Evidence map›Paper›PMID 21229280›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2011

Vancomycin MIC creep in MRSA blood culture isolates from Germany: a regional problem?

J Kehrmann, M Kaase, F Szabados, S G Gatermann, J Buer, P-M Rath, J Steinmann

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Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Investigational agents for the treatment of methicillin-resistantExpert opinion on investigational drugs · 2022
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Epidemiology and risk factors of methicillin-resistantAntimicrobial resistance and infection control · 2019
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Vancomycin: the tale of the vanquisher and the pyrrhic victory.Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis
    Article
  18. 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

7 authors.

J KehrmannInstitute of Medical Microbiology, University Hospital Essen, University of Duisburg-Essen, Virchowstr 179, 45147 Essen, Germany.
M Kaase
F Szabados
S G Gatermann
J Buer
P-M Rath
J Steinmann

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to assess the vancomycin MIC distribution for MRSA blood culture isolates over a period of six years in Germany. The study examined 287 MRSA isolates from blood cultures collected at several hospitals in two German cities between 2004 and 2009. The vancomycin MIC was determined by Etest. Genotypic features of the MRSA strains with vancomycin MIC ≥ 1 mg/L were determined by semiautomated repetitive-sequence-based polymerase chain reaction. The range of vancomycin MIC as determined by Etest was 0.25 to 2.0 mg/L. The geometric mean MIC increased by 1.34-fold in city A over the study period (p < 0.05), but there was no meaningful change in city B (a 1.09-fold increase, p > 0.05). Furthermore, in city A a shift in vancomycin MICs occurred as an increase in the percentage of isolates with MIC ≥ 1 mg/L from period one (2004-2006) to period two (2007-2009) (p < 0.0001). Typing results showed that in city A a single clone was predominant (55% of the creep isolates). In this study, the creep phenomenon seems to be a regional problem. We suggest that all hospitals should monitor their local status of elevated vancomycin MICs in invasive MRSA isolates.

Indexed as

Vancomycin ResistanceAnti-Bacterial AgentsBacteremiaBacterial Typing TechniquesBloodCluster AnalysisGenotypeGermanyHospitalsHumansInterspersed Repetitive SequencesMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsMolecular EpidemiologyMolecular TypingPolymerase Chain ReactionAnti-Bacterial AgentsVancomycin

Identifiers

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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.