Evidence map›Paper›PMID 25587716›Full record

ArticlePloS one2015

Plasmid-mediated AmpC: prevalence in community-acquired isolates in Amsterdam, the Netherlands, and risk factors for carriage.

E Ascelijn Reuland, Teysir Halaby, John P Hays, Denise M C de Jongh, Henrieke D R Snetselaar, Marte van Keulen, Petra J M Elders, Paul H M Savelkoul, Christina M J E Vandenbroucke-Grauls, Nashwan Al Naiemi

Abstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
–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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  12. Conjugative plasmidic AmpC detected in Escherichia coli, Proteus mirabilis and Klebsiella pneumoniae human clinical isolates from Portugal.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2020
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  14. A Novel, Integron-Regulated, Class C β-Lactamase.Antibiotics (Basel, Switzerland) · 2020
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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

10 authors.

E Ascelijn ReulandMedical Microbiology and Infection Control, VU University Medical Center, Amsterdam, The Netherlands.
Teysir HalabyLaboratory for Medical Microbiology and Public Health, Hengelo, The Netherlands.
John P HaysDepartment of Medical Microbiology and Infectious Diseases, Erasmus MC, Rotterdam, The Netherlands.
Denise M C de JonghDepartment of Medical Microbiology and Infectious Diseases, Erasmus MC, Rotterdam, The Netherlands.
Henrieke D R SnetselaarMedical Microbiology and Infection Control, VU University Medical Center, Amsterdam, The Netherlands.
Marte van KeulenMedical Microbiology and Infection Control, VU University Medical Center, Amsterdam, The Netherlands.
Petra J M EldersEMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
Paul H M SavelkoulMedical Microbiology and Infection Control, VU University Medical Center, Amsterdam, The Netherlands.
Christina M J E Vandenbroucke-GraulsMedical Microbiology and Infection Control, VU University Medical Center, Amsterdam, The Netherlands.
Nashwan Al NaiemiMedical Microbiology and Infection Control, VU University Medical Center, Amsterdam, The Netherlands; Laboratory for Medical Microbiology and Public Health, Hengelo, The Netherlands; Medical Microbiology and Infection Control, Ziekenhuisgroep Twente, Almelo, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objective of this study was to determine the prevalence of pAmpC beta-lactamases in community-acquired Gram negative bacteria in the Netherlands, and to identify possible risk factors for carriage of these strains.

methodsFecal samples were obtained from community-dwelling volunteers. Participants also returned a questionnaire for analysis of risk factors. Screening for pAmpC was performed with selective enrichment broth and a selective screening agar. Confirmation of AmpC-production was performed with two double disc combination tests: cefotaxime and ceftazidime with either boronic acid or cloxacillin as inhibitor. Multiplex PCR was used as gold standard for detection of pAmpC. 16S rRNA PCR and AFLP were performed as required, plasmids were identified by PCR-based replicon typing. Questionnaire results were analyzed with SPSS, version 20.0.

resultsFecal samples were obtained from 550 volunteers; mean age 51 years (range: 18-91), 61% were females. pAmpC was present in seven E. coli isolates (7/550, 1.3%, 0.6-2.7 95% CI): six CMY-2-like pAmpC and one DHA. ESBL-encoding genes were found in 52/550 (9.5%, 7.3-12.2 95% CI) isolates; these were predominantly blaCTX-M genes. Two isolates had both ESBL and pAmpC. Admission to a hospital in the previous year was the only risk factor we identified.

conclusionsOur data indicate that the prevalence of pAmpC in the community seems still low. However, since pAmpC-producing isolates were not identified as ESBL producers by routine algorithms, there is consistent risk that further increase of their prevalence might go undetected.

Indexed as

AdolescentAdultAgedAged, 80 and overAmplified Fragment Length Polymorphism AnalysisAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesCefotaximeCeftazidimeDrug Resistance, BacterialEscherichia coliFecesFemaleHumansMaleAmpC beta-lactamasesAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesCefotaximeCeftazidime

Identifiers

PMID25587716
PMCPMC4294687

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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.