Evidence map›Paper›PMID 31417140›Full record

ArticleScientific reports2019

Molecular analysis and epidemiological typing of Vancomycin-resistant Enterococcus outbreak strains.

Anbjørg Rangberg, Astri Lervik Larsen, Oliver Kacelnik, Hanne Skarpodde Sæther, Marthe Bjørland, Jetmund Ringstad, Christine Monceyron Jonassen

Abstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. The epidemiology of multidrug-resistant organisms in persons diagnosed with cancer in Norway, 2008-2018: expanding surveillance using existing laboratory and register data.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
  5. Antimicrobial Susceptibility Testing for Enterococci.Journal of clinical microbiology · 2022
    Review
  6. Article
  7. Article
  8. Real-Time PCR Assay for Rapid and Simultaneous Detection ofDiagnostics (Basel, Switzerland) · 2021
    Article
  9. Molecular determination ofSaudi journal of biological sciences · 2021
    Article
  10. Frequency and co-colonization of vancomycin-resistantNew microbes and new infections · 2021
    Article
  11. Investigation ofInternational journal of environmental research and public health · 2021
    Article
  12. Clinical and molecular epidemiology of vancomycin-resistant Enterococcus faecium bacteremia from an Indian tertiary hospital.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    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

7 authors.

Anbjørg RangbergCenter for Laboratory Medicine, Østfold Hospital Trust, Grålum, Norway. anbjra@so-hf.no.
Astri Lervik LarsenCenter for Laboratory Medicine, Østfold Hospital Trust, Grålum, Norway.
Oliver KacelnikDepartment of Antibiotic Resistance and Infection Prevention, Norwegian Institute of Public Health, Oslo, Norway.
Hanne Skarpodde SætherCenter for Laboratory Medicine, Østfold Hospital Trust, Grålum, Norway.
Marthe BjørlandCenter for Laboratory Medicine, Østfold Hospital Trust, Grålum, Norway.
Jetmund RingstadDepartment of Infectious Diseases, Østfold Hospital Trust, Grålum, Norway.
Christine Monceyron JonassenCenter for Laboratory Medicine, Østfold Hospital Trust, Grålum, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Outbreaks of multidrug resistant bacteria including vancomycin-resistant enterococci (VRE) in healthcare institutions are increasing in Norway, despite a low level of resistance compared to other European countries. In this study, we describe epidemiological relatedness of vancomycin-resistant Enterococcus faecium isolated during an outbreak at a Norwegian hospital in 2012-2013. During the outbreak, 9454 fecal samples were screened for VRE by culture and/or PCR. Isolates from 86 patients carrying the vanA resistance gene were characterized using pulsed-field gel electrophoresis (PFGE), MALDI-TOF mass spectrometry and single nucleotide polymorphism typing. PFGE revealed two main clusters, the first comprised 56 isolates related to an initial outbreak strain, and the second comprised 21 isolates originating from a later introduced strain, together causing two partly overlapping outbreaks. Nine isolates, including the index case were not related to the two outbreak clusters. In conclusion, the epidemiological analyses show that the outbreak was discovered by coincidence, and that infection control measures were successful. All typing methods identified the two outbreak clusters, and the experiment congruence between the MALDI-TOF and the PFGE clustering was 63.2%, with a strong correlation (r = 72.4%). Despite lower resolution compared to PFGE, MALDI-TOF may provide an efficient mean for real-time monitoring spread of infection.

Indexed as

Disease OutbreaksFecesGram-Positive Bacterial InfectionsHumansMedical RecordsMultilocus Sequence TypingPhylogenyPolymorphism, Single NucleotideSeasonsVancomycin-Resistant Enterococci

Identifiers

PMID31417140
PMCPMC6695431

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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.