Evidence map›Paper›PMID 24349303›Full record

ArticlePloS one2013

Molecular epidemiology of nontypeable Haemophilus influenzae causing community-acquired pneumonia in adults.

Carmen Puig, Laura Calatayud, Sara Martí, Fe Tubau, Carolina Garcia-Vidal, Jordi Carratalà, Josefina Liñares, Carmen Ardanuy

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. How and when to manage respiratory infections out of hospital.European respiratory review : an official journal of the European Respiratory Society · 2022
    Review
  3. Article
  4. Article
  5. Antimicrobial agents and chemotherapy · 2020
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Ampicillin resistance inInternational journal of chronic obstructive pulmonary disease · 2017
    Article
  12. Article
  13. Article
  14. Ampicillin-resistant Haemophilus influenzae isolates in Geneva: serotype, antimicrobial susceptibility, and β-lactam resistance mechanisms.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2015
    Article
  15. Article
  16. Article
  17. Article
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  19. Review
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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 5 institutions in 1 country.

Carmen PuigDepartment of Microbiology, Hospital Universitari de Bellvitge, Barcelona, Spain ; CIBER de Enfermedades Respiratorias (CIBERes), ISCIII, Madrid, Spain ; Epidemiology of Bacterial Infections Group, IDIBELL, Barcelona, Spain ; Department of Pathology and Experimental Therapeutics, Universitat de Barcelona, Barcelona, Spain.
Laura CalatayudDepartment of Microbiology, Hospital Universitari de Bellvitge, Barcelona, Spain ; CIBER de Enfermedades Respiratorias (CIBERes), ISCIII, Madrid, Spain ; Epidemiology of Bacterial Infections Group, IDIBELL, Barcelona, Spain.
Sara MartíDepartment of Microbiology, Hospital Universitari de Bellvitge, Barcelona, Spain ; CIBER de Enfermedades Respiratorias (CIBERes), ISCIII, Madrid, Spain ; Epidemiology of Bacterial Infections Group, IDIBELL, Barcelona, Spain.
Fe TubauDepartment of Microbiology, Hospital Universitari de Bellvitge, Barcelona, Spain ; CIBER de Enfermedades Respiratorias (CIBERes), ISCIII, Madrid, Spain.
Carolina Garcia-VidalDepartment of Infectious Diseases, Hospital Universitari de Bellvitge, Barcelona, Spain ; Spanish Network for Research on Infectious Diseases (REIPI), ISCIII, Madrid, Spain.
Jordi CarratalàDepartment of Infectious Diseases, Hospital Universitari de Bellvitge, Barcelona, Spain ; Spanish Network for Research on Infectious Diseases (REIPI), ISCIII, Madrid, Spain.
Josefina LiñaresDepartment of Microbiology, Hospital Universitari de Bellvitge, Barcelona, Spain ; CIBER de Enfermedades Respiratorias (CIBERes), ISCIII, Madrid, Spain ; Epidemiology of Bacterial Infections Group, IDIBELL, Barcelona, Spain ; Department of Pathology and Experimental Therapeutics, Universitat de Barcelona, Barcelona, Spain.
Carmen ArdanuyDepartment of Microbiology, Hospital Universitari de Bellvitge, Barcelona, Spain ; CIBER de Enfermedades Respiratorias (CIBERes), ISCIII, Madrid, Spain ; Epidemiology of Bacterial Infections Group, IDIBELL, Barcelona, Spain.
Centro de Investigación Biomédica en Red de Enfermedades Respiratorias · ESRed Espanola de Investigacion en Patologia Infecciosa · ESBellvitge University Hospital · ESInstitut d'Investigació Biomédica de Bellvitge · ESInstituto de Salud Carlos III · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nontypeable Haemophilus influenzae (NTHi) is an opportunistic pathogen which causes a variety of respiratory infections. The objectives of the study were to determine its antimicrobial susceptibility, to characterize the β-lactam resistance, and to establish a genetic characterization of NTHi isolates. Ninety-five NTHi isolates were analyzed by pulsed field gel electrophoresis (PFGE) and multi locus sequence typing (MLST). Antimicrobial susceptibility was determined by microdilution, and the ftsI gene (encoding penicillin-binding protein 3, PBP3) was PCR amplified and sequenced. Thirty (31.6%) isolates were non-susceptible to ampicillin (MIC ≥ 2 mg/L), with 10 of them producing β-lactamase type TEM-1 as a resistance mechanism. After ftsI sequencing, 39 (41.1%) isolates showed amino acid substitutions in PBP3, with Asn526 → Lys being the most common (69.2%). Eighty-four patients were successfully treated with amoxicillin/clavulanic acid, ceftriaxone and levofloxacin. Eight patients died due either to aspiration or complication of their comorbidities. In conclusion, NTHi causing CAP in adults shows high genetic diversity and is associated with a high rate of reduced susceptibility to ampicillin due to alterations in PBP3. The analysis of treatment and outcomes demonstrated that NTHi strains with mutations in the ftsI gene could be successfully treated with ceftriaxone or fluoroquinolones.

Indexed as

AgedAged, 80 and overAnti-Bacterial AgentsCommunity-Acquired InfectionsFemaleGenotypeHaemophilus InfectionsHaemophilus influenzaeHumansMaleMicrobial Sensitivity TestsMiddle AgedMolecular EpidemiologyMutationPenicillin-Binding ProteinsPhenotypeAnti-Bacterial AgentsPenicillin-Binding Proteins

Identifiers

PMID24349303
PMCPMC3862678
OpenAlexW2038611257

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Registered trials

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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.