Evidence map›Paper›PMID 30891912›Full record

ArticleMicrobiologyOpen2019

The antibiotic resistance and pathogenicity of a multidrug-resistant Elizabethkingia anophelis isolate.

Mingxi Wang, Hongzhi Gao, Nanfei Lin, Yaping Zhang, Nan Huang, Edward D Walker, Desong Ming, Shicheng Chen, Shaohua Hu

Abstract read
In one paragraph

Article in MicrobiologyOpen, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

  1. Pooled it
  2. Article
  3. Sultan Qaboos University medical journal · 2025
    Review
  4. Multidrug-ResistantInfection and drug resistance · 2025
    Article
  5. Cefiderocol-ResistantCase reports in infectious diseases · 2025
    Article
  6. Article
  7. Microorganisms · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Population genomics of emergingEmerging microbes & infections · 2022
    Article
  12. Antimicrobial Resistance and Comparative Genomic Analysis ofAntibiotics (Basel, Switzerland) · 2022
    Article
  13. Review
  14. Biofilm formation and antibiotic sensitivity inFrontiers in cellular and infection microbiology · 2022
    Article
  15. Article
  16. Article
  17. Antibiotics (Basel, Switzerland) · 2021
    Article
  18. Article
  19. Isolation ofFrontiers in microbiology · 2021
    Article
  20. 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

9 authors.

Mingxi WangYun Leung Laboratory for Molecular Diagnostics, School of Medicine, Huaqiao University, Xiamen, Fujian, China.ORCID 0000-0002-8093-0384
Hongzhi GaoClinical Center for Molecular Diagnosis and Therapy, Fujian Medical University 2nd Affiliated Hospital, Quanzhou, Fujian, China.
Nanfei LinClinical Center for Molecular Diagnosis and Therapy, Fujian Medical University 2nd Affiliated Hospital, Quanzhou, Fujian, China.
Yaping ZhangDepartment of Pulmonary and Critical Care Medicine, Fujian Medical University 2nd Affiliated Hospital, Quanzhou, Fujian, China.
Nan HuangQuanzhou Medical College, Quanzhou, Fujian, China.
Edward D WalkerDepartment of Microbiology and Molecular Genetics, Michigan State University, East Lansing, Michigan.
Desong MingDepartment of Clinical Laboratory, Quanzhou First Hospital Affiliated to Fujian Medical University, Fujian, China.
Shicheng ChenDepartment of Microbiology and Molecular Genetics, Michigan State University, East Lansing, Michigan.
Shaohua HuState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital of Medical College, Zhejiang University, Hangzhou, Zhejiang, China.ORCID 0000-0002-8687-6905

Funding

Larval Mosquito Feeding and Microbial InteractionsR37AI021884 · NIAID · MICHIGAN STATE UNIVERSITY · PI WALKER, EDWARD D · 2008 to 2017
$3.7M
NIAID NIH HHS R37 AI021884
6 · The paper itself

Abstract

Elizabethkingia anophelis 12012-2 PRCM was isolated from a patient with multiple organ dysfunction syndrome and lower respiratory tract infection in China. Minimum inhibitory concentration (MIC) analysis demonstrated that it was resistant to 20 antibiotics including trimethoprim/sulfamethoxazole and ciprofloxacin, which were effective for the elimination of other Elizabethkingia infections. To investigate multidrug resistance and pathogenicity mechanisms, we analyzed genome features of 12012-2 PRCM and compared them to the other Elizabethkingia species. The draft genome size was 4.02 Mb with a GC content of 32%, comparable to that of other E. anophelis strains. Phylogenetic analysis showed that E. anophelis 12012-2 PRCM formed a sister group with E. anophelis 502, distinct from clades formed by other clinical and environmental E. anophelis isolates. E. anophelis 12012-2 PRCM contained multiple copies of β-lactamase genes as well as genes predicted to function in antimicrobial efflux. It also contained 92 genes that were potentially involved in virulence, disease, and defense, and were associated with resistance and pathogenicity. Comparative genomic analysis showed high homology among three clinical and two environmental E. anophelis strains having a variety of similar antibiotic resistance and virulence factor genes, and similar genomic structure. Applications of this analysis will contribute to understanding the antibiotic resistance and pathogenic mechanisms of E. anophelis infections, which will assist in the management of infections as it increases in prevalence.

Indexed as

Drug Resistance, Multiple, BacterialAged, 80 and overAnti-Bacterial AgentsBase CompositionChinaFlavobacteriaceaeFlavobacteriaceae InfectionsGenes, BacterialGenome, BacterialHumansMaleMicrobial Sensitivity TestsMultiple Organ FailurePhylogenyPneumonia, BacterialSequence Analysis, DNAAnti-Bacterial AgentsVirulence Factorsantibiotic resistance mechanismscomparative genomic analysisElizabethkingia anophelisgenome sequencingpathogenicity mechanisms

Identifiers

PMID30891912
PMCPMC6854844

What OpenQuestion holds

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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.