Evidence map›Paper›PMID 29202180›Full record

ArticleGenome biology and evolution2017

Emergence and Spread of Epidemic Multidrug-Resistant Pseudomonas aeruginosa.

Tohru Miyoshi-Akiyama, Tatsuya Tada, Norio Ohmagari, Nguyen Viet Hung, Prasit Tharavichitkul, Bharat Mani Pokhrel, Marek Gniadkowski, Masahiro Shimojima, Teruo Kirikae

Abstract read
In one paragraph

Article in Genome biology and evolution, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers.

0numbers the graph read from it
0cells of the map it votes in
73citing 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

73 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Antibiotic resistance mechanisms and global resistance patterns of Pseudomonas aeruginosa in microbial keratitis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Development ofInternational medical case reports journal · 2026
    Article
  9. Recurrent/Refractory Multidrug- and Pre-Multidrug-ResistantClinical pharmacology : advances and applications · 2026
    Article
  10. Article
  11. Article
  12. Outbreak of Carbapenem-Resistant High-Risk Clone ST244 ofAntibiotics (Basel, Switzerland) · 2025
    Article
  13. Article
  14. High-riskHeliyon · 2025
    Article
  15. Cytotoxicity and virulence attributes ofRespiratory medicine case reports · 2025
    Article
  16. Molecular Epidemiology ofAntibiotics (Basel, Switzerland) · 2024
    Review
  17. Article
  18. Article
  19. Review
  20. Article

13 more citing papers are in PubMed but not listed here.

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

9 authors.

Tohru Miyoshi-AkiyamaPathogenic Microbe Laboratory, Research Institute, National Center for Global Health and Medicine, Tokyo, Japan.
Tatsuya TadaDepartment of Infectious Diseases, National Center for Global Health and Medicine, Tokyo, Japan.
Norio OhmagariDisease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.
Nguyen Viet HungInfection Control Department, Bach Mai Hospital, Hanoi, Vietnam.
Prasit TharavichitkulDepartment of Microbiology, Faculty of Medicine, Chiang Mai University, Thailand.
Bharat Mani PokhrelDepartment of Microbiology, Tribuvan University Teaching Hospital, Kathmandu, Nepal.
Marek GniadkowskiNational Medicines Institute, Warsaw, Poland.
Masahiro ShimojimaBML Inc, Kawagoe, Saitama,Japan.
Teruo KirikaeDepartment of Infectious Diseases, National Center for Global Health and Medicine, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pseudomonas aeruginosa (P. aeruginosa) is one of the most common nosocomial pathogens worldwide. Although the emergence of multidrug-resistant (MDR) P. aeruginosa is a critical problem in medical practice, the key features involved in the emergence and spread of MDR P. aeruginosa remain unknown. This study utilized whole genome sequence (WGS) analyses to define the population structure of 185 P. aeruginosa clinical isolates from several countries. Of these 185 isolates, 136 were categorized into sequence type (ST) 235, one of the most common types worldwide. Phylogenetic analysis showed that these isolates fell within seven subclades. Each subclade harbors characteristic drug resistance genes and a characteristic genetic background confined to a geographic location, suggesting that clonal expansion following antibiotic exposure is the driving force in generating the population structure of MDR P. aeruginosa. WGS analyses also showed that the substitution rate was markedly higher in ST235 MDR P. aeruginosa than in other strains. Notably, almost all ST235 isolates harbor the specific type IV secretion system and very few or none harbor the CRISPR/CAS system. These findings may help explain the mechanism underlying the emergence and spread of ST235 P. aeruginosa as the predominant MDR lineage.

Indexed as

Anti-Bacterial AgentsCross InfectionDrug Resistance, Multiple, BacterialHumansJapanPhylogenyPseudomonas aeruginosaPseudomonas InfectionsWhole Genome SequencingAnti-Bacterial Agentsmultidrug-resistancepopulation structurePseudomonas aeruginosawhole genome sequence

Identifiers

PMID29202180
PMCPMC5726472

What OpenQuestion holds

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LicenceCC BY-NC
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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.