Evidence map›Paper›PMID 19497104›Full record

ArticleBMC infectious diseases2009

Characterization of coagulase-negative staphylococcal isolates from blood with reduced susceptibility to glycopeptides and therapeutic options.

Silvia Natoli, Carla Fontana, Marco Favaro, Alberto Bergamini, Gian Piero Testore, Silvia Minelli, Maria Cristina Bossa, Mauro Casapulla, Giorgia Broglio, Angela Beltrame and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.2field-weighted citation impact, top 9% 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

29 citing papers in PubMed, 90 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Epidemiology and Pathogenesis ofPolish journal of microbiology · 2021
    Review
  5. Article
  6. Article
  7. Food-derived coagulase-negativeFood science and biotechnology · 2020
    Review
  8. Article
  9. Prevalence and phylogenetic relationship among methicillin- and vancomycin-resistantJournal of advanced veterinary and animal research · 2019
    Article
  10. Distribution of staphylococcal cassette chromosomeIranian journal of microbiology · 2018
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Prevalence of multidrug resistant Gram-positive cocci in a Chinese hospital over an 8-year period.International journal of clinical and experimental medicine · 2015
    Article
  16. Coagulase-negative staphylococci.Clinical microbiology reviews · 2014
    Review
  17. In vitro susceptibility to methicillin, vancomycin and linezolid of staphylococci isolated from bloodstream infections in eastern Turkey.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2014
    Article
  18. Article
  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

13 authors at 2 institutions in 1 country.

Silvia NatoliIntensive Care Unit, Department of Surgery, Tor Vergata University of Rome, Rome, Italy. silvia.natoli@ptvonline.it
Carla Fontana
Marco Favaro
Alberto Bergamini
Gian Piero Testore
Silvia Minelli
Maria Cristina Bossa
Mauro Casapulla
Giorgia Broglio
Angela Beltrame
Laura Cudillo
Raffaella Cerretti
Francesca Leonardis
University of Rome Tor Vergata · ITPoliclinico Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoagulase-negative staphylococci (CoNS) are a major cause of nosocomial blood stream infection, especially in critically ill and haematology patients. CoNS are usually multidrug-resistant and glycopeptide antibiotics have been to date considered the drugs of choice for treatment. The aim of this study was to characterize CoNS with reduced susceptibility to glycopeptides causing blood stream infection (BSI) in critically ill and haematology patients at the University Hospital Tor Vergata, Rome, Italy, in 2007.

methodsHospital microbiology records for transplant haematology and ICU were reviewed to identify CoNS with elevated MICs for glycopeptides, and isolates were matched to clinical records to determine whether the isolates caused a BSI. The isolates were tested for susceptibility to new drugs daptomicin and tigecycline and the genetic relationship was assessed using f-AFLP.

resultsOf a total of 17,418 blood cultures, 1,609 were positive for CoNS and of these, 87 (5.4%) displayed reduced susceptibility to glycopeptides. Clinical review revealed that in 13 cases (7 in haematology and 6 in ICU), CoNS with reduced susceptibility to glycopeptides were responsible for a BSI. Staphylococcus epidermidis was the causative organism in 11 instances and Staphylococcus haemolyticus in 2. The incidence of oxacillin resistance was high (77%), although all isolates remained susceptible to linezolid, daptomycin and tigecycline. Fingerprinting of CoNS identified one clonal relationship between two isolates.

conclusionMulti-resistant CoNS with reduced susceptibility to glycopeptides, although still relatively infrequent in our hospital, are emerging pathogens of clinical concern. Surveillance by antibiotyping with attention to multi-resistant profile, and warning to clinicians, is necessary.

Indexed as

AdultAgedAged, 80 and overAmplified Fragment Length Polymorphism AnalysisAnti-Bacterial AgentsBacterial Typing TechniquesDrug Resistance, Multiple, BacterialGlycopeptidesHumansMiddle AgedStaphylococcal InfectionsStaphylococcus epidermidisStaphylococcus haemolyticusAnti-Bacterial AgentsGlycopeptides

Identifiers

PMID19497104
PMCPMC2701436
OpenAlexW2009906339

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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.