Evidence map›Paper›PMID 27368987›Full record

ArticleBMC microbiology2016

Boronic acid disk diffusion for the phenotypic detection of polymerase chain reaction-confirmed, carbapenem-resistant, gram-negative bacilli isolates.

Rasha Elsherif, Dalia Ismail, Sanaa Elawady, Samyah Jastaniah, Saad Al-Masaudi, Steve Harakeh, Gamal Karrouf

Open 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. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 36% 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

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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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

7 authors at 3 institutions in 2 countries.

Rasha ElsherifClinical and Chemical Pathology Department, Faculty of Medicine, Cairo University, Giza, Egypt.
Dalia IsmailClinical and Chemical Pathology Department, Faculty of Medicine, Cairo University, Giza, Egypt.
Sanaa ElawadyClinical and Chemical Pathology Department, Faculty of Medicine, Cairo University, Giza, Egypt.
Samyah JastaniahBiology Department, Faculty of Science, King Abdulaziz University, Jeddah, Saudi Arabia.
Saad Al-MasaudiBiology Department, Faculty of Science, King Abdulaziz University, Jeddah, Saudi Arabia.
Steve HarakehSpecial Infectious Agents Unit-Biosafety Level 3, King Fahd Medical Research Center, King Abdulaziz University, Jeddah, 21589, Saudi Arabia. sharakeh@gmail.com.
Gamal KarroufMedical Physics Department, Faculty of Science, King Abdulaziz University, Jeddah, 21589, Saudi Arabia. drgamalkarrouf@yahoo.com.ORCID 0000-0002-2260-5620
Cairo University · EGKing Abdulaziz University · SAMansoura University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Middle East is regarded as a secondary reservoir for OXA-48 and New Delhi metallo-β-lactamase (NDM) carbapenemases. One of the main challenges in clinical microbiology diagnostics is the detection of carbapenemases. For this reason simple screening methods have been sought to detect carbapenemase producers to determine appropriate therapeutic measures and implement infection control interventions. The present study aimed to evaluate the efficacy of the modified Hodge test (MHT) and a boronic acid-based combined disk test using carbapenems as substrates for the phenotypic determination of OXA-48 and NDM type carbapenemases in 45 epidemiologically unrelated carbapenem-resistant clinical isolates of Klebsiella pneumoniae (13 isolates), Acinetobacter baumanii (20 isolates), and Pseudomonas aeruginosa (12 isolates).

resultsBoronic acid disk test using meropenem as substrate and 600 µg of 3- aminophenylboronic acid (APB) was the most sensitive method (83.33 %) for detection of OXA-48, while the most specific method was MHT (100 %). As regards NDM carbapenemase, boronic acid disk tests using imipenem and 600 µg of APB per disk, and meropenem with 300 or 600 µg of APB were the most  sensitive methods (87.50 %), while the most specific method was the MHT (100 %).

conclusionsThe results of the present study indicate that phenotypic screening with the MHT and the boronic acid disk test may be used to detect OXA-48 and NDM carbapenemases in Gram-negative bacilli clinical isolates, and that these tests can be easily applied in tertiary care settings with minimal infrastructure.

Indexed as

Anti-Bacterial AgentsBacterial Proteinsbeta-LactamasesBoronic AcidsCarbapenemsDisk Diffusion Antimicrobial TestsDrug Resistance, Multiple, BacterialFemaleGram-Negative BacteriaGram-Negative Bacterial InfectionsHumansImipenemMaleMeropenemPhenotypePolymerase Chain Reaction3-aminobenzeneboronic acidAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesBoronic AcidscarbapenemaseCarbapenemsImipenemMeropenemThienamycinsBoronic acidCarbapenemDisk diffusion EnterobacteriaceaePhenotypic screening

Identifiers

PMID27368987
PMCPMC4930617
OpenAlexW2465204013

What OpenQuestion holds

Textmetadata
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.