Evidence map›Paper›PMID 18809945›Full record

ArticleAntimicrobial agents and chemotherapy2008

First countrywide survey of acquired metallo-beta-lactamases in gram-negative pathogens in Italy.

Gian Maria Rossolini, Francesco Luzzaro, Roberta Migliavacca, Claudia Mugnaioli, Beatrice Pini, Filomena De Luca, Mariagrazia Perilli, Simona Pollini, Melissa Spalla, Gianfranco Amicosante and 2 more

Abstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Beyond the Spotlight:Antibiotics (Basel, Switzerland) · 2025
    Review
  3. Epidemiology of β-Lactamase-Producing Pathogens.Clinical microbiology reviews · 2020
    Review
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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

12 authors.

Gian Maria RossoliniDipartimento di Biologia Molecolare, Sezione di Microbiologia, Università di Siena, Policlinico Santa Maria alle Scotte, I-53100 Siena, Italy. rossolini@unisi.it
Francesco Luzzaro
Roberta Migliavacca
Claudia Mugnaioli
Beatrice Pini
Filomena De Luca
Mariagrazia Perilli
Simona Pollini
Melissa Spalla
Gianfranco Amicosante
Antonio Toniolo
Laura Pagani

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metallo-beta-lactamases (MBLs) can confer resistance to most beta-lactams, including carbapenems. Their emergence in gram-negative pathogens is a matter of major concern. Italy was the first European country to report the presence of acquired MBLs in gram-negative pathogens and is one of the countries where MBL producers have been detected repeatedly. Here, we present the results of the first Italian nationwide survey of acquired MBLs in gram-negative pathogens. Of 14,812 consecutive nonreplicate clinical isolates (12,245 Enterobacteriaceae isolates and 2,567 gram-negative nonfermenters) screened for reduced carbapenem susceptibility during a 4-month period (September to December 2004), 30 isolates (28 Pseudomonas aeruginosa isolates, 1 Pseudomonas putida isolate, and 1 Enterobacter cloacae isolate) carried acquired MBL determinants. MBL producers were detected in 10 of 12 cities, with a predominance of VIM-type enzymes over IMP-type enzymes (4:1). Although having an overall low prevalence (1.3%) and significant geographical differences, MBL-producing P. aeruginosa strains appeared to be widespread in Italy, with a notable diversity of clones, enzymes, and integrons carrying MBL gene cassettes.

Indexed as

Base Sequencebeta-Lactamasesbeta-Lactam ResistanceData CollectionDNA, BacterialDNA PrimersDrug Resistance, Multiple, BacterialGenes, BacterialGram-Negative BacteriaGram-Negative Bacterial InfectionsHumansIntegronsItalyMolecular EpidemiologyMolecular Sequence Databeta-LactamasesDNA, BacterialDNA Primers

Identifiers

PMID18809945
PMCPMC2573113

What OpenQuestion holds

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Registered trials

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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.