Evidence map›Paper›PMID 32729059›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2021

Emergence of ceftazidime-avibactam resistance through distinct genomic adaptations in KPC-2-producing Klebsiella pneumoniae of sequence type 39 during treatment.

Irene Galani, Ilias Karaiskos, Evdokia Angelidis, Vassiliki Papoutsaki, Lamprini Galani, Maria Souli, Anastasia Antoniadou, Helen Giamarellou

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

21 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Article
  3. Ceftazidime-avibactam tolerance and persistence among difficult-to-treat KPC-producing Klebsiella pneumoniae clinical isolates from bloodstream infections.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  4. Article
  5. Article
  6. Clinical microbiology reviews · 2023
    Review
  7. Emergence and persistent spread of carbapenemase-producingEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Article
  8. Article
  9. Genetic Characterization of Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Multidrug-ResistantAntibiotics (Basel, Switzerland) · 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 3 institutions in 2 countries.

Irene Galani4th Department of Internal Medicine, Infectious Diseases Laboratory,Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece. egalani@med.uoa.gr.ORCID https://orcid.org/0000-0001-6455-9848
Ilias Karaiskos1st Internal Medicine & Infectious Diseases Department, Hygeia Hospital, Marousi, Greece.ORCID https://orcid.org/0000-0002-2226-0239
Evdokia Angelidis4th Department of Internal Medicine, Infectious Diseases Laboratory,Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Vassiliki Papoutsaki1st Internal Medicine & Infectious Diseases Department, Hygeia Hospital, Marousi, Greece.
Lamprini Galani1st Internal Medicine & Infectious Diseases Department, Hygeia Hospital, Marousi, Greece.
Maria SouliDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.ORCID https://orcid.org/0000-0003-3401-4534
Anastasia Antoniadou4th Department of Internal Medicine, Infectious Diseases Laboratory,Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0003-0991-9198
Helen Giamarellou1st Internal Medicine & Infectious Diseases Department, Hygeia Hospital, Marousi, Greece.ORCID https://orcid.org/0000-0002-7387-5065
Hygeia Hospital · GRNational and Kapodistrian University of Athens · GRDuke University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Three ceftazidime-avibactam-resistant KPC-2-producing Klebsiella pneumoniae strains of ST39 were isolated in Greece, from rectal swabs of three patients after 10-15 days of treatment. The patients were treated with ceftazidime-avibactam as monotherapy or in combination with colistin. Two of these strains harbored a D179Y or a D179V substitution in the Ω loop of KPC-2, corresponding to KPC-33, or to the novel KPC-57, respectively. The third strain had a 15 amino acid insertion after position 259 in the KPC-2, corresponding to KPC-44.

Indexed as

Drug Resistance, Multiple, BacterialAnti-Bacterial AgentsAzabicyclo CompoundsCeftazidimeDrug CombinationsGreeceHumansKlebsiella InfectionsKlebsiella pneumoniaeMicrobial Sensitivity TestsRectumAnti-Bacterial Agentsavibactam, ceftazidime drug combinationAzabicyclo CompoundsCeftazidimeDrug CombinationsCeftazidime-avibactamKPC-2KPC-33KPC-44KPC-57 (D179V)K. pneumoniae

Identifiers

PMID32729059
OpenAlexW3046004622

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.