Evidence map›Paper›PMID 31886511›Full record

ArticleJournal of the Pediatric Infectious Diseases Society2020

Serum-Associated Antibiotic Tolerance in Pediatric Clinical Isolates of Pseudomonas aeruginosa.

John M Morrison, Michaelle Chojnacki, Jeffrey J Fadrowski, Colleen Bauza, Paul M Dunman, Robert A Dudas, Neil A Goldenberg, David M Berman

Open access · greenAbstract read
In one paragraph

Article in Journal of the Pediatric Infectious Diseases Society, 2020. 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
0.3field-weighted citation impact, top 52% 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, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Genetic Determinants ofAntibiotics (Basel, Switzerland) · 2023
    Article
  5. Review
  6. Article
  7. Article
  8. Milieu matters: AnBiofilm · 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

8 authors at 2 institutions in 1 country.

John M MorrisonDepartment of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Department of Medicine, Division of Hospital Medicine, Johns Hopkins All Children's Hospital, St. Petersburg, Florida, USA.
Michaelle ChojnackiDepartment of Microbiology and Immunology, University of Rochester Medical Center, Rochester, New York, USA.
Jeffrey J FadrowskiDepartment of Pediatrics, Division of Nephrology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Colleen BauzaDepartment of Health Informatics, Johns Hopkins All Children's Hospital, St. Petersburg, Florida, USA.
Paul M DunmanDepartment of Microbiology and Immunology, University of Rochester Medical Center, Rochester, New York, USA.
Robert A DudasDepartment of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Department of Medicine, Division of Hospital Medicine, Johns Hopkins All Children's Hospital, St. Petersburg, Florida, USA.
Neil A GoldenbergDepartment of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA, and All Children's Research Institute, Johns Hopkins All Children's Hospital, St. Petersburg, Florida, USA.
David M BermanDepartment of Medicine, Division of Infectious Diseases, Johns Hopkins All Children's Hospital, St. Petersburg, Florida, USA.
Johns Hopkins University · USUniversity of Rochester Medical Center · US

Funding

Training Program in Oral ScienceT90DE021985 · NIDCR · UNIVERSITY OF ROCHESTER · PI OVITT, CATHERINE, YULE, DAVID I · 2011 to 2021
$5.6M
NIDCR NIH HHS T90 DE021985
6 · The paper itself

Abstract

backgroundWhen grown in human serum, laboratory isolates of Pseudomonas aeruginosa exhibit tolerance to antibiotics at inhibitory concentrations. This phenomenon, known as serum-associated antibiotic tolerance (SAT), could lead to clinical treatment failure of pseudomonal infections. Our purpose in this study was to determine the prevalence and clinical impact of SAT in Pseudomonas isolates in hospitalized children.

methodsThe SAT phenotype was assessed in patients aged <18 years admitted with respiratory or blood cultures positive for P. aeruginosa. The SAT phenotype was a priori defined as a ≥2-log increase in colony-forming units when grown in human serum compared with Luria-Bertani medium in the presence of minocycline or tobramycin.

resultsSAT was detected in 29 (64%) patients. Fourteen patients each (34%) had cystic fibrosis (CF) and tracheostomies. Patient demographics and comorbidities did not differ by SAT status. Among CF patients, SAT was associated with longer duration of intravenous antibiotics (10 days vs 5 days; P < .01).

conclusionsThis study establishes that SAT exists in P. aeruginosa from human serum and may be a novel factor that contributes to differences in clinical outcomes. Future research should investigate the mechanisms that contribute to SAT in order to identify novel targets for adjunctive antimicrobial therapies.

Indexed as

Cystic FibrosisPseudomonas InfectionsAnti-Bacterial AgentsChildHumansMicrobial Sensitivity TestsPseudomonas aeruginosaTobramycinAnti-Bacterial AgentsTobramycinantibiotic resistanceantibiotic tolerancecystic fibrosisdrug effluxtracheitis

Identifiers

PMID31886511
PMCPMC7974018
OpenAlexW2996804620

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.