinics and surgical wards. Patient demographics associated with the isolates were: 54.6% male/45.4% female; 13.1% patients aged ≤17 years, 44.3% 18-64 years and 42.7% ≥65 years. The three most common pathogens were Staphylococcus aureus (21.2%, both methicillin-susceptible and MRSA), Escherichia coli (19.6%) and Pseudomonas aeruginosa (9.0%). E. coli were most susceptible to meropenem and tigecycline (99.9%), ertapenem and colistin (99.8%), amikacin (99.7%) and ceftolozane/tazobactam and plazomicin (99.6%). Twenty-three percent of S. aureus were MRSA. MRSA were most susceptible to ceftobiprole, linezolid and telavancin (100%), daptomycin (99.9%), vancomycin (99.8%) and tigecycline (99.2%). P. aeruginosa were most susceptible to ceftolozane/tazobactam (98.3%) and colistin (95.0%). CONCLUSIONS: The CANWARD surveillance study has provided 10 years of reference antimicrobial susceptibility testing data on pathogens commonly causing infections in patients attending Canadian hospitals.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.552
Threshold uncertainty score0.995

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.005
GPT teacher head0.221
Teacher spread0.216 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations67
Published2019
Admission routes3
Has abstractyes

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