Evidence map›Paper›PMID 27342812›Full record

ReviewBMC microbiology2016

Epidemic Achromobacter xylosoxidans strain among Belgian cystic fibrosis patients and review of literature.

Piet Cools, Erwin Ho, Katleen Vranckx, Petra Schelstraete, Bettina Wurth, Hilde Franckx, Greet Ieven, Leen Van Simaey, Sabine Van Daele, Stijn Verhulst and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in BMC microbiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 46 citations in OpenAlex.

  1. Establishment of a chinchilla model ofMicrobiology spectrum · 2026
    Article
  2. The Association ofJournal of clinical medicine · 2025
    Article
  3. Article
  4. Distribution ofJournal of clinical microbiology · 2022
    Article
  5. Article
  6. Review
  7. Article
  8. Genes · 2021
    Review
  9. Transmission and Antibiotic Resistance ofJournal of clinical microbiology · 2021
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. 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

12 authors at 4 institutions in 1 country.

Piet CoolsLaboratory Bacteriology Research (LBR), Department of Microbiology, Immunology, and Clinical Chemistry, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium.
Erwin HoCystic Fibrosis Centre, Antwerp University Hospital (AUH), Antwerp, Belgium.
Katleen VranckxApplied Maths, Sint-Martens Latem, Belgium.
Petra SchelstraeteCystic Fibrosis Centre, Ghent University Hospital (GUH), Ghent, Belgium.
Bettina WurthZeepreventorium (Rehabilitation Centre, RHC), De Haan, Belgium.
Hilde FranckxZeepreventorium (Rehabilitation Centre, RHC), De Haan, Belgium.
Greet IevenDepartment of Microbiology, Antwerp University Hospital, Antwerp, Belgium.
Leen Van SimaeyLaboratory Bacteriology Research (LBR), Department of Microbiology, Immunology, and Clinical Chemistry, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium.
Sabine Van DaeleCystic Fibrosis Centre, Ghent University Hospital (GUH), Ghent, Belgium.
Stijn VerhulstCystic Fibrosis Centre, Antwerp University Hospital (AUH), Antwerp, Belgium.
Frans De BaetsCystic Fibrosis Centre, Ghent University Hospital (GUH), Ghent, Belgium.
Mario VaneechoutteLaboratory Bacteriology Research (LBR), Department of Microbiology, Immunology, and Clinical Chemistry, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium. Mario.Vaneechoutte@Ugent.be.ORCID 0000-0002-4586-203X
Ghent University Hospital · BEAntwerp University Hospital · BEGhent University · BECustodix (Belgium) · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAchromobacter xylosoxidans is increasingly being recognized as an emerging pathogen in cystic fibrosis. Recent severe infections with A. xylosoxidans in some of our cystic fibrosis (CF) patients led to a re-evaluation of the epidemiology of CF-associated A. xylosoxidans infections in two Belgian reference centres (Antwerp and Ghent). Several of these patients also stayed at the Rehabilitation Centre De Haan (RHC). In total, 59 A. xylosoxidans isolates from 31 patients (including 26 CF patients), collected between 2001 and 2014, were studied. We evaluated Matrix Assisted Laser Desorption Ionisation -Time of Flight mass spectrometry (MALDI-TOF) as an alternative for McRAPD typing.

resultsBoth typing approaches established the presence of a major cluster, comprising isolates, all from 21 CF patients, including from two patients sampled when staying at the RHC a decade ago. This major cluster was the same as the cluster established already a decade ago at the RHC. A minor cluster consisted of 13 isolates from miscellaneous origin. A further seven isolates, including one from a non-CF patient who had stayed recently at the RHC, were singletons.

conclusionsTyping results of both methods were similar, indicating transmission of a single clone of A. xylosoxidans among several CF patients from at least two reference centres. Isolates of the same clone were already observed at the RHC, a decade ago. It is difficult to establish to what extent the RHC is the source of transmission, because the epidemic strain was already present when the first epidemiological study in the RHC was carried out. This study also documents the applicability of MALDI-TOF for typing of strains within the species A. xylosoxidans and the need to use the dynamic cutoff algorithm of the BioNumerics® software for correct clustering of the fingerprints.

Indexed as

Achromobacter denitrificansBacterial Typing TechniquesBelgiumCystic FibrosisGram-Negative Bacterial InfectionsHumansAchromobacter xylosoxidansCystic fibrosisEpidemic strainMALDI-TOF MS typingMcRAPD

Identifiers

PMID27342812
PMCPMC4919866
OpenAlexW2474252135

What OpenQuestion holds

Textmetadata
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.