Evidence map›Paper›PMID 32101543›Full record

ArticlePloS one2020

First Indian report on genome-wide comparison of multidrug-resistant Escherichia coli from blood stream infections.

Naveen Kumar Devanga Ragupathi, Balaji Veeraraghavan, Dhiviya Prabaa Muthuirulandi Sethuvel, Shalini Anandan, Karthick Vasudevan, Ayyan Raj Neeravi, Jones Lionel Kumar Daniel, Sowmya Sathyendra, Ramya Iyadurai, Ankur Mutreja

Abstract 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 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed.

  1. Article
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  7. Combined resistance mechanisms leading to high-level of cefiderocol resistance among NDM-like producing E. coli ST167 clinical isolates.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  8. Article
  9. Ceftazidime-avibactam activity againstIranian journal of microbiology · 2025
    Article
  10. Article
  11. Emergence of Carbapenem-Resistant UropathogenicPathogens (Basel, Switzerland) · 2024
    Article
  12. Article
  13. The Prevalence of Multidrug-ResistantIndian journal of microbiology · 2024
    Article
  14. Article
  15. Article
  16. Antimicrobial agents and chemotherapy · 2024
    Review
  17. Article
  18. Article
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  20. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

10 authors.

Naveen Kumar Devanga RagupathiDepartment of Clinical Microbiology, Christian Medical College, Vellore, India.
Balaji VeeraraghavanDepartment of Clinical Microbiology, Christian Medical College, Vellore, India.ORCID 0000-0002-8662-4257
Dhiviya Prabaa Muthuirulandi SethuvelDepartment of Clinical Microbiology, Christian Medical College, Vellore, India.
Shalini AnandanDepartment of Clinical Microbiology, Christian Medical College, Vellore, India.
Karthick VasudevanDepartment of Clinical Microbiology, Christian Medical College, Vellore, India.
Ayyan Raj NeeraviDepartment of Clinical Microbiology, Christian Medical College, Vellore, India.
Jones Lionel Kumar DanielDepartment of Clinical Microbiology, Christian Medical College, Vellore, India.
Sowmya SathyendraDepartment of Medicine, Christian Medical College, Vellore, India.
Ramya IyaduraiDepartment of Medicine, Christian Medical College, Vellore, India.
Ankur MutrejaDepartment of Medicine, Addenbrookes Hospital, University of Cambridge, Cambridge, United Kingdom.

Funding

Department of Health
6 · The paper itself

Abstract

backgroundMultidrug-resistant (MDR) E. coli with extended-spectrum β-lactamases (ESBLs) is becoming endemic in health care settings around the world. Baseline data on virulence and antimicrobial resistance (AMR) of specific lineages of E. coli circulating in developing countries like India is currently lacking.

methodsWhole-genome sequencing was performed for 60 MDR E. coli isolates. The analysis was performed at single nucleotide polymorphism (SNP) level resolution to identify the presence of their virulence and AMR genes.

resultsGenome comparison revealed the presence of ST-131 global MDR and ST410 as emerging-MDR clades of E. coli in India. AMR gene profile for cephalosporin and carbapenem resistance differed between the clades. Genotypes blaCTX-M-15 and blaNDM-5 were common among cephalosporinases and carbapenemases, respectively. For aminoglycoside resistance, rmtB was positive for 31.7% of the isolates, of which 95% were co-harboring carbapenemases. In addition, the FimH types and virulence gene profile positively correlated with the SNP based phylogeny, and also revealed the evolution of MDR clones among the study population with temporal accumulation of SNPs. The predominant clone was ST167 (blaNDM lineage) followed by ST405 (global clone ST131 equivalent) and ST410 (fast spreading high risk clone).

conclusionsThis is the first report on the whole genome analysis of MDR E. coli lineages circulating in India. Data from this study will provide public health agencies with baseline information on AMR and virulent genes in pathogenic E. coli in the region.

Indexed as

GenomicsWhole Genome SequencingCarbapenemsCephalosporinsDrug Resistance, Multiple, BacterialEscherichia coliEscherichia coli InfectionsHumansIndiaPolymorphism, Single NucleotideVirulenceCarbapenemsCephalosporins

Identifiers

PMID32101543
PMCPMC7043739

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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.