Evidence map›Paper›PMID 26444537›Full record

ArticleAnnals of clinical microbiology and antimicrobials2015

Evaluation of carbapenem resistance using phenotypic and genotypic techniques in Enterobacteriaceae isolates.

Kazım Sahin, Ayse Tekin, Sule Ozdas, Demet Akin, Hande Yapislar, Aziz Ramazan Dilek, Emine Sonmez

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical microbiology and antimicrobials, 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
1.5field-weighted citation impact, top 20% 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, 46 citations in OpenAlex.

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  10. Molecular Characterization ofThe open microbiology journal · 2017
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  11. Is One Colony Enough?Journal of clinical microbiology · 2016
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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.

Kazım SahinDepartment of Microbiology, Medical Faculty, Recep Tayyip Erdogan University, Islampasa mah., 53000, Rize, Turkey. ksahin3@mynet.com.
Ayse TekinDepartment of Infectious Diseases, Cengiz Gökcek Women and Obstetrics Hospital, Osmangazi mah., 27010, Gaziantep, Turkey. aysetekin2002@yahoo.com.
Sule OzdasDepartment of Molecular Biology and Genetics, Medical Faculty, Istanbul Bilim University, Buyukdere cad., No: 120, Esentepe-Sisli-Istanbul, Turkey. sule.ozdas@istanbulbilim.edu.tr.
Demet AkinDepartment of Pharmacology, Medical Faculty, Istanbul Bilim University, Buyukdere cad., No: 120, 34394, Esentepe-Sisli-Istanbul, Turkey. demetakin2000@yahoo.com.
Hande YapislarDepartment of Physiology, Medical Faculty, Istanbul Bilim University, Buyukdere cad., No: 120, 34394, Esentepe-Sisli-Istanbul, Turkey. hande.yapislar@istanbulbilim.edu.tr.
Aziz Ramazan DilekDepartment of Microbiology, Medical Faculty, Recep Tayyip Erdogan University, Islampasa mah., 53000, Rize, Turkey. ar.dilek@hotmail.com.
Emine SonmezDepartment of Infectious Diseases, Medical Faculty, Recep Tayyip Erdogan University, Islampasa mah., 53000, Rize, Turkey. dreminesonmez@gmail.com.
Istanbul Bilim University · TRRecep Tayyip Erdoğan University · TRGaziantep Children's Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBacterial resistance to antibiotics is increasing worldwide. Antibiotic-resistant strains can lead to serious problems regarding treatment of infection. Carbapenem antibiotics are the final treatment option for infections caused by serious and life-threatening multidrug-resistant gram-negative bacteria. Therefore, an understanding of carbapenem resistance is important for infection control. In the study described herein, the phenotypic and genotypic features of carbapenem-resistant Enterobacteriaceae strains isolated in our hospital were evaluated.

methodsIn total, 43 carbapenem-resistant strains were included in this study. Sensitivity to antibiotics was determined using the VITEK(®)2 system. The modified Hodge test (MHT) and metallo-β-lactamase (MBL) antimicrobial gradient test were performed for phenotypic identification. Resistance genes IMP, VIM, KPC, NDM-1, and OXA-48 were amplified by multiplex PCR.

resultsThe OXA-48 gene was detected in seven strains, and the NDM-1 gene in one strain. No resistance genes were detected in the remainder of strains. A significant correlation was observed between the MHT test and OXA-48 positivity, and between the MBL antimicrobial gradient test and positivity for resistance genes (p < 0.05).

conclusionThe finding of one NDM-1-positive isolate in this study indicates that carbapenem resistance is spreading in Turkey. Carbapenem resistance spreads rapidly and causes challenges in treatment, and results in high mortality/morbidity rates. Therefore, is necessary to determine carbapenem resistance in Enterobacteriaceae isolates and to take essential infection control precautions to avoid spread of this resistance.

Indexed as

beta-Lactam ResistanceGenotypePhenotypeAdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsCarbapenemsChildChild, PreschoolEnterobacteriaceaeEnterobacteriaceae InfectionsFemaleGenes, BacterialHumansAnti-Bacterial AgentsCarbapenems

Identifiers

PMID26444537
PMCPMC4596540
OpenAlexW1856742551

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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.