Evidence map›Paper›PMID 31412801›Full record

ArticleBMC infectious diseases2019

Linezolid resistant coagulase negative staphylococci (LRCoNS) with novel mutations causing blood stream infections (BSI) in India.

Gajanand Mittal, Vasundhra Bhandari, Rajni Gaind, Vandana Rani, Shimpi Chopra, Reetika Dawar, Raman Sardana, P K Verma

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Gajanand MittalVardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, 110029, India.
Vasundhra BhandariNational Institute of Animal Biotechnology-DBT, Hyderabad, 500049, India.
Rajni GaindVardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, 110029, India. rgaind5@hotmail.com.
Vandana RaniVardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, 110029, India.
Shimpi ChopraVardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, 110029, India.
Reetika DawarIndraprastha Apollo Hospital, New Delhi, 110076, India.
Raman SardanaIndraprastha Apollo Hospital, New Delhi, 110076, India.
P K VermaVardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, 110029, India.
Vardhman Mahavir Medical College & Safdarjung Hospital · INIndraprastha Apollo Hospitals · INNational Institute of Animal Biotechnology · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoagulase-negative Staphylococci (CoNS) have emerged as a major causative agent of blood-stream infections (BSI). Linezolid (LZD) is currently used for treating glycopeptide and methicillin-resistant staphylococci. It is important to understand the resistance mechanism and probable transmission of LZD resistant (LR) CoNS within the hospital.

methodsClinically significant LRCoNS from patients with BSI were characterized using MALDI-TOF and 16S rRNA gene sequence analysis. Antimicrobial susceptibility and MIC of vancomycin and LZD were determined. LZD resistance mechanisms using PCR for the cfr gene and mutation in the V domain of the 23S rRNA gene were studied.

resultsThe MIC of LZD ranged from 8 to 32 μg/ml. LR was observed in three different CoNS species from diverse locations within the hospital. The cfr gene was identified in all the isolates. Sequence analysis of V domain region of 23S rRNA gene confirmed mutation in single copy among 12/15 isolates with novel mutations: G2614 T and C2384T. All infections were nosocomially acquired and LZD resistance was emerging in the absence of prior LZD use. Horizontal spread of resistant isolates and cfr gene among diverse species were the probable mechanisms of transmission.

conclusionThe study highlights the novel mutations associated with LRCoNS and the importance of surveillance & transmission pathway within the hospital. It also systematically discusses the published information on LRCoNS.

Indexed as

AdultAgedAged, 80 and overAnti-Bacterial AgentsBacteremiaChild, PreschoolCoagulaseDrug Resistance, BacterialFemaleHumansIndiaInfantLinezolidMaleMicrobial Sensitivity TestsMiddle AgedAnti-Bacterial AgentsCoagulaseLinezolidRNA, Ribosomal, 23ScfrCoNSIndiaLinezolid resistanceNovel mutationS. arlettae

Identifiers

PMID31412801
PMCPMC6694603
OpenAlexW2966945923

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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.