Evidence map›Paper›PMID 21518841›Full record

ArticleAntimicrobial agents and chemotherapy2011

Dissemination of multiple drug resistance genes by class 1 integrons in Klebsiella pneumoniae isolates from four countries: a comparative study.

Piklu Roy Chowdhury, Ana Ingold, Natasha Vanegas, Elena Martínez, John Merlino, Andrea Karina Merkier, Mercedes Castro, Gerardo González Rocha, Graciela Borthagaray, Daniela Centrón 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 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pathogens (Basel, Switzerland) · 2024
    Pooled it
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  6. Genetic Relationship betweenAnimals : an open access journal from MDPI · 2022
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  7. Urinary Tract Infections Caused byFrontiers in cellular and infection microbiology · 2022
    Review
  8. Article
  9. Article
  10. Effect of Urban Wastewater Discharge on the Abundance of Antibiotic Resistance Genes and Antibiotic-ResistantInternational journal of environmental research and public health · 2020
    Article
  11. Genomic profiling ofMicrobial genomics · 2020
    Article
  12. Article
  13. Characterization of an IMP-4-ProducingInfection and drug resistance · 2020
    Article
  14. Article
  15. Article
  16. High rate of multiresistantInfection and drug resistance · 2019
    Article
  17. Multidrug Resistant UropathogenicFrontiers in microbiology · 2018
    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 7 institutions in 5 countries.

Piklu Roy ChowdhuryThe ithree Institute, University of Technology, Sydney 2007, Australia.
Ana Ingold
Natasha Vanegas
Elena Martínez
John Merlino
Andrea Karina Merkier
Mercedes Castro
Gerardo González Rocha
Graciela Borthagaray
Daniela Centrón
Helia Bello Toledo
Carolina M Márquez
H W Stokes
Universidad de la República · UYUniversity of Buenos Aires · ARUniversity of Concepción · CLUniversity of Technology Sydney · AUConcord Repatriation General Hospital · AUHospital Central de las Fuerzas Armadas · UYUniversidad El Bosque · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A comparative genetic analysis of 42 clinical Klebsiella pneumoniae isolates, resistant to two or more antibiotics belonging to the broad-spectrum β-lactam group, sourced from Sydney, Australia, and three South American countries is presented. The study focuses on the genetic contexts of class 1 integrons, mobilizable genetic elements best known for their role in the rapid evolution of antibiotic resistance among Gram-negative pathogens. It was found that the class 1 integrons in this cohort were located in a number of different genetic contexts with clear regional differences. In Sydney, IS26-associated Tn21-like transposons on IncL/M plasmids contribute greatly to the dispersal of integron-associated multiple-drug-resistant (MDR) loci. In contrast, in the South American countries, Tn1696-like transposons on an IncA/C plasmid(s) appeared to be disseminating a characteristic MDR region. A range of mobile genetic elements is clearly being recruited by clinically important mobile class 1 integrons, and these elements appear to be becoming more common with time. This in turn is driving the evolution of complex and laterally mobile MDR units and may further complicate antibiotic therapy.

Indexed as

Anti-Bacterial AgentsDrug Resistance, Multiple, BacterialElectrophoresis, Gel, Pulsed-FieldIntegronsKlebsiella pneumoniaeMicrobial Sensitivity TestsMolecular Sequence DataPolymerase Chain ReactionAnti-Bacterial Agents

Identifiers

PMID21518841
PMCPMC3122386
OpenAlexW2166261549

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.