Evidence map›Paper›PMID 30682029›Full record

Trial reportPloS one2019

Genetic characterization of Mycoplasma pneumoniae isolated in Osaka between 2011 and 2017: Decreased detection rate of macrolide-resistance and increase of p1 gene type 2 lineage strains.

Chihiro Katsukawa, Tsuyoshi Kenri, Keigo Shibayama, Kazuo Takahashi

Abstract readClinical Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Post-pandemic surge ofJournal of clinical microbiology · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Increased macrolide resistance rate ofFrontiers in microbiology · 2024
    Article
  8. Article
  9. Review
  10. The clinical significance of macrolide resistance in pediatricFrontiers in cellular and infection microbiology · 2023
    Article
  11. Genotyping ofFrontiers in microbiology · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Periodic Genotype Shifts in Clinically PrevalentFrontiers in cellular and infection microbiology · 2020
    Article
  17. Comparing Antimicrobial Susceptibilities amongAntimicrobial agents and chemotherapy · 2019
    Article
  18. 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

4 authors.

Chihiro KatsukawaDivision of Microbiology, Osaka Institute of Public Health, Osaka, Japan.
Tsuyoshi KenriDepartment of Bacteriology II, National Institute of Infectious Diseases, Tokyo, Japan.ORCID 0000-0002-3198-4263
Keigo ShibayamaDepartment of Bacteriology II, National Institute of Infectious Diseases, Tokyo, Japan.
Kazuo TakahashiInternational University of Health and Welfare, Tochigi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We characterized 419 Mycoplasma pneumoniae isolates collected between 2011 and 2017 in Osaka prefecture of Japan. This analysis revealed high prevalence of macrolide-resistant M. pneumoniae (MRMP) in Osaka during 2011 and 2014 with annual detection rates of MRMP strains between 71.4% and 81.8%. However, in 2015 and after, the detection rate of MRMP decreased significantly and did not exceed 50%. Genotyping of the p1 gene of these isolates showed that most of MRMP strains harbored type 1 p1 gene. In contrast, strains expressing p1 gene type 2 or its variant were largely macrolide-susceptible M. pneumoniae (MSMP) strains. There was a strong correlation between p1 gene genotype and the presence of mutations conferring macrolide resistance in M. pneumoniae isolated in Osaka. These results indicate that lower incidence of MRMP strains in Osaka from 2015 was associated with the relative increase of p1 gene type 2 lineage strains. During these experiments, we also isolated three M. pneumoniae strains that showed irregular typing pattern in the polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) analysis of the p1 gene. Two of these strains harbored new variants of type 2 p1 gene and were designated as type 2f and 2g. The remaining strain with an irregular typing pattern had a large deletion in the p1 operon.

Indexed as

Drug Resistance, BacterialGenotypePolymorphism, Restriction Fragment LengthFemaleHumansIncidenceJapanMacrolidesMaleMycoplasma pneumoniaePneumonia, MycoplasmaMacrolides

Identifiers

PMID30682029
PMCPMC6347185

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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.