Evidence map›Paper›PMID 21576442›Full record

ArticleAntimicrobial agents and chemotherapy2011

Dissemination of blaKPC-2 by the spread of Klebsiella pneumoniae clonal complex 258 clones (ST258, ST11, ST437) and plasmids (IncFII, IncN, IncL/M) among Enterobacteriaceae species in Brazil.

Leonardo Neves Andrade, Tânia Curiao, Joseane Cristina Ferreira, Juliana Mucedola Longo, Eduardo Carneiro Clímaco, Roberto Martinez, Fernando Bellissimo-Rodrigues, Aníbal Basile-Filho, Marco Antônio Evaristo, Pedro F Del Peloso and 7 more

Abstract 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 109 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
109citing papers in PubMed, 1 pooled it
–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

109 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Plasmid-mediated carbapenem resistance: global dissemination patterns and replicon-gene associations.International microbiology : the official journal of the Spanish Society for Microbiology · 2025
    Article
  6. Emergence of ST11Microbiology spectrum · 2025
    Article
  7. Different effects of plasmids harboringMicrobiology spectrum · 2025
    Article
  8. Article
  9. Multiple regional outbreaks caused by global and local VIM-producing Klebsiella pneumoniae clones in Poland, 2006-2019.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. First report of aFrontiers in cellular and infection microbiology · 2024
    Article
  16. Article
  17. Clinical microbiology reviews · 2023
    Review
  18. Plasmid genomic epidemiology ofAntimicrobial agents and chemotherapy · 2023
    Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Leonardo Neves AndradeFaculdade de Ciências Farmacêuticas de Ribeirão Preto, Universidade de São Paulo, Ribeirao Preto, Brazil.
Tânia Curiao
Joseane Cristina Ferreira
Juliana Mucedola Longo
Eduardo Carneiro Clímaco
Roberto Martinez
Fernando Bellissimo-Rodrigues
Aníbal Basile-Filho
Marco Antônio Evaristo
Pedro F Del Peloso
Vanessa Bley Ribeiro
Afonso Luis Barth
Milena Cristina Paula
Fernando Baquero
Rafael Cantón
Ana Lúcia da Costa Darini
Teresa M Coque

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article reports the spread of bla(KPC-2) in the Sao Paulo and Rio de Janeiro states, facilitated by globally spread K. pneumoniae clonal complex 258 (CC258) clones (ST258, ST11, and ST437) and a diversity of plasmids (IncFII, IncN, and IncL/M, two untypeable plasmids carrying Tn4401a or Tn4401b) successfully disseminated among species of the Enterobacteriaceae (Enterobacter cloacae, Serratia marcescens, and Citrobacter freundii). It also constitutes the first description of sequence type 258 (ST258) in Brazil, which was associated with a nosocomial hospital outbreak in Ribeirao Preto city.

Indexed as

beta-LactamasesBrazilEnterobacteriaceaeGeographyKlebsiella pneumoniaePlasmidsbeta-lactamase KPC-2beta-Lactamases

Identifiers

PMID21576442
PMCPMC3122403

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.