Evidence map›Paper›PMID 25729729›Full record

ArticleAnnals of laboratory medicine2015

The sul1 gene in Stenotrophomonas maltophilia with high-level resistance to trimethoprim/sulfamethoxazole.

Hae-Sun Chung, Kyeongmi Kim, Sang Sook Hong, Seong Geun Hong, Kyungwon Lee, Yunsop Chong

Open access · diamondAbstract read
In one paragraph

Article in Annals of laboratory medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
3.4field-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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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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

6 authors at 3 institutions in 1 country.

Hae-Sun ChungDepartment of Laboratory Medicine, Ewha Womans University School of Medicine, Seoul, Korea. ; Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, Korea.
Kyeongmi KimDepartment of Laboratory Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Sang Sook HongDepartment of Laboratory Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Seong Geun HongDepartment of Laboratory Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea. ; Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, Korea.
Kyungwon LeeDepartment of Laboratory Medicine, Yonsei University College of Medicine, Seoul, Korea. ; Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, Korea.
Yunsop ChongDepartment of Laboratory Medicine, Yonsei University College of Medicine, Seoul, Korea. ; Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, Korea.
Yonsei University · KRCHA University · KRCHA University Bundang Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emerging resistance to trimethoprim/sulfamethoxazole (SXT) poses a serious threat to the treatment of Stenotrophomonas maltophilia infections. We determined the prevalence and molecular characteristics of acquired SXT resistance in recent clinical S. maltophilia isolates obtained from Korea. A total of 252 clinical isolates of S. maltophilia were collected from 10 university hospitals in Korea between 2009 and 2010. Antimicrobial susceptibility was determined by using the CLSI agar dilution method. The sul1, sul2, and sul3 genes, integrons, insertion sequence common region (ISCR) elements, and dfrA genes were detected using PCR. The presence of the sul1 gene and integrons was confirmed through sequence analysis. Among the 32 SXT-resistant isolates, sul1 was detected in 23 isolates (72%), all of which demonstrated high-level resistance (≥64 mg/L) to SXT. The sul1 gene (varying in size and structure) was linked to class 1 integrons in 15 of the 23 isolates (65%) harboring this gene. None of the SXT-susceptible isolates or the SXT-resistant isolates with a minimum inhibitory concentration of 4 and 8 mg/L were positive for sul1. Moreover, the sul2, sul3, and dfrA genes or the ISCR elements were not detected. The sul1 gene may play an important role in the high-level SXT resistance observed in S. maltophilia.

Indexed as

Anti-Bacterial AgentsBacterial ProteinsDrug Resistance, BacterialGram-Negative Bacterial InfectionsHumansIntegronsMicrobial Sensitivity TestsStenotrophomonas maltophiliaTrimethoprim, Sulfamethoxazole Drug CombinationAnti-Bacterial AgentsBacterial ProteinsTrimethoprim, Sulfamethoxazole Drug CombinationClass 1 integronStenotrophomonas maltophiliasulTrimethoprim/sulfamethoxazole

Identifiers

PMID25729729
PMCPMC4330177
OpenAlexW2102234811

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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.