Evidence map›Paper›PMID 27183358›Full record

ArticleThe Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases

Characterization of the genetic environment of the blaKPC-2 gene among Klebsiella pneumoniae isolates from a Chinese Hospital.

Pinghua Shen, Ying Zhang, Gang Li, Xiaofei Jiang

Open access · goldAbstract read
In one paragraph

Article in The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
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

20 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Article
  3. Characterization of genetic context ofFrontiers in microbiology · 2025
    Article
  4. Infection and drug resistance · 2025
    Review
  5. Article
  6. Genomic characterization of aFrontiers in cellular and infection microbiology · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Prevalence of the NTEFrontiers in microbiology · 2021
    Article
  11. Article
  12. Clonal dissemination of KPC-2-producingAnnals of translational medicine · 2019
    Article
  13. Article
  14. Genomic Analysis Of A KPC-2-ProducingInfection and drug resistance · 2019
    Article
  15. Emergence and establishment of KPC-2-producing ST11 Klebsiella pneumoniae in a general hospital in Shanghai, China.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018
    Article
  16. Further Spread of aFrontiers in microbiology · 2018
    Article
  17. Translocation of Carbapenemase GeneAntimicrobial agents and chemotherapy · 2017
    Article
  18. Article
  19. Article
  20. Anti-Restriction Protein, KlcAFrontiers in cellular and infection microbiology · 2017
    Article
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

4 authors at 3 institutions in 1 country.

Pinghua ShenFudan University, Shanghai Medical College, Huashan Hospital, Department of Laboratory Medicine, Shanghai, China.
Ying ZhangFudan University, Shanghai Medical College, Huashan Hospital, Department of Laboratory Medicine, Shanghai, China; Hospital of Fudan University, Department of Laboratory Medicine, Obstetrics and Gynecology, Shanghai, China.
Gang LiFudan University, Shanghai Medical College, Huashan Hospital, Department of Laboratory Medicine, Shanghai, China; Fudan University, Shanghai Medical College, Jinshan Hospital, Department of Laboratory Medicine, Shanghai, China.
Xiaofei JiangFudan University, Shanghai Medical College, Huashan Hospital, Department of Laboratory Medicine, Shanghai, China. Electronic address: jiangxi2154@aliyun.com.
Fudan University · CNJinshan Hospital of Fudan University · CNObstetrics and Gynecology Hospital of Fudan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infection caused by carbapenem-resistant Klebsiella pneumoniae has become a major healthcare threat and KPC-2 enzyme is a dominant factor mediating carbapenems resistance in K. pneumoniae. This study was designed to determine the genetic environment of blaKPC-2, which prevailed in clinical K. pneumoniae isolates recovered in Huashan Hospital, Shanghai, China. Forty-two clinical isolates were included in this study by blaKPC-2 screening. After multilocus sequence typing and plasmid analyses of PCR-based replicon typing (PBRT), junction PCR, mapping PCR and crossing PCR assays, primer walking, and amplicon sequencing were used to analyze the genetic environment of the blaKPC-2 gene. ST423, ST65, ST977, and ST11 were all detected in KPC-2-producing K. pneumoniae. Two types of blaKPC-2-bearing genetic structure were found: Tn1721-blaKPC-2-Tn3 and Tn1721-blaKPC-2-ΔTn3-IS26; and were carried in IncX and IncFII plasmids, respectively. In conclusion, the genetic environment of the blaKPC-2 gene was diverse and Tn1721-blaKPC-2-ΔTn3-IS26 was dominant in clinical K. pneumoniae isolates in Huashan Hospital. This study sheds some light on the genetic environment and should foster further studies about the mechanism of the blaKPC-2 dissemination.

Indexed as

beta-LactamasesChinaElectrophoresis, Gel, Pulsed-FieldHumansKlebsiella InfectionsKlebsiella pneumoniaeMultilocus Sequence TypingPolymerase Chain ReactionSequence Analysis, DNAbeta-lactamase KPC-2, Klebsiella pneumoniaebeta-Lactamasesbla(KPC)Genetic environmentKlebsiella pneumoniae

Identifiers

PMID27183358
PMCPMC9427567
OpenAlexW2353546921

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.