Evidence map›Paper›PMID 22553247›Full record

ArticleJournal of clinical microbiology2012

Cation concentration variability of four distinct Mueller-Hinton agar brands influences polymyxin B susceptibility results.

Raquel Girardello, Paulo J M Bispo, Tiago M Yamanaka, Ana C Gales

Abstract readMulticenter Study
In one paragraph

Article in Journal of clinical microbiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

31 citing papers in PubMed.

  1. Sphingosine synergizes with polymyxin antibiotics againstMicrobiology (Reading, England) · 2026
    Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Dissecting components of theMicrobiology spectrum · 2024
    Article
  7. Article
  8. Article
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  13. Article
  14. Improved Detection ofFrontiers in microbiology · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. In Vitro Activity of Cefiderocol Against a Broad Range of Clinically Important Gram-negative Bacteria.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Review
  19. Review
  20. Development of New Tools to Detect Colistin-Resistance among Enterobacteriaceae Strains.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2018
    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

4 authors.

Raquel GirardelloLaboratório Especial de Microbiologia Clínica LEMC/ALERTA, Universidade Federal de São Paulo, São Paulo, Brazil. raquelgirardello@gmail.com
Paulo J M Bispo
Tiago M Yamanaka
Ana C Gales

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polymyxins have been the only alternative therapeutic option for the treatment of serious infections caused by multidrug-resistant Acinetobacter baumannii or Pseudomonas aeruginosa isolates. For this reason, it is of crucial importance that susceptibility tests provide accurate results when testing these drug-pathogen combinations. In this study, the effect of cation concentration variability found on different commercial brands of Mueller-Hinton agar (MHA) for testing polymyxin B susceptibility was evaluated. The polymyxin B susceptibilities determined using Etest and disk diffusion were compared to those determined by the CLSI reference broth microdilution method. In general, the polymyxin B MIC values were higher when determined by Etest than when determined by broth microdilution against both A. baumannii and P. aeruginosa isolates. A high very major error rate (10%) was observed, as well as a trend toward lower MICs, compared to those determined by broth microdilution when the Merck MHA was tested by Etest. Poor essential agreement rates (10 to 70%) were observed for P. aeruginosa when all MHA brands were tested by Etest. Although an excellent categorical agreement rate (100%) was seen between the disk diffusion and broth microdilution methods for P. aeruginosa, larger zones of inhibition were shown obtained using the Merck MHA. The high cation concentration variability found for the MHA brands tested correlated to the low accuracy, and discrepancies in the polymyxin B MICs were determined by Etest method, particularly for P. aeruginosa isolates.

Indexed as

Acinetobacter baumanniiAgarAnti-Bacterial AgentsCationsCulture MediaDiagnostic ErrorsMicrobial Sensitivity TestsPolymyxin BPseudomonas aeruginosaAgarAnti-Bacterial AgentsCationsCulture MediaPolymyxin B

Identifiers

PMID22553247
PMCPMC3405622

What OpenQuestion holds

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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.