Evidence map›Paper›PMID 32816729›Full record

ArticleAntimicrobial agents and chemotherapy2020

Vancomycin Heteroresistance and Clinical Outcomes in Bloodstream Infections Caused by Coagulase-Negative Staphylococci.

Tina H Dao, Ramzi Alsallaq, Joshua B Parsons, Jose Ferrolino, Randall T Hayden, Jeffrey E Rubnitz, Iftekhar M Rafiqullah, D Ashley Robinson, Elisa B Margolis, Jason W Rosch and 1 more

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
0.2field-weighted citation impact, top 33% 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

18 citing papers in PubMed, 24 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Mechanisms ofInternational journal of molecular sciences · 2025
    Article
  9. Review
  10. Multidrug-ResistantMicroorganisms · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Nocturnal Birds of Prey as Carriers ofAntibiotics (Basel, Switzerland) · 2022
    Article
  17. Vancomycin heteroresistance inFuture science OA · 2021
    Article
  18. Review
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

11 authors at 2 institutions in 1 country.

Tina H DaoDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Ramzi AlsallaqDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Joshua B ParsonsDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Jose FerrolinoDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Randall T HaydenUniversity of Tennessee Health Science Center, Memphis, Tennessee, USA.ORCID 0000-0002-3073-4115
Jeffrey E RubnitzUniversity of Tennessee Health Science Center, Memphis, Tennessee, USA.
Iftekhar M RafiqullahDepartment of Microbiology and Immunology, University of Mississippi Medical Center, Jackson, Mississippi, USA.
D Ashley RobinsonDepartment of Microbiology and Immunology, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Elisa B MargolisDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Jason W Rosch *Department of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee, USA Jason.Rosch@stjude.org Joshua.Wolf@stjude.org.ORCID 0000-0002-1798-1760
Joshua Wolf *Department of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee, USA Jason.Rosch@stjude.org Joshua.Wolf@stjude.org.ORCID 0000-0002-9912-3646
St. Jude Children's Research Hospital · USUniversity of Mississippi Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coagulase-negative staphylococci (CoNS) are a common etiology of serious and recurrent infections in immunocompromised patients. Although most isolates appear susceptible to vancomycin, a single strain might have a subpopulation of resistant bacteria. This phenomenon is termed heteroresistance and may adversely affect the response to treatment. A retrospective cohort study was performed of pediatric patients with leukemia treated at St. Jude Children's Research Hospital who developed CoNS central line-associated bloodstream infection (CLABSI). Available isolates were sequenced and tested for vancomycin heteroresistance by population analysis profiling. Risk factors for heteroresistance and the association of heteroresistance with treatment failure (death or relapse of infection) or poor clinical response to vancomycin therapy (treatment failure or persistent bacteremia after vancomycin initiation) were evaluated. For 65 participants with CoNS CLABSI, 62 initial isolates were evaluable, of which 24 (39%) were vancomycin heteroresistant. All heteroresistant isolates were of

Indexed as

BacteremiaSepsisStaphylococcal InfectionsAnti-Bacterial AgentsChildCoagulaseHumansMicrobial Sensitivity TestsRetrospective StudiesVancomycinAnti-Bacterial AgentsCoagulaseVancomycinchildheteroresistanceleukemiastaphylococciStaphylococcus epidermidisvancomycin

Identifiers

PMID32816729
PMCPMC7577166
OpenAlexW3049510793

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.