Evidence map›Paper›PMID 18214174›Full record

ArticleEmerging infectious diseases2007

Response to emerging infection leading to outbreak of linezolid-resistant enterococci.

Marion A Kainer, Rose A Devasia, Timothy F Jones, Bryan P Simmons, Kelley Melton, Susan Chow, Joyce Broyles, Kelly L Moore, Allen S Craig, William Schaffner

Open access · diamondAbstract read
In one paragraph

Article in Emerging infectious diseases, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 95 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Article
  4. Article
  5. Antimicrobial agents and chemotherapy · 2025
    Article
  6. Linezolid in the Focus of Antimicrobial Resistance ofInternational journal of molecular sciences · 2025
    Review
  7. Article
  8. Risk factors and outcome associated with the acquisition of MDR linezolid-resistant Enterococcus faecium: a report from tertiary care centre.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
  9. Linezolid Resistance inFrontiers in public health · 2021
    Article
  10. Article
  11. Article
  12. Linezolid-resistant enterococci in Polish hospitals: species, clonality and determinants of linezolid resistance.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2017
    Article
  13. Convergence of Minds: For Better Patient Outcome in Intensive Care Unit Infections.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2017
    Article
  14. Article
  15. Tedizolid susceptibility in linezolid- and vancomycin-resistant Enterococcus faecium isolates.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2016
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Glycopeptide resistance in gram-positive cocci: a review.Interdisciplinary perspectives on infectious diseases · 2012
    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

10 authors at 3 institutions in 1 country.

Marion A KainerTennessee Department of Health, Communicable and Environmental Disease Services, Nashville, Tennessee 37243, USA. marion.kainer@state.tn.us
Rose A Devasia
Timothy F Jones
Bryan P Simmons
Kelley Melton
Susan Chow
Joyce Broyles
Kelly L Moore
Allen S Craig
William Schaffner
Tennessee Department of Health · USMethodist University Hospital · USVanderbilt University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Linezolid was approved in 2000 for treatment of gram-positive coccal infections. We performed a case-control study during a hospital outbreak of linezolid-resistant enterococci (LRE) infections, comparing cases of LRE infection (cases) with linezolid-sensitive enterococci infections (controls). Nasal and perirectal swab samples were obtained from all patients in a 1-day point-prevalence survey. We examined antimicrobial drug use and calculated the defined daily dose of linezolid per 1,000 patient-days. Fifteen LRE cases were identified (13 Enterococcus faecalis and 2 E. faecium); 7 were vancomycin-resistant. Compared with controls, case-patients had increased in-hospital mortality rates and lengths of stay. Multivariate analysis identified independent predictors of LRE infection: prior cultures positive for methicillin-resistant Staphylococcus aureus (adjusted odds ratio [AOR] 27), hospitalization duration before index culture (AOR 1.1 per day), and duration of preceding linezolid therapy (AOR 1.1 per day). Linezolid exposure and patient-to-patient transmission appear to be responsible for LRE infections, an important emeraina hospital problem.

Indexed as

Drug Resistance, BacterialAcetamidesAnti-Infective AgentsCase-Control StudiesColony Count, MicrobialCommunicable Diseases, EmergingCross InfectionDisease OutbreaksEnterococcus faecalisEnterococcus faeciumGram-Positive Bacterial InfectionsHospital MortalityHumansLength of StayLinezolidMicrobial Sensitivity TestsAcetamidesAnti-Infective AgentsLinezolidOxazolidinones

Identifiers

PMID18214174
PMCPMC2878236
OpenAlexW2122840669

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.