Evidence map›Paper›PMID 28910381›Full record

ArticlePloS one2017

Genetic characterization of blaNDM-harboring plasmids in carbapenem-resistant Escherichia coli from Myanmar.

Yo Sugawara, Yukihiro Akeda, Noriko Sakamoto, Dan Takeuchi, Daisuke Motooka, Shota Nakamura, Hideharu Hagiya, Norihisa Yamamoto, Isao Nishi, Hisao Yoshida and 5 more

Erratum issuedOpen access · goldAbstract readComparative Study
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
4.2field-weighted citation impact, top 4% 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

43 citing papers in PubMed, 80 citations in OpenAlex.

  1. Role of Mobilome in Carbapenem Resistance.Antibiotics (Basel, Switzerland) · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Comparative Genomics of an Emerging Multidrug-ResistantAntibiotics (Basel, Switzerland) · 2024
    Article
  6. First report ofMicrobiology spectrum · 2024
    Article
  7. Role of Chromosome- and/or Plasmid-LocatedMicrobiology spectrum · 2022
    Article
  8. Article
  9. Characterization of DiarreaghenicAntibiotics (Basel, Switzerland) · 2022
    Article
  10. Article
  11. Predominance ofPathogens (Basel, Switzerland) · 2022
    Article
  12. Characterization of NDM-5 Carbapenemase-Encoding Gene (Infection and drug resistance · 2022
    Article
  13. Article
  14. Carbapenem-ResistantInfection and drug resistance · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Molecular Epidemiology of Carbapenemases inAntibiotics (Basel, Switzerland) · 2020
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 2 countries.

Yo SugawaraThailand-Japan Research Collaboration Center on Emerging and Re-emerging Infections, Research Institute for Microbial Diseases, Osaka University, Suita, Japan.ORCID 0000-0002-9897-3905
Yukihiro AkedaThailand-Japan Research Collaboration Center on Emerging and Re-emerging Infections, Research Institute for Microbial Diseases, Osaka University, Suita, Japan.
Noriko SakamotoThailand-Japan Research Collaboration Center on Emerging and Re-emerging Infections, Research Institute for Microbial Diseases, Osaka University, Suita, Japan.
Dan TakeuchiThailand-Japan Research Collaboration Center on Emerging and Re-emerging Infections, Research Institute for Microbial Diseases, Osaka University, Suita, Japan.
Daisuke MotookaDepartment of Infection Metagenomics, Research Institute for Microbial Diseases, Osaka University, Suita, Japan.
Shota NakamuraDepartment of Infection Metagenomics, Research Institute for Microbial Diseases, Osaka University, Suita, Japan.
Hideharu HagiyaDivision of Infection Control and Prevention, Osaka University Hospital, Suita, Japan.
Norihisa YamamotoDivision of Infection Control and Prevention, Osaka University Hospital, Suita, Japan.
Isao NishiLaboratory for Clinical Investigation, Osaka University Hospital, Suita, Japan.
Hisao YoshidaDivision of Infection Control and Prevention, Osaka University Hospital, Suita, Japan.
Kazuhisa OkadaThailand-Japan Research Collaboration Center on Emerging and Re-emerging Infections, Research Institute for Microbial Diseases, Osaka University, Suita, Japan.
Khwar Nyo ZinClinical Laboratory Department, Yangon General Hospital, Yangon, Myanmar.
Mya Mya AyeBacteriology Research Division, Department of Medical Research, Yangon, Myanmar.
Kazunori TomonoDivision of Infection Control and Prevention, Osaka University Hospital, Suita, Japan.
Shigeyuki HamadaThailand-Japan Research Collaboration Center on Emerging and Re-emerging Infections, Research Institute for Microbial Diseases, Osaka University, Suita, Japan.
The University of Osaka · JPOsaka University Hospital · JPEast Yangon General Hospital · MMMyanmar Oxford Clinical Research Unit · MM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The bacterial enzyme New Delhi metallo-β-lactamase hydrolyzes almost all β-lactam antibiotics, including carbapenems, which are drugs of last resort for severe bacterial infections. The spread of carbapenem-resistant Enterobacteriaceae that carry the New Delhi metallo-β-lactamase gene, blaNDM, poses a serious threat to public health. In this study, we genetically characterized eight carbapenem-resistant Escherichia coli isolates from a tertiary care hospital in Yangon, Myanmar. The eight isolates belonged to five multilocus-sequence types and harbored multiple antimicrobial-resistance genes, resulting in resistance against nearly all of the antimicrobial agents tested, except colistin and fosfomycin. Nine plasmids harboring blaNDM genes were identified from these isolates. Multiple blaNDM genes were found in the distinct Inc-replicon types of the following plasmids: an IncA/C2 plasmid harboring blaNDM-1 (n = 1), IncX3 plasmids harboring blaNDM-4 (n = 2) or blaNDM-7 (n = 1), IncFII plasmids harboring blaNDM-4 (n = 1) or blaNDM-5 (n = 3), and a multireplicon F plasmid harboring blaNDM-5 (n = 1). Comparative analysis highlighted the diversity of the blaNDM-harboring plasmids and their distinct characteristics, which depended on plasmid replicon types. The results indicate circulation of phylogenetically distinct strains of carbapenem-resistant E. coli with various plasmids harboring blaNDM genes in the hospital.

Indexed as

beta-Lactam Resistancebeta-LactamasesCarbapenemsDNA, BacterialEscherichia coliEscherichia coli InfectionsEscherichia coli ProteinsEvolution, MolecularHumansMicrobial Sensitivity TestsMultilocus Sequence TypingMyanmarPhylogenyPlasmidsSequence Analysis, DNAbeta-lactamase NDM-1beta-LactamasesCarbapenemsDNA, BacterialEscherichia coli Proteins

Identifiers

PMID28910381
PMCPMC5598989
OpenAlexW2756238130

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Registered trials

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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.