Evidence map›Paper›PMID 27185741›Full record

ArticleScientific reports2016

Elizabethkingia anophelis bacteremia is associated with clinically significant infections and high mortality.

Susanna K P Lau, Wang-Ngai Chow, Chuen-Hing Foo, Shirly O T Curreem, George Chi-Shing Lo, Jade L L Teng, Jonathan H K Chen, Ricky H Y Ng, Alan K L Wu, Ingrid Y Y Cheung and 7 more

Open access · goldAbstract 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 118 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 2 pooled it
20.1field-weighted citation impact, top 1% 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

118 citing papers in PubMed, 2 syntheses or guidelines pooled it, 204 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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58 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

17 authors at 6 institutions in 2 countries.

Susanna K P LauDepartment of Microbiology, The University of Hong Kong, Hong Kong, China.
Wang-Ngai ChowDepartment of Microbiology, The University of Hong Kong, Hong Kong, China.
Chuen-Hing FooDepartment of Microbiology, The University of Hong Kong, Hong Kong, China.
Shirly O T CurreemDepartment of Microbiology, The University of Hong Kong, Hong Kong, China.
George Chi-Shing LoDepartment of Microbiology, The University of Hong Kong, Hong Kong, China.
Jade L L TengDepartment of Microbiology, The University of Hong Kong, Hong Kong, China.
Jonathan H K ChenDepartment of Microbiology, The University of Hong Kong, Hong Kong, China.
Ricky H Y NgDepartment of Pathology, United Christian Hospital, Hong Kong, China.
Alan K L WuDepartment of Pathology, Pamela Youde Nethersole Eastern Hospital, Hong Kong, China.
Ingrid Y Y CheungDepartment of Pathology, Kwong Wah Hospital, Hong Kong, China.
Sandy K Y ChauDepartment of Pathology, United Christian Hospital, Hong Kong, China.
David C LungDepartment of Clinical Pathology, Tuen Mun Hospital, Hong Kong, China.
Rodney A LeeDepartment of Pathology, Pamela Youde Nethersole Eastern Hospital, Hong Kong, China.
Cindy W S TseDepartment of Pathology, Kwong Wah Hospital, Hong Kong, China.
Kitty S C FungDepartment of Pathology, United Christian Hospital, Hong Kong, China.
Tak-Lun QueDepartment of Clinical Pathology, Tuen Mun Hospital, Hong Kong, China.
Patrick C Y WooDepartment of Microbiology, The University of Hong Kong, Hong Kong, China.
University of Hong Kong · HKChinese University of Hong Kong · CNUnited Christian Hospital · CNKwong Wah Hospital · CNPamela Youde Nethersole Eastern Hospital · CNTuen Mun Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Unlike Elizabethkingia meningoseptica, the clinical importance of E. anophelis is poorly understood. We determined the clinical and molecular epidemiology of bacteremia caused by Elizabethkingia-like species from five regional hospitals in Hong Kong. Among 45 episodes of Elizabethkingia-like bacteremia, 21 were caused by Elizabethkingia, including 17 E. anophelis, three E. meningoseptica and one E. miricola; while 24 were caused by other diverse genera/species, as determined by 16S rRNA gene sequencing. Of the 17 cases of E. anophelis bacteremia, 15 (88%) were clinically significant. The most common diagnosis was pneumonia (n = 5), followed by catheter-related bacteremia (n = 4), neonatal meningitis (n = 3), nosocomial bacteremia (n = 2) and neutropenic fever (n = 1). E. anophelis bacteremia was commonly associated with complications and carried 23.5% mortality. In contrast, of the 24 episodes of bacteremia due to non-Elizabethkingia species, 16 (67%) were clinically insignificant. Compared to non-Elizabethkingia bacteremia, Elizabethkingia bacteremia was associated with more clinically significant infections (P < 0.01) and positive cultures from other sites (P < 0.01), less polymicrobial bacteremia (P < 0.01), and higher complication (P < 0.05) and mortality (P < 0.05) rates. Elizabethkingia bacteremia is predominantly caused by E. anophelis instead of E. meningoseptica. Elizabethkingia bacteremia, especially due to E. anophelis, carries significant morbidity and mortality, and should be considered clinically significant unless proven otherwise.

Indexed as

AdolescentAdultAgedAged, 80 and overBacteremiaChildChild, PreschoolChryseobacteriumCluster AnalysisDNA, BacterialDNA, RibosomalFemaleFlavobacteriaceae InfectionsHong KongHospitalsHumansDNA, BacterialDNA, RibosomalRNA, Ribosomal, 16S

Identifiers

PMID27185741
PMCPMC4868968
OpenAlexW2403708676

What OpenQuestion holds

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LicenceCC BY
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.