Evidence map›Paper›PMID 25887224›Full record

ArticleBMC microbiology2015

Endemic and epidemic Acinetobacter baumannii clones: a twelve-year study in a tertiary care hospital.

Pilar Villalón, Sylvia Valdezate, Teresa Cabezas, Montserrat Ortega, Noelia Garrido, Ana Vindel, María J Medina-Pascual, Juan A Saez-Nieto

Abstract read
In one paragraph

Article in BMC microbiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–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

25 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. A 12-year epidemiological study ofAntimicrobial stewardship & healthcare epidemiology : ASHE · 2022
    Article
  7. Article
  8. Article
  9. Extensively drug-resistant Acinetobacter baumannii carrying blaEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Article
  10. Article
  11. Article
  12. Dynamics of a Sporadic NosocomialFrontiers in microbiology · 2019
    Article
  13. Whole-Genome Sequences of FiveFrontiers in microbiology · 2019
    Article
  14. Article
  15. A multimodal intervention program to control a long-termAntimicrobial resistance and infection control · 2019
    Article
  16. Observational
  17. Article
  18. Article
  19. Extensively drug-resistantInfection and drug resistance · 2018
    Article
  20. Article
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.

Pilar VillalónLaboratorio de Taxonomía, Servicio de Bacteriología, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda-Pozuelo km2, 28220, Madrid, Majadahonda, Spain. pvillalon@isciii.es.
Sylvia ValdezateLaboratorio de Taxonomía, Servicio de Bacteriología, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda-Pozuelo km2, 28220, Madrid, Majadahonda, Spain. svaldezate@isciii.es.
Teresa CabezasLaboratorio de Biotecnología Hospital de Poniente El Ejido, Almería, Spain. mariateresa.cabezas@ephpo.es.
Montserrat OrtegaLaboratorio de Taxonomía, Servicio de Bacteriología, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda-Pozuelo km2, 28220, Madrid, Majadahonda, Spain. mortega@isciii.es.
Noelia GarridoLaboratorio de Taxonomía, Servicio de Bacteriología, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda-Pozuelo km2, 28220, Madrid, Majadahonda, Spain. noegarrido@isciii.es.
Ana VindelLaboratorio de Infecciones Intrahospitalarias Servicio de Bacteriología, Centro Nacional de Microbiología Instituto de Salud Carlos III, Majadahonda, Madrid, Spain. avindel@isciii.es.
María J Medina-PascualLaboratorio de Taxonomía, Servicio de Bacteriología, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda-Pozuelo km2, 28220, Madrid, Majadahonda, Spain. mjmedina@isciii.es.
Juan A Saez-NietoLaboratorio de Taxonomía, Servicio de Bacteriología, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda-Pozuelo km2, 28220, Madrid, Majadahonda, Spain. jasaez@isciii.es.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNosocomial outbreaks of multidrug-resistant Acinetobacter baumannii are of worldwide concern. Using pulsed-field gel electrophoresis (PFGE), multilocus sequence typing (MLST), and multiple locus variable number tandem repeat sequence (VNTR) analysis (MLVA), the present work examines the genetic diversity of the endemic and epidemic A. baumannii clones isolated in a single hospital over a twelve-year period.

resultsPFGE analysis of 405 A. baumannii-calcoaceticus complex isolates detected 15 A. baumannii endemic/epidemic PFGE types (EE1 to EE15) that grouped into five clusters: EE1-EE8, EE9, EE10, EE11 and EE12-EE15. The MLST sequence type (ST) distributions were: international clone II (ST-2) 60%, international clone III (ST-3) 26.7%, ST-15 6.7%, and ST-80 6.7%. MLVA-8Orsay returned 17 allelic profiles. The large (L) VNTR marker profiles were fully concordant with the detected STs, and concordant with 14 up to 15 PFGE types. Imipenem resistance was detected in five PFGE types; the prevalence of the bla OXA-58-like and bla OXA-40-like genes was 60% and 40% respectively.

conclusionsPFGE proved to be a vital tool for analysis of the temporal and spatial distribution of the clones. MLST and the VNTR L-markers grouped the isolates into clonal clusters. The wide diversity of MLVA small (S)-markers, however, did not permit clustering. The present results demonstrate the persistence of several endemic PFGE types in the hospital, the involvement of some of them in outbreaks, and the inter hospital transmission of extensively drug-resistant ST-15 and ST-80.

Indexed as

GenotypeAcinetobacter baumanniiAcinetobacter InfectionsCross InfectionDNA, BacterialHumansMinisatellite RepeatsMolecular EpidemiologyMultilocus Sequence TypingPolymorphism, Restriction Fragment LengthTertiary Care CentersDNA, Bacterial

Identifiers

PMID25887224
PMCPMC4352537

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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.