Evidence map›Paper›PMID 26824943›Full record

ArticleAntimicrobial agents and chemotherapy2016

Novel Aminoglycoside Resistance Transposons and Transposon-Derived Circular Forms Detected in Carbapenem-Resistant Acinetobacter baumannii Clinical Isolates.

Nabil Karah, Chinmay Kumar Dwibedi, Karin Sjöström, Petra Edquist, Anders Johansson, Sun Nyunt Wai, Bernt Eric Uhlin

Open access · hybridAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Drug-resistantClinical microbiology reviews · 2025
    Pooled it
  2. The (un)successful global spread ofMicrobial genomics · 2026
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  3. Article
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  6. Article
  7. Review
  8. Article
  9. ISMicrobiology and molecular biology reviews : MMBR · 2024
    Review
  10. Molecular and clinical epidemiology of carbapenem resistantThe Lancet regional health. Western Pacific · 2024
    Article
  11. Article
  12. Article
  13. Molecular and clinical epidemiology of carbapenem resistantThe Lancet regional health. Western Pacific · 2023
    Article
  14. Review
  15. Article
  16. Article
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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 2 institutions in 1 country.

Nabil KarahDepartment of Molecular Biology, Laboratory for Molecular Infection Medicine Sweden, and Umeå Centre for Microbial Research, Umeå University, Umeå, Sweden nabil.karah@umu.se.
Chinmay Kumar DwibediDepartment of Clinical Microbiology and Laboratory for Molecular Infection Medicine Sweden, Umeå University, Umeå, Sweden.
Karin SjöströmUnit for Antibiotic Resistance and Respiratory Bacterial Infections, Public Health Agency of Sweden, Solna, Sweden.
Petra EdquistUnit for Antibiotic Resistance and Respiratory Bacterial Infections, Public Health Agency of Sweden, Solna, Sweden.
Anders JohanssonDepartment of Clinical Microbiology and Laboratory for Molecular Infection Medicine Sweden, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0003-0548-5943
Sun Nyunt WaiDepartment of Molecular Biology, Laboratory for Molecular Infection Medicine Sweden, and Umeå Centre for Microbial Research, Umeå University, Umeå, Sweden.
Bernt Eric UhlinDepartment of Molecular Biology, Laboratory for Molecular Infection Medicine Sweden, and Umeå Centre for Microbial Research, Umeå University, Umeå, Sweden.
Umeå University · SEPublic Health Agency of Sweden · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acinetobacter baumannii has emerged as an important opportunistic pathogen equipped with a growing number of antibiotic resistance genes. Our study investigated the molecular epidemiology and antibiotic resistance features of 28 consecutive carbapenem-resistant clinical isolates of A. baumannii collected throughout Sweden in 2012 and 2013. The isolates mainly belonged to clonal complexes (CCs) with an extensive international distribution, such as CC2 (n = 16) and CC25 (n = 7). Resistance to carbapenems was related to blaOXA-23 (20 isolates), blaOXA-24/40-like (6 isolates), blaOXA-467 (1 isolate), and ISAba1-blaOXA-69 (1 isolate). Ceftazidime resistance was associated with blaPER-7 in the CC25 isolates. Two classical point mutations were responsible for resistance to quinolones in all the isolates. Isolates with high levels of resistance to aminoglycosides carried the 16S rRNA methylase armA gene. The isolates also carried a variety of genes encoding aminoglycoside-modifying enzymes. Several novel structures involved in aminoglycoside resistance were identified, including Tn6279, ΔTn6279, Ab-ST3-aadB, and different assemblies of Tn6020 and TnaphA6. Importantly, a number of circular forms related to the IS26 or ISAba125 composite transposons were detected. The frequent occurrence of these circular forms in the populations of several isolates indicates a potential role of these circular forms in the dissemination of antibiotic resistance genes.

Indexed as

Acinetobacter baumanniiAcinetobacter InfectionsAminoglycosidesAnti-Bacterial AgentsBacterial ProteinsBase Sequencebeta-LactamasesCarbapenemsCeftazidimeDNA, BacterialDNA Transposable ElementsDrug Resistance, Multiple, BacterialHumansMethyltransferasesMicrobial Sensitivity TestsMolecular EpidemiologyAminoglycosidesAnti-Bacterial AgentsBacterial Proteinsbeta-lactamase OXA-23, Acinetobacter baumanniibeta-lactamase OXA-24beta-lactamase OXA-40, Acinetobacter baumanniibeta-LactamasesCarbapenemsCeftazidimeDNA, BacterialDNA Transposable ElementsMethyltransferasesRNA, Ribosomal, 16S

Identifiers

PMID26824943
PMCPMC4776018
OpenAlexW2238892738

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.