Evidence map›Paper›PMID 21676902›Full record

ArticleThe Journal of antimicrobial chemotherapy2011

Increasing prevalence and dissemination of NDM-1 metallo-β-lactamase in India: data from the SMART study (2009).

Christine Lascols, Meredith Hackel, Steven H Marshall, Andrea M Hujer, Sam Bouchillon, Robert Badal, Daryl Hoban, Robert A Bonomo

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
7.5field-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

70 citing papers in PubMed, 165 citations in OpenAlex.

  1. Detection of blaJournal of clinical laboratory analysis · 2025
    Article
  2. ACS omega · 2025
    Article
  3. Article
  4. Machine Learning Models Identify Inhibitors of New Delhi Metallo-β-lactamase.Journal of chemical information and modeling · 2024
    Article
  5. Detection of NDM-1 and OXA-10 Co-ProducingInfection and drug resistance · 2023
    Article
  6. Bacteriological characteristics of hypervirulentIranian journal of microbiology · 2022
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Molecular Characterization of Extended Spectrum β-lactamase and Carbapenemase ProducingIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2019
    Article
  13. Article
  14. Article
  15. Molecular detection ofMedical journal, Armed Forces India · 2018
    Article
  16. Colistin Versus Ceftazidime-Avibactam in the Treatment of Infections Due to Carbapenem-Resistant Enterobacteriaceae.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Observational
  17. Detection of Antibiotic Resistance Determinants and Their Transmissibility among Clinically Isolated Carbapenem-Resistant Escherichia coli from South India.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2018
    Article
  18. Article
  19. Article
  20. New Delhi metallo-β-lactamase - type carbapenemases producingThe Indian journal of medical research · 2017
    Article

10 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

8 authors at 3 institutions in 1 country.

Christine LascolsInternational Health Management Associates, Inc., Schaumburg, IL 60173, USA. clascols@ihmainc.com
Meredith Hackel
Steven H Marshall
Andrea M Hujer
Sam Bouchillon
Robert Badal
Daryl Hoban
Robert A Bonomo
University School · USLouis Stokes Cleveland VA Medical Center · USTES International (United States) · US

Funding

Understanding B-Lactam Resistance in Acinetobacter baumanniiR01AI072219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI ROBERT A. BONOMO, Philip N. Rather · 2007 to 2026
$6.6M
Understanding ceftazidime resistance in SHV B-LactamasesR01AI063517 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI BONOMO, ROBERT A. · 2005 to 2023
$4.9M
NIAID NIH HHS R01AI063517-07NIAID NIH HHS R01AI072219-05
6 · The paper itself

Abstract

objectivesTo investigate the β-lactamase background of ertapenem non-susceptible isolates for the presence of the most commonly detected carbapenemase genes, bla(KPC), bla(OXA-48) and bla(VIM), and the newly described bla(NDM-1).

methodsTwo hundred and thirty-five ertapenem-non-susceptible (MIC ≥ 0.5 mg/L) isolates of Enterobacteriaceae from the worldwide Study for Monitoring Antimicrobial Resistance Trends (SMART) 2009 programme were screened using a multiplex PCR for the presence of bla(KPC), bla(OXA-48), bla(VIM) and bla(NDM-1) genes. Extended-spectrum β-lactamase (ESBL) and AmpC genes (bla(ESBL) and bla(AmpC)) were identified using the Check-MDR CT101 microarray. DNA sequencing was performed to identify the bla(ESBL), bla(KPC) and bla(NDM-1) genes. Molecular typing was also performed to genetically characterize these isolates.

resultsSixty-six isolates (28%) had a carbapenemase gene, with bla(NDM-1) identified in 33 isolates including 2 isolates carrying both bla(NDM-1) and bla(OXA-48); other carbapenemase genes found included bla(KPC) (n = 23), bla(VIM) (n = 7) and bla(OXA-48) (n = 3). All bla(NDM-1)-carrying isolates were from patients in India and comprised five different species. With the exception of one isolate carrying only bla(NDM-1), all bla(NDM-1) carbapenemase-possessing isolates carried additional β-lactamases in various combinations: bla(ESBL) and bla(AmpC) (n = 18); bla(ESBL) (n = 10); bla(ESBL), bla(AmpC) and bla(OXA-48) (n = 2); and bla(AmpC) (n = 2). Except for bla(OXA-48)-carrying isolates, novel multilocus sequence types or enterobacterial repetitive intergenic consensus PCR patterns were observed along with clonal dissemination within and among sites.

conclusionsA range of carbapenemase genes, associated with diverse ESBLs and/or AmpC backgrounds, were found among Enterobacteriaceae isolated during the study. Many of these ertapenem non-susceptible strains were clonally related and carried various combinations of β-lactamases.

Indexed as

Anti-Bacterial Agentsbeta-Lactamasesbeta-LactamsCluster AnalysisDNA, BacterialDrug Resistance, BacterialEnterobacteriaceaeEnterobacteriaceae InfectionsEnvironmental MonitoringEpidemiological MonitoringGenetic VariationHumansIndiaMicroarray AnalysisMicrobial Sensitivity TestsMultilocus Sequence TypingAnti-Bacterial Agentsbeta-lactamase NDM-1beta-Lactamasesbeta-LactamsDNA, Bacterial

Identifiers

PMID21676902
PMCPMC3153502
OpenAlexW2119452025

What OpenQuestion holds

Textmetadata
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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.