Evidence map›Paper›PMID 26064922›Full record

ArticleBioMed research international2015

Occurrence of Multidrug Resistant Extended Spectrum Beta-Lactamase-Producing Bacteria on Iceberg Lettuce Retailed for Human Consumption.

Natasha Bhutani, Chithra Muraleedharan, Deepa Talreja, Sonia Walia Rana, Sandeep Walia, Ashok Kumar, Satish K Walia

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 45 citations in OpenAlex.

  1. The Invisible Threat of Antibiotic Resistance in Food.Antibiotics (Basel, Switzerland) · 2025
    Review
  2. Review
  3. Extended-Spectrum Beta-Lactamases ProducingAntibiotics (Basel, Switzerland) · 2022
    Review
  4. Article
  5. Review
  6. Article
  7. Extended-Spectrum Beta-Lactamase Producing-Frontiers in microbiology · 2021
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Pathogens and global health
    Review
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

7 authors at 3 institutions in 1 country.

Natasha BhutaniDepartment of Biological Sciences, Oakland University, 375 Dodge Hall of Engineering, Rochester, MI 48309, USA.ORCID 0000-0002-8160-7693
Chithra MuraleedharanDepartment of Biological Sciences, Oakland University, 375 Dodge Hall of Engineering, Rochester, MI 48309, USA.ORCID 0000-0002-6739-7503
Deepa TalrejaDepartment of Biological Sciences, Oakland University, 375 Dodge Hall of Engineering, Rochester, MI 48309, USA ; Department of Ophthalmology, Kresge Eye Institute, Wayne State University School of Medicine, 4717 Saint Antoine Street, Detroit, MI 48201, USA.
Sonia Walia RanaDepartment of Ophthalmology, Kresge Eye Institute, Wayne State University School of Medicine, 4717 Saint Antoine Street, Detroit, MI 48201, USA.
Sandeep WaliaDepartment of Gastroenterology, Henry Ford Health System, Detroit, MI 48208, USA.
Ashok KumarDepartment of Biological Sciences, Oakland University, 375 Dodge Hall of Engineering, Rochester, MI 48309, USA ; Department of Ophthalmology, Kresge Eye Institute, Wayne State University School of Medicine, 4717 Saint Antoine Street, Detroit, MI 48201, USA.ORCID 0000-0001-6332-6591
Satish K WaliaDepartment of Biological Sciences, Oakland University, 375 Dodge Hall of Engineering, Rochester, MI 48309, USA.
Henry Ford Health System · USOakland University · USWayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antibiotic resistance in bacteria is a global problem exacerbated by the dissemination of resistant bacteria via uncooked food, such as green leafy vegetables. New strains of bacteria are emerging on a daily basis with novel expanded antibiotic resistance profiles. In this pilot study, we examined the occurrence of antibiotic resistant bacteria against five classes of antibiotics on iceberg lettuce retailed in local convenience stores in Rochester, Michigan. In this study, 138 morphologically distinct bacterial colonies from 9 iceberg lettuce samples were randomly picked and tested for antibiotic resistance. Among these isolates, the vast majority (86%) demonstrated resistance to cefotaxime, and among the resistant bacteria, the majority showed multiple drug resistance, particularly against cefotaxime, chloramphenicol, and tetracycline. Three bacterial isolates (2.17%) out of 138 were extended spectrum beta-lactamase (ESBL) producers. Two ESBL producers (T1 and T5) were identified as Klebsiella pneumoniae, an opportunistic pathogen with transferable sulfhydryl variable- (SHV-) and TEM-type ESBLs, respectively. The DNA sequence analysis of the bla SHV detected in K. pneumoniae isolate T1 revealed 99% relatedness to bla SHV genes found in clinical isolates. This implies that iceberg lettuce is a potential reservoir of newly emerging and evolving antibiotic resistant bacteria and its consumption poses serious threat to human health.

Indexed as

Anti-Bacterial Agentsbeta-LactamasesDrug Resistance, Multiple, BacterialFood MicrobiologyHumansKlebsiella InfectionsKlebsiella pneumoniaeLactucaMolecular EpidemiologySequence Analysis, DNAAnti-Bacterial Agentsbeta-Lactamases

Identifiers

PMID26064922
PMCPMC4433657
OpenAlexW2014121752

What OpenQuestion holds

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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.