Evidence map›Paper›PMID 26414183›Full record

ArticlePloS one2015

Emergence of OXA-48-Producing Klebsiella pneumoniae in Taiwan.

Ling Ma, Jann-Tay Wang, Tsu-Lan Wu, L Kristopher Siu, Yin-Ching Chuang, Jung-Chung Lin, Min-Chi Lu, Po-Liang Lu

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pathogens (Basel, Switzerland) · 2024
    Pooled it
  2. Klebsiella pneumoniae: an increasing threat to public health.Annals of clinical microbiology and antimicrobials · 2020
    Pooled it
  3. Infection and drug resistance · 2025
    Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Analysis of carbapenemases genes of carbapenem-resistantIranian journal of microbiology · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. The Global Ascendency of OXA-48-Type Carbapenemases.Clinical microbiology reviews · 2019
    Review
  13. Article
  14. Rapidly disseminating blaBMC microbiology · 2019
    Article
  15. Cocarriage of DistinctAntimicrobial agents and chemotherapy · 2019
    Article
  16. Review
  17. Article
  18. The Infinity War: How to Cope with Carbapenem-resistantJournal of Korean medical science · 2018
    Review
  19. Article
  20. OXA-48-like carbapenemases producing Enterobacteriaceae in different niches.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 1 country.

Ling MaNational Institutes of Infectious Diseases and Vaccinology, National Health Research Institutes, Miaoli, Taiwan.
Jann-Tay WangDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Tsu-Lan WuDepartment of Clinical Pathology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
L Kristopher SiuNational Institutes of Infectious Diseases and Vaccinology, National Health Research Institutes, Miaoli, Taiwan.
Yin-Ching ChuangDepartment of Internal Medicine and Medical Research, Chi Mei Medical Center, Tainan, Taiwan; Department of Internal Medicine, Chi Mei Medical Center, Liouying, Tainan, Taiwan.
Jung-Chung LinDivision of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Min-Chi LuSection of Infectious Diseases, Department of Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan.
Po-Liang LuDepartment of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
National Health Research Institutes · TWChi Mei Medical Center · TWChung Shan Medical University Hospital · TWKaohsiung Medical University Chung-Ho Memorial Hospital · TWLinkou Chang Gung Memorial Hospital · TWNational Defense Medical Center · TWNational Taiwan University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The isolation of OXA-48-producing Enterobacteriaceae has increased dramatically in Mediterranean countries in the past 10 years, and has recently emerged in Asia. Between January 2012 and May 2014, a total of 760 carbapenem non-susceptible Klebsiella pneumoniae (CnSKP) isolates were collected during a Taiwan national surveillance. Carbapenemases were detected in 210 CnSKP isolates (27.6%), including 162 KPC-2 (n = 1), KPC-3, KPC-17, and NDM-1 (n = 1 each), OXA-48 (n = 4), IMP-8 (n = 18), and VIM-1 (n = 24). The four blaOXA-48 CnSKP isolates were detected in late 2013. Herein we report the emergence OXA-48-producing K. pneumoniae isolates in Taiwan. PFGE analysis revealed that the four isolates belonged to three different pulsotypes. Three isolates harboured blaCTX-M genes and belonged to MLST type ST11. In addition, the plasmids belonged to the incompatibility group, IncA/C. One isolate belonged to ST116 and the plasmid incompatibility group was non-typeable. The sequence upstream of the blaOXA-48 gene in all four isolates was identical to pKPOXA-48N1, a blaOXA-48-carrying plasmid. This is the first report of OXA-48-producing Enterobacteriaceae in Taiwan and the second report to identify blaOXA-48 on an IncA/C plasmid in K. pneumoniae. Given that three isolates belong to the same pandemic clone (ST11) and possess the IncA/C plasmid and similar plasmid digestion profile that indicated the role of clonal spread or plasmid for dissemination of blaOXA-48 gene, the emergence of OXA-48-producing K. pneumoniae in Taiwan is of great concern.

Indexed as

beta-LactamasesElectrophoresis, Gel, Pulsed-FieldHumansKlebsiella pneumoniaeMultilocus Sequence TypingPlasmidsTaiwanbeta-Lactamasesoxacillinase

Identifiers

PMID26414183
PMCPMC4587373
OpenAlexW2154185692

What OpenQuestion holds

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LicenceCC BY
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.