Evidence map›Paper›PMID 19776233›Full record

ArticleJournal of clinical microbiology2009

Large dissemination of VIM-2-metallo-{beta}-lactamase-producing pseudomonas aeruginosa strains causing health care-associated community-onset infections.

Athanassios Tsakris, Aggeliki Poulou, Ioulia Kristo, Theodore Pittaras, Nicholas Spanakis, Spyros Pournaras, Fani Markou

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
0.7field-weighted citation impact, top 35% 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

20 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Rapid Reversal of Carbapenemase-ProducingAntibiotics (Basel, Switzerland) · 2024
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Prevalence of class 1 integron inTropical medicine and health · 2020
    Article
  9. Article
  10. Article
  11. Molecular epidemiology of carbapenem-resistant Pseudomonas aeruginosa in an endemic area: comparison with global data.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018
    Review
  12. Article
  13. Article
  14. Epidemiology of VIM-1-imipenem resistant Pseudomonas aeruginosa in Iran: A systematic review and meta-analysis.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2014
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. The accessory genome of Pseudomonas aeruginosa.Microbiology and molecular biology reviews : MMBR · 2010
    Review
  20. Review
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

7 authors at 3 institutions in 1 country.

Athanassios TsakrisDepartment of Microbiology, Medical School, University of Athens, 75 Mikras Asias Street, 11527 Athens, Greece. atsakris@med.uoa.gr
Aggeliki Poulou
Ioulia Kristo
Theodore Pittaras
Nicholas Spanakis
Spyros Pournaras
Fani Markou
National and Kapodistrian University of Athens · GRGeneral Hospital of Serres · GRUniversity of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During a 3-year period (May 2005 to April 2008), a series of 45 outpatients presented with community-onset urinary tract infections due to carbapenem-resistant Pseudomonas aeruginosa isolates. Forty of them had a history of previous hospitalization or exposure to healthcare facilities, while the remaining five had not been previously admitted to our healthcare facilities or elsewhere within the preceding 12 months. In 18 outpatients, the carbapenem-resistant organisms caused recurrent community-onset urinary tract infections, while in three outpatients the organisms were also implicated in bacteremic episodes. All 45 single-patient P. aeruginosa isolates harbored the bla(VIM-2) metallo-beta-lactamase (MBL) gene in a common class 1 integron structure. They belonged to one predominant pulsed-field gel electrophoresis type and three sporadically detected types; two of the sporadic clonal types were identified among outpatients without previous exposure to healthcare facilities, while the predominant clonal type was also identified to cause infections in hospitalized patients. This is the first study documenting that MBL-producing P. aeruginosa isolates cause community-onset infections that are related or not with exposure to healthcare facilities. Community-onset infections in our patients most likely resulted from the nosocomial acquisition of MBL producers, followed by a prolonged digestive carriage. The high rate of recurrent infections in the community underlies the difficulty of constraining infections caused by such microorganisms in the extrahospital setting.

Indexed as

AdultAgedAged, 80 and overAnti-Bacterial AgentsBacteremiaBacterial ProteinsBacterial Typing Techniquesbeta-LactamasesCluster AnalysisCommunity-Acquired InfectionsCross InfectionDNA, BacterialDNA FingerprintingElectrophoresis, Gel, Pulsed-FieldFemaleHumansAnti-Bacterial AgentsBacterial Proteinsbeta-lactamase bla(vim-2)beta-LactamasesDNA, Bacterial

Identifiers

PMID19776233
PMCPMC2772580
OpenAlexW2030551058

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.