Evidence map›Paper›PMID 21288849›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2011

Daptomycin nonsusceptible enterococci: an emerging challenge for clinicians.

Theodoros Kelesidis, Romney Humphries, Daniel Z Uslan, David A Pegues

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02046512 (Randomized Controlled Trial of Lactobacillus Rhamnosus GG to Promote Intestinal Health), which is not on this map. Cited by 65 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 2 pooled it
8.4field-weighted citation impact, top 1% 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.

NCT02046512 phase4completednot on this mapstarted 2014, after this paper: background citation

Randomized Controlled Trial of Lactobacillus Rhamnosus GG to Promote Intestinal Health

TypeinterventionalSponsorWashington University School of MedicineRan2014 to 2018Enrolled89ConditionsCommunicable Diseases, Infection, Anti-Infective Agents, Therapeutic UsesArmsProbiotic, Placebo
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 2 syntheses or guidelines pooled it, 148 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Non-beta-lactam agents for definitive treatment of ampicillin-susceptibleAntimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Treatment ofAntibiotics (Basel, Switzerland) · 2023
    Review
  10. Antimicrobial Susceptibility ofAntibiotics (Basel, Switzerland) · 2022
    Article
  11. Daptomycin-ResistantOpen forum infectious diseases · 2022
    Article
  12. Article
  13. Review
  14. Daptomycin Resistance Occurs Predominantly inFrontiers in microbiology · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Impact of Empiric Treatment for Vancomycin-Resistant Enterococcus in Colonized Patients Early after Allogeneic Hematopoietic Stem Cell Transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
    Article

5 more citing papers are in PubMed but not listed here.

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

4 authors at 2 institutions in 1 country.

Theodoros KelesidisDepartment of Medicine, Division of Infectious Diseases, David Geffen School of Medicine at UCLA, 10833 Le Conte Ave., Los Angeles, CA 90095, USA. tkelesidis@mednet.ucla.edu
Romney Humphries
Daniel Z Uslan
David A Pegues
Office of Infectious Diseases · USUniversity of California, Los Angeles · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
The effectiveness of copper surfaces in reducing healthcare acquired infectionsR01HS021188 · AHRQ · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI USLAN, DANIEL ZACHARY · 2012 to 2016
$2.1M
AHRQ HHS R01 HS021188NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1 TR001881
6 · The paper itself

Abstract

Daptomycin is the only antibiotic with in vitro bactericidal activity against vancomycin-resistant Enterococcus (VRE) that is approved by the Food and Drug Administration (FDA). Data on the potential emergence of daptomycin nonsusceptibility among enterococci remain limited. We systematically reviewed the published literature for reports of isolates of enterococci that were daptomycin nonsusceptible and assessed the clinical significance and outcome of therapy. Based on susceptibility breakpoints approved by the Clinical Laboratory Standards Institute (CLSI), daptomycin has in vitro activity against >90% of enterococcal isolates. Less than 2% of enterococcal isolates were daptomycin nonsusceptible, with minimum inhibitory concentrations (MICs) >4 μg/mL. The prevalence of nonsusceptibility of VRE isolates to daptomycin may be overestimated due to the spread of clonally related isolates in health care settings. Clinicians should be aware of the possibility of the emergence of daptomycin nonsusceptibility and should closely monitor daptomycin MICs of enterococci isolated during treatment.

Indexed as

Drug Resistance, BacterialAnti-Bacterial AgentsDaptomycinEnterococcusFemaleGram-Positive Bacterial InfectionsHumansMaleMicrobial Sensitivity TestsMiddle AgedTreatment OutcomeAnti-Bacterial AgentsDaptomycin

Identifiers

PMID21288849
PMCPMC8483151
OpenAlexW2075038827

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.