Evidence map›Paper›PMID 30185884›Full record

ArticleScientific reports2018

Detection of high-risk carbapenem-resistant Klebsiella pneumoniae and Enterobacter cloacae isolates using volatile molecular profiles.

Christiaan A Rees, Mavra Nasir, Agnieszka Smolinska, Alexa E Lewis, Katherine R Kane, Shannon E Kossmann, Orkan Sezer, Paola C Zucchi, Yohei Doi, Elizabeth B Hirsch and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

18 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Profiling of Volatile Metabolites ofInternational journal of molecular sciences · 2025
    Article
  7. LC-MS/MS metabolomics unravels the resistant phenotype of carbapenemase-producing Enterobacterales.Metabolomics : Official journal of the Metabolomic Society · 2025
    Article
  8. Article
  9. Review
  10. Microbial Volatiles as Diagnostic Biomarkers of Bacterial Lung Infection in Mechanically Ventilated Patients.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. GC-MS profiling of volatile metabolites produced byFrontiers in molecular biosciences · 2022
    Article
  16. Article
  17. Multidrug-ResistantFrontiers in microbiology · 2019
    Article
  18. First report ofAntimicrobial resistance and infection control · 2019
    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

11 authors at 5 institutions in 2 countries.

Christiaan A ReesGeisel School of Medicine, Dartmouth College, Hanover, NH, 03755, United States.ORCID 0000-0003-1896-5348
Mavra NasirGeisel School of Medicine, Dartmouth College, Hanover, NH, 03755, United States.ORCID 0000-0002-0969-5967
Agnieszka SmolinskaDepartment of Pharmacology and Toxicology, Maastricht University Medical Centre, Maastricht, 6200 MD, The Netherlands.
Alexa E LewisDartmouth College, Hanover, NH, 03755, United States.
Katherine R KaneDartmouth College, Hanover, NH, 03755, United States.
Shannon E KossmannDartmouth College, Hanover, NH, 03755, United States.
Orkan SezerDartmouth College, Hanover, NH, 03755, United States.
Paola C ZucchiDepartment of Molecular Biology and Microbiology, Tufts University, Boston, MA, 02111, United States.
Yohei DoiDivision of Infectious Diseases, School of Medicine, University of Pittsburgh, Pittsburgh, PA, 15213, United States.
Elizabeth B HirschCollege of Pharmacy, University of Minnesota, Minneapolis, MN, 55455, United States.
Jane E HillGeisel School of Medicine, Dartmouth College, Hanover, NH, 03755, United States. Jane.E.Hill@dartmouth.edu.
Dartmouth College · USMaastricht University Medical Centre · NLTufts University · USUniversity of Minnesota · USUniversity of Pittsburgh · US

Funding

Quantitative Biomedical Sciences at DartmouthT32LM012204 · NLM · DARTMOUTH COLLEGE · PI TOSTESON, TOR D · 2016 to 2020
$876k
Toward Rapid, Non-Invasive, Highly Sensitive, Multiplex Detection of Respiratory PathogensR21AI121076 · NIAID · DARTMOUTH COLLEGE · PI HILL, JANE, LUNDBLAD, LENNART KARL ALF · 2016 to 2017
$449k
NIAID NIH HHS R21 AI121076NLM NIH HHS T32 LM012204
6 · The paper itself

Abstract

Infections caused by carbapenem-resistant Enterobacteriaceae (CRE) are alarming in the clinical setting, as CRE isolates often exhibit resistance to most clinically-available antibiotics. Klebsiella pneumoniae carbapenemase (KPC) is the most common carbapenemase carried by CRE in North America and Europe, frequently detected in isolates of K. pneumoniae, Escherichia coli, and Enterobacter cloacae. Notably, KPC-expressing strains often arise from clonal lineages, with sequence type 258 (ST258) representing the dominant lineage in K. pneumoniae, ST131 in E. coli, and ST78 and ST171 in E. cloacae. Prior studies have demonstrated that carbapenem-resistant K. pneumoniae differs from carbapenem-susceptible K. pneumoniae at both the transcriptomic and soluble metabolomic levels. In the present study, we sought to determine whether carbapenem-resistant and carbapenem-susceptible isolates of K. pneumoniae, E. coli, and E. cloacae produce distinct volatile metabolic profiles. We were able to identify a volatile metabolic fingerprint that could discriminate between CRE and non-CRE with an area under the receiver operating characteristic curve (AUROC) as high as 0.912. Species-specific AUROCs were as high as 0.988 for K. pneumoniae and 1.000 for E. cloacae. Paradoxically, curing of KPC-expressing plasmids from a subset of K. pneumoniae isolates further accentuated the metabolic differences observed between ST258 and non-ST258.

Indexed as

Anti-Bacterial AgentsArea Under CurveBacterial Proteinsbeta-LactamasesCarbapenem-Resistant EnterobacteriaceaeCarbapenemsDrug Resistance, BacterialEnterobacter cloacaeEnterobacteriaceae InfectionsEscherichia coliEuropeGenes, BacterialGenotypeHumansKlebsiella pneumoniaeMicrobial Sensitivity TestsAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasescarbapenemaseCarbapenems

Identifiers

PMID30185884
PMCPMC6125577
OpenAlexW2889164676

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.