Evidence map›Paper›PMID 21825290›Full record

ArticleAntimicrobial agents and chemotherapy2011

International pneumococcal clones match or exceed the fitness of other strains despite the accumulation of antibiotic resistance.

Daniel Rudolf, Nikolay Michaylov, Mark van der Linden, Ludwig Hoy, Keith P Klugman, Tobias Welte, Mathias W Pletz, CAPNETZ Study Group

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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Reversibility of antibiotic resistance.Upsala journal of medical sciences · 2014
    Review
  5. Antimicrobial resistance in the food chain: a review.International journal of environmental research and public health · 2013
    Review
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.

Daniel RudolfDepartment of Pulmonary Medicine, Hannover Medical School, 30625 Hannover, Germany.
Nikolay Michaylov
Mark van der Linden
Ludwig Hoy
Keith P Klugman
Tobias Welte
Mathias W Pletz
CAPNETZ Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A few international pneumococcal clones dominate the population of antibiotic-resistant pneumococci. Despite the scientific paradigm that a loss in fitness is the price for acquisition of resistance, these clones spread successfully. One hundred fifty-four isolates from adult patients with community-acquired pneumonia (CAP) were analyzed. Thirty percent showed a close relationship to international clones and had fitness equal to or exceeding that of other strains (P = 0.015); these factors may result in the endurance of these strains despite a reduction of antibiotic usage.

Indexed as

Drug Resistance, Multiple, BacterialAnti-Bacterial AgentsCommunity-Acquired InfectionsHumansMultilocus Sequence TypingPneumonia, PneumococcalSerotypingStreptococcus pneumoniaeAnti-Bacterial Agents

Identifiers

PMID21825290
PMCPMC3186985

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.