Evidence map›Paper›PMID 32059020›Full record

ArticlePloS one2020

A three-year whole genome sequencing perspective of Enterococcus faecium sepsis in Australia.

Terence Lee, Stanley Pang, Marc Stegger, Shafi Sahibzada, Sam Abraham, Denise Daley, Geoffrey Coombs, Australian Group on Antimicrobial Resistance

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. 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
0.4field-weighted citation impact, top 27% 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.

  1. Pooled it
  2. Vancomycin-resistant Enterococcus faecium: a national wide genomic snapshot in Switzerland.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  3. Article
  4. Review
  5. Whole Genome Sequencing: Applications in Clinical Bacteriology.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2024
    Review
  6. Article
  7. Review
  8. Genomic characterization of vancomycin-resistantFrontiers in microbiology · 2023
    Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. 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 3 institutions in 2 countries.

Terence LeeAntimicrobial Resistance and Infectious Diseases Research Laboratory, Murdoch University, Murdoch, Australia.ORCID 0000-0002-5456-3162
Stanley PangAntimicrobial Resistance and Infectious Diseases Research Laboratory, Murdoch University, Murdoch, Australia.
Marc SteggerAntimicrobial Resistance and Infectious Diseases Research Laboratory, Murdoch University, Murdoch, Australia.
Shafi SahibzadaAntimicrobial Resistance and Infectious Diseases Research Laboratory, Murdoch University, Murdoch, Australia.
Sam AbrahamAntimicrobial Resistance and Infectious Diseases Research Laboratory, Murdoch University, Murdoch, Australia.
Denise DaleyAustralian Group on Antimicrobial Resistance (AGAR), Fiona Stanley Hospital, Murdoch, Australia.
Geoffrey CoombsAntimicrobial Resistance and Infectious Diseases Research Laboratory, Murdoch University, Murdoch, Australia.
Australian Group on Antimicrobial Resistance
Murdoch University · AUStatens Serum Institut · DKFiona Stanley Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOver the last three decades, hospital adapted clonal complex (CC) 17 strains of Enterococcus faecium have acquired and exchanged antimicrobial resistance genes leading to the widespread resistance to clinically important antimicrobials globally. In Australia, a high prevalence of vancomycin resistance has been reported in E. faecium in the last decade.

methodsIn this study, we determined the phylogenetic relationship and genetic characteristics of E. faecium collected from hospitalized patients with blood stream infections throughout Australia from 2015 to 2017 using high throughput molecular techniques.

resultsUsing single nucleotide polymorphism based phylogenetic inference, three distinct clusters of isolates were observed with additional sub-clustering. One cluster harboured mostly non-CC17 isolates while two clusters were dominant for the vanA and vanB operons.

conclusionThe gradual increase in dominance of the respective van operon was observed in both the vanA and vanB dominant clusters suggesting a strain-van operon affinity. The high prevalence of the van operon within isolates of a particular sub-cluster was linked to an increased number of isolates and 30-day all-cause mortality. Different dominant sub-clusters were observed in each region of Australia. Findings from this study can be used to put future surveillance data into a broader perspective including the detection of novel E. faecium strains in Australia as well as the dissemination and evolution of each strain.

Indexed as

Whole Genome SequencingAustraliaEnterococcus faeciumHumansPhylogenyPolymorphism, Single NucleotideSepsisVancomycin Resistance

Identifiers

PMID32059020
PMCPMC7021281
OpenAlexW3005841473

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.