Evidence map›Paper›PMID 31573735›Full record

ArticleMicrobiologyOpen2019

Mutational change of CTX-M-15 to CTX-M-127 resulting in mecillinam resistant Escherichia coli during pivmecillinam treatment of a patient.

Karen Leth Nielsen, Katrine Hartung Hansen, Jesper Boye Nielsen, Jenny Dahl Knudsen, Kristian Schønning, Niels Frimodt-Møller, Frederik Boëtius Hertz, Filip Jansåker

Open access · goldAbstract readCase Reports
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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.5field-weighted citation impact, top 44% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. New Perspectives on Antimicrobial Agents: Pivmecillinam.Antimicrobial agents and chemotherapy · 2025
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Antimicrobial agents and chemotherapy · 2020
    Article
  8. 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

8 authors at 4 institutions in 1 country.

Karen Leth NielsenDepartment of Clinical Microbiology, Rigshospitalet, Copenhagen, Denmark.
Katrine Hartung HansenDepartment of Clinical Microbiology, Rigshospitalet, Copenhagen, Denmark.
Jesper Boye NielsenDepartment of Clinical Microbiology, Hvidovre Hospital, Hvidovre, Denmark.
Jenny Dahl KnudsenDepartment of Clinical Microbiology, Rigshospitalet, Copenhagen, Denmark.
Kristian SchønningDepartment of Clinical Microbiology, Hvidovre Hospital, Hvidovre, Denmark.
Niels Frimodt-MøllerDepartment of Clinical Microbiology, Rigshospitalet, Copenhagen, Denmark.
Frederik Boëtius HertzDepartment of Clinical Microbiology, Herlev Hospital, Herlev, Denmark.ORCID 0000-0003-0888-4616
Filip JansåkerDepartment of Clinical Microbiology, Rigshospitalet, Copenhagen, Denmark.
Hvidovre Hospital · DKRigshospitalet · DKStatens Serum Institut · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pivmecillinam (amdinocillin pivoxil) is the recommended first-choice antibiotic used to treat urinary tract infections (UTIs) in Denmark. The frequency of mutation to mecillinam (MEC) resistance is described as high in vitro; however, treatment of UTI has a good clinical response and prevalence of mecillinam resistance in Escherichia coli remains low despite many years of use. We describe occurrence of in vivo mecillinam resistance in a clinical isolate of ESBL-producing E. coli following pivmecillinam treatment. The identified phenotypic differences in the mecillinam resistant isolate compared with the original mecillinam susceptible isolate were a full-length LPS with O-antigen (O25), mecillinam resistance and a lower MIC for ceftazidime. Regarding genotype, the resistant isolate differed with a mutation in bla

Indexed as

Drug Resistance, BacterialAmdinocillinAmdinocillin Pivoxilbeta-LactamasesEscherichia coliEscherichia coli InfectionsGenome, BacterialGenomicsHumansMicrobial Sensitivity TestsMultilocus Sequence TypingMutationPhylogenyWhole Genome SequencingAmdinocillinAmdinocillin Pivoxilbeta-lactamase CTX-M-15beta-LactamasesEscherichia coliLPSmecillinammetabolismmutationO-antigenPivmecillinamresistanceserotypewhole-genome sequencing

Identifiers

PMID31573735
PMCPMC6925186
OpenAlexW2977581853

What OpenQuestion holds

Textmetadata
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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.