Evidence map›Paper›PMID 26393125›Full record

ArticleJournal of clinical and diagnostic research : JCDR2015

Phylogenetic Distribution of Virulence Genes Among ESBL-producing Uropathogenic Escherichia coli Isolated from Long-term Hospitalized Patients.

Ruike Zhao, Jinfang Shi, Yimin Shen, Yanmeng Li, Qingzhen Han, Xianfeng Zhang, Guohao Gu, Jie Xu

Abstract read
In one paragraph

Article in Journal of clinical and diagnostic research : JCDR, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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16citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Phylogenetic Group Distribution of UropathogenicFrontiers in cellular and infection microbiology · 2022
    Pooled it
  2. Characterizing the resistome ofFrontiers in microbiology · 2025
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Prevalence of ESBL and AmpC genes inNew microbes and new infections · 2022
    Article
  9. Pan-Resistome Characterization of UropathogenicAntibiotics (Basel, Switzerland) · 2021
    Article
  10. Antimicrobial Resistance and Molecular Epidemiology of UropathogenicFrontiers in cellular and infection microbiology · 2021
    Article
  11. Article
  12. Article
  13. The Phylogenetic Relatedness ofInfection and drug resistance · 2020
    Article
  14. Article
  15. Common findings of blaCurrent microbiology · 2017
    Article
  16. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Ruike ZhaoFaculty, Department of Clinical Laboratory, the First Affiliated Hospital of Soochow University , Suzhou, P.R. of China .
Jinfang ShiFaculty, Department of Clinical Laboratory, the First Affiliated Hospital of Soochow University , Suzhou, P.R. of China .
Yimin ShenFaculty, Department of Clinical Laboratory, the First Affiliated Hospital of Soochow University , Suzhou, P.R. of China .
Yanmeng LiFaculty, Department of Clinical Laboratory, the First Affiliated Hospital of Soochow University , Suzhou, P.R. of China .
Qingzhen HanFaculty, Department of Clinical Laboratory, the First Affiliated Hospital of Soochow University , Suzhou, P.R. of China .
Xianfeng ZhangFaculty, Department of Clinical Laboratory, the First Affiliated Hospital of Soochow University , Suzhou, P.R. of China .
Guohao GuFaculty, Department of Clinical Laboratory, the First Affiliated Hospital of Soochow University , Suzhou, P.R. of China .
Jie XuFaculty, Department of Clinical Laboratory, the First Affiliated Hospital of Soochow University , Suzhou, P.R. of China .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe present study was aimed to investigate the antibiotic resistance, virulence potential and phylogenetic grouping of ESBL-producing uropathogenic Escherichia coli (EP-UPEC) isolated from long-term hospitalized patients. MATERIALS AND

methodsEP-UPEC isolates from September 2013 to June 2014 at a tertiary care hospital of China were screened for ESBL-production by the double disk diffusion test. Isolates with ESBL-phenotype were further characterized by antibiotic resistance testing, PCR of different ESBL and virulence genes, and phylogenetic grouping.

resultsOne hundred and twenty EP-UPEC were isolated from long-term hospitalized patients. All EP-UPEC isolates were resistant to Ampicillin, Cefazolin, Cefuroxime, Cefotaxime, Cefoperazone and Ceftriaxone, and the majority of EP-UPEC isolates were resistant to Piperacillin (82.5%), Ciprofloxacin (81.2%), Trimethoprim-Sulfamethoxazole (72.5%). The isolates showed the highest sensitivity against Imipenem (98.4%), Piperacillin/tazobactam (96.7%), Cefoperazone/sulbactam (91.7%), Amikacin (90.8%) and Cefepime (75.8%). Nine different ESBL genotype patterns were observed and CTX-M type was the most prevalent ESBL genotype (42.5%, 51/120). Majority of EP-UPEC isolates possess more than one ESBL genes. EP-UPEC isolates belonged mainly to phylogenetic group B2(36.7%) and D(35.0%). The prevalence of traT, ompT, iss, PAI, afa, fimH and papC were 75.8%, 63.3%, 63.3%, 60.8%, 40.8%, 19.2% and 6.7%, respectively. The number of virulence genes (VGs) detected was significantly higher in group B2 than in group A (ANOVA, p<0.001), group B1(ANOVA, p= 0.012) and D (ANOVA, p<0.001).

conclusionsEP-UPEC strains showed multidrug resistance and co-resistance to other non β-lactam antibiotics. CTX-M was the most prevalent ESBL genotype and majority of EP-UPEC strains more than one ESBL genes. EP-UPEC strains belonged mainly to phylogenetic group B2 and D, and most of the virulence genes were more prevalent in group B2.

Indexed as

ESBLPhylogenetic groupsResistanceUPECVirulence

Identifiers

PMID26393125
PMCPMC4572956

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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.