Evidence map›Paper›PMID 26864946›Full record

ArticleScientific reports2016

Use of whole-genome sequencing to trace, control and characterize the regional expansion of extended-spectrum β-lactamase producing ST15 Klebsiella pneumoniae.

Kai Zhou, Mariette Lokate, Ruud H Deurenberg, Marga Tepper, Jan P Arends, Erwin G C Raangs, Jerome Lo-Ten-Foe, Hajo Grundmann, John W A Rossen, Alexander W Friedrich

Abstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
–field-weighted citation impact
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

62 citing papers in PubMed.

  1. Article
  2. Genomic Epidemiology of ClinicalAntibiotics (Basel, Switzerland) · 2026
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  5. CRISPR/Cas diagnostics forFrontiers in bioengineering and biotechnology · 2026
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  6. Antibiotic Resistance inAntibiotics (Basel, Switzerland) · 2026
    Review
  7. Article
  8. Comprehensive Genomic Characterization of a Drug-ResistantIranian journal of medical sciences · 2025
    Article
  9. Evolution of ceftazidime/avibactam resistance and plasmid dynamics in OXA-48-producing Klebsiella spp. during long-term patient colonization.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Interhospital Spread ofAntibiotics (Basel, Switzerland) · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

2 more citing papers are in PubMed but not listed here.

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

10 authors.

Kai ZhouDepartment of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
Mariette LokateDepartment of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
Ruud H DeurenbergDepartment of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
Marga TepperDepartment of Rehabilitation Medicine, Center for Rehabilitation, University of Groningen, University Medical Center Groningen, Netherlands.
Jan P ArendsDepartment of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
Erwin G C RaangsDepartment of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
Jerome Lo-Ten-FoeDepartment of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
Hajo GrundmannDepartment of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
John W A RossenDepartment of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
Alexander W FriedrichDepartment of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The study describes the transmission of a CTX-M-15-producing ST15 Klebsiella pneumoniae between patients treated in a single center and the subsequent inter-institutional spread by patient referral occurring between May 2012 and September 2013. A suspected epidemiological link between clinical K. pneumoniae isolates was supported by patient contact tracing and genomic phylogenetic analysis from May to November 2012. By May 2013, a patient treated in three institutions in two cities was involved in an expanding cluster caused by this high-risk clone (HiRiC) (local expansion, CTX-M-15 producing, and containing hypervirulence factors). A clone-specific multiplex PCR was developed for patient screening by which another patient was identified in September 2013. Genomic phylogenetic analysis including published ST15 genomes revealed a close homology with isolates previously found in the USA. Environmental contamination and lack of consistent patient screening were identified as being responsible for the clone dissemination. The investigation addresses the advantages of whole-genome sequencing in the early detection of HiRiC with a high propensity of nosocomial transmission and prolonged circulation in the regional patient population. Our study suggests the necessity for inter-institutional/regional collaboration for infection/outbreak management of K. pneumoniae HiRiCs.

Indexed as

Disease OutbreaksAnti-Bacterial AgentsBacterial Typing Techniquesbeta-Lactamasesbeta-Lactam Resistancebeta-LactamsClone CellsCross InfectionGene ExpressionHigh-Throughput Nucleotide SequencingHumansKlebsiella InfectionsKlebsiella pneumoniaeMultiplex Polymerase Chain ReactionNetherlandsPatient Identification SystemsAnti-Bacterial Agentsbeta-lactamase CTX-M-15beta-Lactamasesbeta-Lactams

Identifiers

PMID26864946
PMCPMC4749987

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Registered trials

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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.