Evidence map›Paper›PMID 16954257›Full record

ArticleJournal of clinical microbiology2006

Evaluation of the new VITEK 2 extended-spectrum beta-lactamase (ESBL) test for rapid detection of ESBL production in Enterobacteriaceae isolates.

Teresa Spanu, Maurizio Sanguinetti, Mario Tumbarello, Tiziana D'Inzeo, Barbara Fiori, Brunella Posteraro, Rosaria Santangelo, Roberto Cauda, Giovanni Fadda

Open access · greenAbstract readEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
1.7field-weighted citation impact, top 18% 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

35 citing papers in PubMed, 87 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Detection of ESBL-producingJournal of clinical microbiology · 2025
    Article
  5. Review
  6. Article
  7. Observational
  8. Article
  9. TheJAC-antimicrobial resistance · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Prevalence of Chromosomally LocatedMicrobiology spectrum · 2022
    Article
  15. Review
  16. Whole-Genome Characterisation of ESBL-ProducingAntibiotics (Basel, Switzerland) · 2022
    Article
  17. Article
  18. Review
  19. Article
  20. 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 at 1 institution in 1 country.

Teresa SpanuInstitute of Microbiology, Caholic University of the Sacred Heart, Rome, Italy. tspanu@rm.unicatt.it
Maurizio Sanguinetti
Mario Tumbarello
Tiziana D'Inzeo
Barbara Fiori
Brunella Posteraro
Rosaria Santangelo
Roberto Cauda
Giovanni Fadda
Università Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extended-spectrum beta-lactamases (ESBLs) are a large, rapidly evolving group of enzymes that confer resistance to oxyimino cephalosporins and monobactams and are inhibited by clavulanate. Rapid reliable detection of ESBL production is a prerequisite for successful infection management and for monitoring resistance trends and implementation of intervention strategies. We evaluated the performance of the new VITEK 2 ESBL test system (bioMérieux, Inc, Hazelwood, Mo.) in the identification of ESBL-producing Enterobacteriaceae isolates. We examined a total of 1,129 clinically relevant Enterobacteriaceae isolates (including 218 that had been previously characterized). The ESBL classification furnished by the VITEK 2 ESBL test system was concordant with that of the comparison method (molecular identification of beta-lactamase genes) for 1,121 (99.3%) of the 1,129 isolates evaluated. ESBL production was correctly detected in 306 of the 312 ESBL-producing organisms (sensitivity, 98.1%; positive predictive value, 99.3%). False-positive results emerged for 2 of the 817 ESBL-negative isolates (specificity, 99.7%; negative predictive value, 99.3%). VITEK 2 ESBL testing took 6 to 13 h (median, 7.5 h; mean +/- SD, 8.2 +/- 2.39 h). This automated short-incubation system appears to be a rapid and reliable tool for routine identification of ESBL-producing isolates of Enterobacteriaceae.

Indexed as

Reagent Kits, DiagnosticAnti-Bacterial Agentsbeta-Lactamasesbeta-Lactam ResistanceCephalosporinsEnterobacteriaceaeEnterobacteriaceae InfectionsFalse Positive ReactionsHumansMicrobial Sensitivity TestsPredictive Value of TestsSensitivity and SpecificityTime FactorsAnti-Bacterial Agentsbeta-LactamasesCephalosporinsReagent Kits, Diagnostic

Identifiers

PMID16954257
PMCPMC1594689
OpenAlexW1974265553

What OpenQuestion 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 OpenQuestion graph.