Evidence map›Paper›PMID 24738669›Full record

ArticleThe New England journal of medicine2014

Transferable vancomycin resistance in a community-associated MRSA lineage.

Flávia Rossi, Lorena Diaz, Aye Wollam, Diana Panesso, Yanjiao Zhou, Sandra Rincon, Apurva Narechania, Galen Xing, Thais S R Di Gioia, André Doi and 11 more

Erratum issuedOpen access · bronzeAbstract readCase Reports
In one paragraph

Article in The New England journal of medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 70 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 2 pooled it
13.1field-weighted citation impact, top 1% 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, 2 syntheses or guidelines pooled it, 182 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Enzymatic DNA Reaction Networks for Orchestrating Stimuli-Dependent Temporal Molecular Pulse.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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  8. Antibiotic Resistance ofPharmaceuticals (Basel, Switzerland) · 2025
    Review
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  12. Review
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  15. Article
  16. Article
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  20. Review

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

4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

21 authors at 1 institution in 1 country.

Flávia RossiFrom the Department of Pathology, Division of Microbiology of the Central Laboratory (LIM 03) and Department of Infectious Disease (LIM 54), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo (F.R., T.S.R.D.G., A.D., D.B., I.M.H.); Molecular Genetics and Antimicrobial Resistance Unit, Universidad El Bosque, Bogota (L.D., D.P., S.R., J.R., L.P.C., C.A.A.), and Centro Internacional de Entrenamiento e Investigaciones Medicas (CIDEIM), Cali (A.H.-R.) - both in Colombia; Clinica Alemana de Santiago, Universidad del Desarrollo, Santiago, Chile (J.M.M.); the Department of Internal Medicine, Division of Infectious Diseases (L.D., D.P., T.T.T., J.R., J.M.M., A.H.-R., B.E.M, C.A.A.), and the Department of Microbiology and Molecular Genetics (B.E.M., C.A.A.), University of Texas Medical School at Houston, and the University of Houston College of Pharmacy (T.T.T.) - both in Houston; the Genome Institute, Washington University at St. Louis, St. Louis (A.W., Y.Z., G.M.W.); and Sackler Institute for Comparative Genomics, American Museum of Natural History (A.N., P.J.P.), and Division of Pediatric Infectious Diseases, Columbia University (G.X., P.J.P.) - both in New York.
Lorena Diaz
Aye Wollam
Diana Panesso
Yanjiao Zhou
Sandra Rincon
Apurva Narechania
Galen Xing
Thais S R Di Gioia
André Doi
Truc T Tran
Jinnethe Reyes
Jose M Munita
Lina P Carvajal
Alejandra Hernandez-Roldan
Denise Brandão
Inneke Marie van der Heijden
Barbara E Murray
Paul J Planet
George M Weinstock
Cesar A Arias
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BR

Funding

Large Scale Genome SequencingU54HG003079 · NHGRI · WASHINGTON UNIVERSITY · PI DUTCHER, SUSAN K · 2004 to 2016
$445.7M
Sequencing the Human MicrobiomeU54HG004968 · NHGRI · WASHINGTON UNIVERSITY · PI WILSON, RICHARD K. · 2009 to 2012
$16.7M
Molecular Mechanisms Of Daptomycin Resistance In EnterococciR01AI093749 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI ARIAS, CESAR AUGUSTO · 2011 to 2015
$1.9M
Role of Staphylococcus aureus SpA in Microbial Competition and Host ColonizationK08AI101005 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PLANET, PAUL J · 2012 to 2014
$405k
NHGRI NIH HHS 1U54 HG004968NHGRI NIH HHS U54 HG003079NHGRI NIH HHS U54 HG004968NIAID NIH HHS K08 AI101005NIAID NIH HHS R01 AI093749
6 · The paper itself

Abstract

We report the case of a patient from Brazil with a bloodstream infection caused by a strain of methicillin-resistant Staphylococcus aureus (MRSA) that was susceptible to vancomycin (designated BR-VSSA) but that acquired the vanA gene cluster during antibiotic therapy and became resistant to vancomycin (designated BR-VRSA). Both strains belong to the sequence type (ST) 8 community-associated genetic lineage that carries the staphylococcal chromosomal cassette mec (SCCmec) type IVa and the S. aureus protein A gene (spa) type t292 and are phylogenetically related to MRSA lineage USA300. A conjugative plasmid of 55,706 bp (pBRZ01) carrying the vanA cluster was identified and readily transferred to other staphylococci. The pBRZ01 plasmid harbors DNA sequences that are typical of the plasmid-associated replication genes rep24 or rep21 described in community-associated MRSA strains from Australia (pWBG745). The presence and dissemination of community-associated MRSA containing vanA could become a serious public health concern.

Indexed as

AdultBacteremiaBrazilGene Transfer, HorizontalGenome, BacterialHumansMaleMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsMultigene FamilyMycosis FungoidesPlasmidsSequence Analysis, DNAVancomycin Resistance

Identifiers

PMID24738669
PMCPMC4112484
OpenAlexW2091265623

What OpenQuestion holds

Textmetadata
LicenceTDM
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.