Evidence map›Paper›PMID 21263048›Full record

ArticleAntimicrobial agents and chemotherapy2011

Emergence of linezolid-resistant Staphylococcus aureus after prolonged treatment of cystic fibrosis patients in Cleveland, Ohio.

Andrea Endimiani, Martha Blackford, Elliot C Dasenbrook, Michael D Reed, Saralee Bajaksouszian, Andrea M Hujer, Susan D Rudin, Kristine M Hujer, Vincent Perreten, Louis B Rice and 3 more

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 2% 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

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 102 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Antimicrobial agents and chemotherapy · 2025
    Article
  4. Antimicrobial Activity ofAntibiotics (Basel, Switzerland) · 2025
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  5. Identification of genetic mutations conferring tedizolid resistance in MRSA mutants.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  6. Characterisation ofJAC-antimicrobial resistance · 2025
    Article
  7. Review
  8. Review
  9. Molecular Basis of Non-β-Lactam Antibiotics Resistance inAntibiotics (Basel, Switzerland) · 2022
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Antimicrobial and Antivirulence Action ofFrontiers in microbiology · 2020
    Article
  19. Article
  20. Linezolid and Rifampicin Combination to CombatFrontiers in microbiology · 2019
    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 8 institutions in 2 countries.

Andrea EndimianiDepartment of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Martha Blackford
Elliot C Dasenbrook
Michael D Reed
Saralee Bajaksouszian
Andrea M Hujer
Susan D Rudin
Kristine M Hujer
Vincent Perreten
Louis B Rice
Michael R Jacobs
Michael W Konstan
Robert A Bonomo
Boston Children's Hospital · USRainbow Babies & Children's Hospital · USUnited States Department of Veterans Affairs · USUniversity of Bern · CHUniversity School · USCase Western Reserve University · USLouis Stokes Cleveland VA Medical Center · USUniversity Hospitals Case Medical Center · US

Funding

Translational Research in Cystic FibrosisP30DK027651 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI DRUMM, MITCHELL L · 1986 to 2014
$15.6M
Understanding ceftazidime resistance in SHV B-LactamasesR01AI063517 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI BONOMO, ROBERT A. · 2005 to 2023
$4.9M
Pediatric Pharmacology Research UnitU10HD031323 · NICHD · CASE WESTERN RESERVE UNIVERSITY · PI BLUMER, JEFFREY L. · 2004 to 2009
$2.2M
PEDIATRIC PHARMOCOLOGY RESEARCH UNITU01HD031323 · NICHD · CASE WESTERN RESERVE UNIVERSITY · PI BLUMER, JEFFREY L · 1994 to 2003
$2.0M
NIAID NIH HHS R01 AI063517NIAID NIH HHS R01 AI063517-01NICHD NIH HHS 5V10HD031323-15NICHD NIH HHS U10 HD031323NIDDK NIH HHS P30 DK027651NIDDK NIH HHS P30-DK27651
6 · The paper itself

Abstract

Linezolid (LZD)-resistant Staphylococcus aureus (LRSA) isolates were monitored from 2000 to 2009 in Cleveland, OH. LRSA first emerged in 2004 only in cystic fibrosis (CF) patients, with 11 LRSA-infected CF patients being identified by 2009. LRSA was isolated from 8 of 77 CF patients with S. aureus respiratory tract infection treated with LZD from 2000 to 2006. Analysis of clinical data showed that the 8 CF patients with LRSA received more LZD courses (18.8 versus 5.9; P = 0.001) for a longer duration (546.5 versus 211.9 days; P < 0.001) and had extended periods of exposure to LZD (83.1 versus 30.1 days/year; P < 0.001) than the 69 with LZD-susceptible isolates. Five LRSA isolates included in the clinical analysis (2000 to 2006) and three collected in 2009 were available for molecular studies. Genotyping by repetitive extrapalindromic PCR and pulsed-field gel electrophoresis revealed that seven of these eight LRSA strains from unique patients were genetically similar. By multilocus sequence typing, all LRSA isolates were included in clonal complex 5 (seven of sequence type 5 [ST5] and one of ST1788, a new single-locus variant of ST5). However, seven different variants were identified by spa typing. According to the Escherichia coli numbering system, seven LRSA isolates contained a G2576T mutation (G2603T, S. aureus numbering) in one to four of the five copies of domain V of the 23S rRNA genes. One strain also contained a mutation (C2461T, E. coli numbering) not previously reported. Two strains, including one without domain V mutations, possessed single amino acid substitutions (Gly152Asp or Gly139Arg) in the ribosomal protein L3 of the peptidyltransferase center, substitutions not previously reported in clinical isolates. Emergence of LRSA is a serious concern for CF patients who undergo prolonged courses of LZD therapy.

Indexed as

AcetamidesAdolescentAdultAnti-Infective AgentsChildChild, PreschoolCystic FibrosisDrug Resistance, BacterialElectrophoresis, Gel, Pulsed-FieldFemaleHumansLinezolidMaleOxazolidinonesPolymerase Chain ReactionRibosomal Protein L3AcetamidesAnti-Infective AgentsLinezolidOxazolidinonesRibosomal Protein L3RPL3 protein, human

Identifiers

PMID21263048
PMCPMC3067150
OpenAlexW2115554260

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.