Evidence map›Paper›PMID 27067536›Full record

ArticleBMC microbiology2016

"Population structure of drug-susceptible,-resistant and ESBL-producing Escherichia coli from community-acquired urinary tract".

Frederik Boëtius Hertz, Jesper Boye Nielsen, Kristian Schønning, Pia Littauer, Jenny Dahl Knudsen, Anders Løbner-Olesen, Niels Frimodt-Møller

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in BMC microbiology, 2016. 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 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. ESBL-Producing and Non-ESBL-ProducingInfection and drug resistance · 2023
    Article
  7. Article
  8. Finding of extended-spectrum beta-lactamase (ESBL)-producing Enterobacterales in wild game meat originating from several European countries: predominance ofEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2022
    Article
  9. Article
  10. Detection ofMicroorganisms · 2022
    Article
  11. Article
  12. Prevalence and Diversity of Antibiotic ResistantFrontiers in public health · 2022
    Article
  13. Article
  14. Article
  15. Frontiers in microbiology · 2021
    Article
  16. Article
  17. Article
  18. PathogenicFrontiers in microbiology · 2020
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Frederik Boëtius HertzDepartment of Clinical Microbiology, Hvidovre University Hospital, Copenhagen, Denmark. fbh@dadlnet.dk.
Jesper Boye NielsenDepartment of Clinical Microbiology, Hvidovre University Hospital, Copenhagen, Denmark.
Kristian SchønningDepartment of Clinical Microbiology, Hvidovre University Hospital, Copenhagen, Denmark.
Pia LittauerDepartment of Clinical Microbiology, Hvidovre University Hospital, Copenhagen, Denmark.
Jenny Dahl KnudsenDepartment of Clinical Microbiology, Hvidovre University Hospital, Copenhagen, Denmark.
Anders Løbner-OlesenDepartment of Biology, University of Copenhagen, Copenhagen, Denmark.
Niels Frimodt-MøllerDepatment of Clinical Microbiology, Rigshospitalet, Copenhagen, Denmark.
Hvidovre Hospital · DKRigshospitalet · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEscherichia coli is the most common cause of urinary tract infection (UTI). The pathogenic isolates are becoming increasingly resistant to antibiotics; with a worldwide dissemination of resistant sequence types (ST). We characterized three different uropathogenic E. coli populations, from non-hospitalized patients to describe the genetic kinship between resistant and susceptible isolates. We studied the populations by use of multi-locus sequence typing (MLST) and abbreviated-multi locus variable number of tandem repeat analysis (a-MLVA). Urine samples submitted for testing, by general practitioners, were identified at Dept. of Clinical Microbiology at Hvidovre Hospital, Denmark, from Oct. 2011 to July 2012. We included 94 fully susceptible, 94 resistant (non-ESBL) and 98 Extended Spectrum Beta-lactamases- (ESBL)-producing E. coli isolates.

resultsThe ESBL population was dominated vastly by ST131 (51 %), ST38 (9 %) and ST69 (6 %). In the resistant group ST69 (18 %), ST73 (11 %) and ST131 (15 %) were the largest clusters. In the susceptible population more STs and a-MLVA codes were identified compared to the other groups and ST73 and ST95 were found as the only clusters with 16 % and 6 %, respectively. Ninety-eight per cent of the ESBL-producing E. coli isolates were CTX-M-producers.

conclusionST131 dominated the population of community-associated uropathogenic ESBL-producing E. coli, but was less frequent among non-ESBL-producing E. coli. The fully susceptible E. coli population was a much more diverse group than the resistant and ESBL-producing E. coli populations. Overall, these findings suggest that dominant ESBL-producing lineages are derived from UPEC lineages already established in the general UPEC population.

Indexed as

beta-Lactam ResistanceCommunity-Acquired InfectionsDNA, BacterialEscherichia coli InfectionsHumansMicrobial Sensitivity TestsMinisatellite RepeatsMultilocus Sequence TypingPhylogenyUrinary Tract InfectionsUrineUropathogenic Escherichia coliDNA, BacterialCommunity-acquiredESBLEscherichia coliLineagesUrinary tract infection

Identifiers

PMID27067536
PMCPMC4827192
OpenAlexW2318773170

What OpenQuestion holds

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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.