Evidence map›Paper›PMID 28676118›Full record

ArticleBMC infectious diseases2017

Dissemination of Carbapenem-resistant Klebsiella pneumoniae clinical isolates with various combinations of Carbapenemases (KPC-2, NDM-1, NDM-4, and OXA-48) and 16S rRNA Methylases (RmtB and RmtC) in Vietnam.

Tatsuya Tada, Mitsuhiro Tsuchiya, Kayo Shimada, Tran Thi Thanh Nga, Le Thi Anh Thu, Truong Thien Phu, Norio Ohmagari, Teruo Kirikae

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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
2.7field-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, 53 citations in OpenAlex.

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  14. A Bibliometric Meta-Analysis of Colistin Resistance inDiseases (Basel, Switzerland) · 2021
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  15. Emerging carbapenem-resistantMicrobial genomics · 2021
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  16. Characterization of Carbapenem-ResistantInfection and drug resistance · 2021
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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

8 authors at 3 institutions in 2 countries.

Tatsuya TadaDepartment of Infectious Diseases, Research Institute, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku, Tokyo, 162-8655, Japan.
Mitsuhiro TsuchiyaDisease Control and Prevention Center, Division of Infectious Diseases, National Center for Global Health and Medicine, Shinjuku, Tokyo, 162-8655, Japan.
Kayo ShimadaDepartment of Infectious Diseases, Research Institute, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku, Tokyo, 162-8655, Japan.
Tran Thi Thanh NgaCho Ray Hospital, Ho Chi Minh, Vietnam.
Le Thi Anh ThuCho Ray Hospital, Ho Chi Minh, Vietnam.
Truong Thien PhuCho Ray Hospital, Ho Chi Minh, Vietnam.
Norio OhmagariDisease Control and Prevention Center, Division of Infectious Diseases, National Center for Global Health and Medicine, Shinjuku, Tokyo, 162-8655, Japan.
Teruo KirikaeDepartment of Infectious Diseases, Research Institute, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku, Tokyo, 162-8655, Japan. tkirikae@ri.ncgm.go.jp.
National Center for Global Health and Medicine · JPCho Ray Hospital · VNJuntendo University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

methodsTwenty-seven clinical isolates of carbapenem-resistant Klebsiella pneumoniae with MICs ≥4 mg/L for imipenem or meropenem were obtained from inpatients in a hospital in Vietnam. Antimicrobial susceptibility tests and whole genome sequencing were performed. Multilocus sequence typing and the presence of drug resistant genes were determined and a maximum-likelihood phylogenetic tree was constructed by SNP alignment of whole genome sequencing data.

resultsAll the isolates harbored one of genes encoding carbapenemases, including KPC-2, NDM-1, NDM-4 and OXA-48. Of the isolates, 13 were resistant to arbekacin with MICs ≥256 mg/L and to amikacin with MICs ≥512 mg/L. These isolates harbored a gene encoding a 16S rRNA methylase, either RmtB or RmtC. Eighteen and 4 isolates belonged to international clones, ST15 and ST16, respectively. None of the isolates had colistin-resistant factors.

conclusionCarbapenem-resistant K. pneumoniae isolates belonged to international clones spread in a medical setting in Vietnam, and that these isolates harbored genes encoding various combinations of carbapenemases and 16S rRNA methylases. This is the first report of KPC-2, NDM-4 and OXA-48 producers in a medical setting in Vietnam.

Indexed as

Anti-Bacterial AgentsBacterial Proteinsbeta-Lactamasesbeta-Lactam ResistanceCarbapenemsHumansKlebsiella pneumoniaeMethyltransferasesMicrobial Sensitivity TestsMultilocus Sequence TypingPhylogenyVietnamAnti-Bacterial AgentsBacterial Proteinsbeta-lactamase KPC-2, Klebsiella pneumoniaebeta-lactamase NDM-1beta-LactamasescarbapenemaseCarbapenemsMethyltransferasesrRNA (adenosine-O-2'-)methyltransferaseCarbapenemaseCarbapenem-resistant Klebsiella pneumoniaeMLSTMolecular epidemiology

Identifiers

PMID28676118
PMCPMC5496404
OpenAlexW2730794566

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.