Evidence map›Paper›PMID 25994165›Full record

ArticleJournal of clinical microbiology2015

Identification of Gram-Negative Bacteria and Genetic Resistance Determinants from Positive Blood Culture Broths by Use of the Verigene Gram-Negative Blood Culture Multiplex Microarray-Based Molecular Assay.

Nathan A Ledeboer, Bert K Lopansri, Neelam Dhiman, Robert Cavagnolo, Karen C Carroll, Paul Granato, Richard Thomson, Susan M Butler-Wu, Heather Berger, Linoj Samuel and 9 more

Open access · bronzeAbstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed
13.2field-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

78 citing papers in PubMed, 160 citations in OpenAlex.

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  4. Rapid commercial CTX-M diagnostics: Performance, limitations and clinical impact.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
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  12. Multiplex microarray PCR Unyvero BCU system to accelerate relevant antimicrobial treatment in polymicrobial bloodstream infection.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
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  14. Complete genome sequence ofMicrobiology resource announcements · 2024
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  17. Global impact of antibacterial resistance in patients with hematologic malignancies and hematopoietic cell transplant recipients.Transplant infectious disease : an official journal of the Transplantation Society · 2023
    Review
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  20. Article

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

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

19 authors at 12 institutions in 1 country.

Nathan A LedeboerThe Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Bert K LopansriIntermountain Medical Center, Murray, Utah, USA.
Neelam Dhimanmed fusion, Lewisville, Texas, USA.
Robert Cavagnolomed fusion, Lewisville, Texas, USA.
Karen C CarrollJohns Hopkins, Baltimore, Maryland, US.
Paul GranatoLaboratory Alliance of Central New York, LLC Hospital, Fayetteville, New York, USA.
Richard ThomsonNorthShore University Health System Evanston, Evanston, Illinois, USA.
Susan M Butler-WuUniversity of Washington, Seattle, Washington, USA.
Heather BergerUniversity of Washington, Seattle, Washington, USA.
Linoj SamuelHenry Ford Hospital, Detroit, Michigan, USA.
Preeti PancholiThe Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Lettie SwyersThe Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Glen T HansenHennepin County Medical Center, Minneapolis, Minnesota, USA.
Nam K TranUniversity of California-Davis Medical Center, Sacramento, California, USA.
Christopher R PolageUniversity of California-Davis Medical Center, Sacramento, California, USA.
Kenneth S ThomsonCreighton University School of Medicine, Omaha, Nebraska, USA.
Nancy D HansonCreighton University School of Medicine, Omaha, Nebraska, USA.
Richard WinegarMRIGlobal, Kansas City, Missouri, USA.
Blake W BuchanThe Medical College of Wisconsin, Milwaukee, Wisconsin, USA bbuchan@mcw.edu.ORCID http://orcid.org/0000-0002-4111-048X
Creighton University · USMedical College of Wisconsin · USPerfusion Solution (United States) · USThe Ohio State University Wexner Medical Center · USUniversity of California Davis Medical Center · USUniversity of Washington · USHennepin County Medical Center · USHenry Ford Hospital · USIntermountain Medical Center · USJohns Hopkins University · USMRIGlobal · USNorthShore University HealthSystem · US

Funding

DANGER: Developing the Next Generation of Emergency Medicine ResearchersK12HL108964 · NHLBI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HOLMES, JAMES F., KUPPERMANN, NATHAN · 2011 to 2015
$3.1M
NHLBI NIH HHS K12 HL108964
6 · The paper itself

Abstract

Bloodstream infection is a serious condition associated with significant morbidity and mortality. The outcome of these infections can be positively affected by the early implementation of effective antibiotic therapy based on the identification of the infecting organism and genetic markers associated with antibiotic resistance. In this study, we evaluated the microarray-based Verigene Gram-negative blood culture (BC-GN) assay in the identification of 8 genus or species targets and 6 genetic resistance determinants in positive blood culture broths. A total of 1,847 blood cultures containing Gram-negative organisms were tested using the BC-GN assay. This comprised 729 prospective fresh, 781 prospective or retrospective frozen, and 337 simulated cultures representing 7 types of aerobic culture media. The results were compared to those with standard bacterial culture and biochemical identification with nucleic acid sequence confirmation of the resistance determinants. Among monomicrobial cultures, the positive percent agreement (PPA) of the BC-GN assay with the reference method was as follows; Escherichia coli, 100%; Klebsiella pneumoniae, 92.9%; Klebsiella oxytoca, 95.5%; Enterobacter spp., 99.3%; Pseudomonas aeruginosa, 98.9%; Proteus spp., 100%; Acinetobacter spp., 98.4%; and Citrobacter spp., 100%. All organism identification targets demonstrated >99.5% negative percent agreement (NPA) with the reference method. Of note, 25/26 cultures containing K. pneumoniae that were reported as not detected by the BC-GN assay were subsequently identified as Klebsiella variicola. The PPA for identification of resistance determinants was as follows; blaCTX-M, 98.9%; blaKPC, 100%; blaNDM, 96.2%; blaOXA, 94.3%; blaVIM, 100%; and blaIMP, 100%. All resistance determinant targets demonstrated >99.9% NPA. Among polymicrobial specimens, the BC-GN assay correctly identified at least one organism in 95.4% of the broths and correctly identified all organisms present in 54.5% of the broths. The sample-to-result processing and automated reading of the detection microarray results enables results within 2 h of culture positivity.

Indexed as

Drug Resistance, BacterialBacteremiaBacteriological TechniquesGram-Negative BacteriaGram-Negative Bacterial InfectionsHumansMicroarray AnalysisMolecular Diagnostic TechniquesProspective StudiesRetrospective StudiesTime Factors

Identifiers

PMID25994165
PMCPMC4508435
OpenAlexW1998516130

What OpenQuestion holds

Textmetadata
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.