Evidence map›Paper›PMID 30470228›Full record

ArticleAnnals of clinical microbiology and antimicrobials2018

Microbial virulence, molecular epidemiology and pathogenic factors of fluoroquinolone-resistant Haemophilus influenzae infections in Guangzhou, China.

Dingqiang Chen, Shuxian Wen, Donghua Feng, Ruirui Xu, Junyan Liu, Brian M Peters, Danhong Su, Yongping Lin, Ling Yang, Zhenbo Xu and 1 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical microbiology and antimicrobials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  5. Immunoinformatics design of multi-epitope peptide-based vaccine againstNetwork modeling and analysis in health informatics and bioinformatics · 2023
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  6. National Danish surveillance of invasive clinicalFrontiers in microbiology · 2023
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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

11 authors at 5 institutions in 2 countries.

Dingqiang ChenDepartment of Laboratory Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, 510280, China.
Shuxian WenDepartment of Laboratory Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, 510120, China.
Donghua FengDepartment of Laboratory Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, 510120, China.
Ruirui XuSchool of Food Science and Engineering, South China University of Technology, Guangzhou, 510640, China.
Junyan LiuSchool of Food Science and Engineering, South China University of Technology, Guangzhou, 510640, China. yaner0722@hotmail.com.
Brian M PetersDepartment of Clinical Pharmacy, College of Pharmacy, University of Tennessee Health Science Center, Memphis, TN, 38163, USA.
Danhong SuDepartment of Laboratory Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, 510120, China.
Yongping LinDepartment of Laboratory Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, 510120, China.
Ling YangDepartment of Laboratory Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, 510120, China.
Zhenbo XuSchool of Food Science and Engineering, South China University of Technology, Guangzhou, 510640, China. zhenbo.xu@hotmail.com.ORCID http://orcid.org/0000-0003-2865-2441
Mark E ShirtliffDepartment of Microbial Pathogenesis, School of Dentistry, University of Maryland, Baltimore, MD, 21201, USA.
First Affiliated Hospital of Guangzhou Medical University · CNUniversity of Maryland, Baltimore · USUniversity of Tennessee Health Science Center · USSouth China University of Technology · CNZhujiang Hospital · CN

Funding

Guangdong Special Support Program 2016TQ03N682National Outstanding Doctoral Dissertation Funding 2017ZD092Pearl River S&T Nova Program of Guangzhou 201710010061Science and Technology Planning Project of Guangdong Province 2017A050501007the Fundamental Research Funds for the Central Universities 2017ZD092the National Key Research and Development Program of Chin 2016YFD04012021
6 · The paper itself

Abstract

backgroundFluoroquinolone-resistant Haemophilus influenzae (FRHI) has been reported worldwide but remain unclear in China.

methodsA total of 402 H. influenzae isolates collected from 2016 to 2017 were included. Antimicrobial susceptibility on 10 antibiotics was performed, and minimum inhibitory concentration of ciprofloxacin- and nalidixic acid-resistant strains were further determined by E-test strips, with risk factors also evaluated. Strains with resistance or reduced susceptibility to ciprofloxacin were subjected to sequencing of the quinolone resistance-determining regions (QRDR) and plasmid-mediated quinolone resistance genes by sequencing, with multi-locus sequence typing.

results2.2% of H. influenzae strains were non-susceptible (7/402, 1.7%) or susceptible (2/402, 0.5%) to ciprofloxacin but NAL-resistant by E-test, and multidrug resistance was more common in fluoroquinolones non-susceptible H. influenzae group (p = 0.000). Infection risk factors included invasive procedure (p = 0.011), catching cold/previous contact with someone who had a cold (p = 0.019), fluoroquinolones use during previous 3 months (p = 0.003). With none of mutations obtained in gyrB, parE and other plasmid-mediated quinolone resistance genes, 7 and 4 strains were found for Ser-84-Leu substitutions in gyrA and one amino acid substitution in the QRDR of gyrA linked with one amino acid substitution in the QRDR of parC, respectively. In addition, five sequence types (ST) were identified, with ST1719 firstly found.

conclusionsFor the first time, this study has reported the incidence, risk factors, molecular determinants on fluoroquinolones resistance and ST of FRHI strains in mainland China, representing the first evidence of mutation of gyrA and parC in China and the new ST1719 worldwide.

Indexed as

Anti-Bacterial AgentsBacterial ProteinsChinaDNA Topoisomerase IVDrug Resistance, BacterialFluoroquinolonesHaemophilus InfectionsHaemophilus influenzaeHumansMicrobial Sensitivity TestsMolecular EpidemiologyVirulenceVirulence FactorsAnti-Bacterial AgentsBacterial ProteinsDNA Topoisomerase IVFluoroquinolonesVirulence FactorsFluoroquinolonesHaemophilus influenzaeQuinolone resistance-determining regionsST1719

Identifiers

PMID30470228
PMCPMC6251178
OpenAlexW2901068914

What OpenQuestion holds

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LicenceCC BY
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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.