Evidence map›Paper›PMID 25038069›Full record

ArticleThe Journal of antimicrobial chemotherapy2014

Whole-genome sequencing reveals clonal expansion of multiresistant Staphylococcus haemolyticus in European hospitals.

Jorunn Pauline Cavanagh, Erik Hjerde, Matthew T G Holden, Tim Kahlke, Claus Klingenberg, Trond Flægstad, Julian Parkhill, Stephen D Bentley, Johanna U Ericson Sollid

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

32 citing papers in PubMed, 66 citations in OpenAlex.

  1. Characteristics ofInternational journal of molecular sciences · 2026
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  2. Genetic engineering ofMicrobial genomics · 2026
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  3. Article
  4. Immune evasion byAIMS microbiology · 2026
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  5. Gut microbes · 2025
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  6. Revealing the clinical relevance ofMicrobiology spectrum · 2025
    Article
  7. Epidemiology ofEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  8. Observational
  9. Emergence of multidrug-resistantEmerging microbes & infections · 2024
    Article
  10. Article
  11. Mucoid Staphylococcus haemolyticus: an unheeded multidrug-resistant pathogen.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2023
    Article
  12. Article
  13. Article
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  16. 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

9 authors at 4 institutions in 2 countries.

Jorunn Pauline CavanaghDepartment of Paediatrics, University Hospital of North Norway, Tromsø, Norway Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway pauline.cavanagh@uit.no.
Erik HjerdeDepartment of Chemistry, Norstruct, UiT The Arctic University of Norway, Tromsø, Norway.
Matthew T G HoldenThe Wellcome Trust Sanger Institute, Hinxton, Cambridge, UK.
Tim KahlkeDepartment of Chemistry, Norstruct, UiT The Arctic University of Norway, Tromsø, Norway.
Claus KlingenbergDepartment of Paediatrics, University Hospital of North Norway, Tromsø, Norway Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
Trond FlægstadDepartment of Paediatrics, University Hospital of North Norway, Tromsø, Norway Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
Julian ParkhillThe Wellcome Trust Sanger Institute, Hinxton, Cambridge, UK.
Stephen D BentleyThe Wellcome Trust Sanger Institute, Hinxton, Cambridge, UK Department of Medicine, University of Cambridge, Addenbrookes Hospital, Hills Road, Cambridge CB2 0SP, UK.
Johanna U Ericson SollidDepartment of Medical Biology, UiT The Arctic University of Norway, Tromsø, Norway.
UiT The Arctic University of Norway · NOWellcome Sanger Institute · GBAddenbrooke's Hospital · GBUniversity Hospital of North Norway · NO

Funding

Wellcome TrustWellcome Trust 098051
6 · The paper itself

Abstract

objectivesStaphylococcus haemolyticus is an emerging cause of nosocomial infections, primarily affecting immunocompromised patients. A comparative genomic analysis was performed on clinical S. haemolyticus isolates to investigate their genetic relationship and explore the coding sequences with respect to antimicrobial resistance determinants and putative hospital adaptation.

methodsWhole-genome sequencing was performed on 134 isolates of S. haemolyticus from geographically diverse origins (Belgium, 2; Germany, 10; Japan, 13; Norway, 54; Spain, 2; Switzerland, 43; UK, 9; USA, 1). Each genome was individually assembled. Protein coding sequences (CDSs) were predicted and homologous genes were categorized into three types: Type I, core genes, homologues present in all strains; Type II, unique core genes, homologues shared by only a subgroup of strains; and Type III, unique genes, strain-specific CDSs. The phylogenetic relationship between the isolates was built from variable sites in the form of single nucleotide polymorphisms (SNPs) in the core genome and used to construct a maximum likelihood phylogeny.

resultsSNPs in the genome core regions divided the isolates into one major group of 126 isolates and one minor group of isolates with highly diverse genomes. The major group was further subdivided into seven clades (A-G), of which four (A-D) encompassed isolates only from Europe. Antimicrobial multiresistance was observed in 77.7% of the collection. High levels of homologous recombination were detected in genes involved in adherence, staphylococcal host adaptation and bacterial cell communication.

conclusionsThe presence of several successful and highly resistant clones underlines the adaptive potential of this opportunistic pathogen.

Indexed as

Drug Resistance, Multiple, BacterialEuropeGenome-Wide Association StudyHospitalsHumansPolymorphism, Single NucleotideSequence Analysis, DNAStaphylococcus haemolyticusbacterial genomicsmolecular epidemiologymultidrug resistanceSCCmecstaphylococci

Identifiers

PMID25038069
PMCPMC4195474
OpenAlexW2107403643

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.