Evidence map›Paper›PMID 29020115›Full record

ArticlePloS one2017

Genetic characteristics and molecular epidemiology of vancomycin-resistant Enterococci isolates from Caribbean countries.

Patrick Eberechi Akpaka, Shivnarine Kissoon, Padman Jayaratne, Clyde Wilson, George R Golding, Alison M Nicholson, Delores B Lewis, Sandra M Hermelijn, Alexis Wilson-Pearson, Ashley Smith

Abstract read
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. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Evolution of vancomycin-resistantProceedings of the National Academy of Sciences of the United States of America · 2020
    Article
  5. Article
  6. 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

10 authors.

Patrick Eberechi AkpakaThe University of the West Indies, Paraclinical Sciences, St. Augustine, Trinidad & Tobago.ORCID http://orcid.org/0000-0001-9895-3077
Shivnarine KissoonThe University of the West Indies, Paraclinical Sciences, St. Augustine, Trinidad & Tobago.
Padman JayaratneMcMaster University, Department of Pathological Sciences, Hamilton, Canada.
Clyde WilsonKing Edward VII Memorial Hospital, Department of Pathology and Microbiology, Hamilton, Bermuda.
George R GoldingPublic Health Agency of Canada, National Microbiology Laboratory, Winnipeg, Canada.
Alison M NicholsonThe University of the West Indies, Department of Microbiology, Mona-Kingston, Jamaica.
Delores B LewisThe University of the West Indies, Faculty of Medical Sciences, Cave Hill, Barbados.
Sandra M HermelijnAcademic Hospital Paramaribo, Medical Microbiology Laboratory, Paramaribo, Suriname.
Alexis Wilson-PearsonGeorgetown Public Hospital Corporation, Microbiology Laboratory, Georgetown, Guyana.
Ashley SmithKing Edward VII Memorial Hospital, Department of Pharmacy, Hamilton, Bermuda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emergence of vancomycin-resistant Enterococci (VRE) that first appeared on the stage about three decades ago is now a major concern worldwide as it has globally reached every continent. Our aim was to simply undertake a multinational study to delineate the resistance and virulence genes of clinical isolates of VRE isolates from the Caribbean. We employed both conventional (standard microbiological methods including use of E-test strips, chromogenic agar) and molecular methods (polymerase chain reactions-PCR, pulsed-field gel electrophoresis-PFGE and multilocus sequence typing-MLST) to analyze and characterize 245 Enterococci species and 77 VRE isolates from twelve hospitals from eight countries in the Caribbean. The PCR confirmed and demonstrated the resistance and virulence genes (vanA and esp) among all confirmed VRE isolates. The PFGE delineated clonally related isolates from patients from the same country and other countries in the region. The main sequence types of the VRE isolates from the region included STs 412, 750, 203, 736 and 18, all from the common ancestor for clonal complex 17 (CC17). Despite this common ancestor and association of outbreaks of this lineage clones, there has been no reports of outbreaks of infection by VRE in several hospitals in the Caribbean.

Indexed as

Molecular EpidemiologyAdolescentAdultAgedAged, 80 and overBase SequenceCaribbean RegionChildElectrophoresis, Gel, Pulsed-FieldGenes, BacterialHospitalsHumansMicrobial Sensitivity TestsMiddle AgedVancomycin-Resistant EnterococciVirulence

Identifiers

PMID29020115
PMCPMC5636112

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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.