Evidence map›Paper›PMID 32962759›Full record

ArticleAntimicrobial resistance and infection control2020

A nosocomial cluster of vancomycin resistant enterococci among COVID-19 patients in an intensive care unit.

Stefanie Kampmeier, Hauke Tönnies, Carlos L Correa-Martinez, Alexander Mellmann, Vera Schwierzeck

Abstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
–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

51 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Genomic epidemiology ofJournal of clinical microbiology · 2026
    Observational
  4. Article
  5. Article
  6. Article
  7. Spread of the novel vancomycin-resistantEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Observational
  8. Review
  9. Article
  10. Article
  11. Vancomycin-resistant Enterococcus infections in a hospital in Salvador, Bahia: a descriptive study, 2021-2023.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Journal of clinical medicine · 2023
    Review
  19. Article
  20. 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

5 authors.

Stefanie KampmeierInstitute of Hygiene, University Hospital Münster, Robert-Koch-Straße 41, 48149, Münster, Germany. Stefanie.Kampmeier@ukmuenster.de.ORCID 0000-0002-5013-159X
Hauke TönniesInstitute of Hygiene, University Hospital Münster, Robert-Koch-Straße 41, 48149, Münster, Germany.
Carlos L Correa-MartinezInstitute of Hygiene, University Hospital Münster, Robert-Koch-Straße 41, 48149, Münster, Germany.
Alexander MellmannInstitute of Hygiene, University Hospital Münster, Robert-Koch-Straße 41, 48149, Münster, Germany.
Vera SchwierzeckInstitute of Hygiene, University Hospital Münster, Robert-Koch-Straße 41, 48149, Münster, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrently, hospitals have been forced to divert substantial resources to cope with the ongoing coronavirus disease 2019 (COVID-19) pandemic. It is unclear if this situation will affect long-standing infection prevention practices and impact on healthcare associated infections. Here, we report a nosocomial cluster of vancomycin-resistant enterococci (VRE) that occurred on a COVID-19 dedicated intensive care unit (ICU) despite intensified contact precautions during the current pandemic. Whole genome sequence-based typing (WGS) was used to investigate genetic relatedness of VRE isolates collected from COVID-19 and non-COVID-19 patients during the outbreak and to compare them to environmental VRE samples.

methodsFive VRE isolated from patients (three clinical and two screening samples) as well as 11 VRE and six vancomycin susceptible Enterococcus faecium (E. faecium) samples from environmental sites underwent WGS during the outbreak investigation. Isolate relatedness was determined using core genome multilocus sequence typing (cgMLST).

resultsWGS revealed two genotypic distinct VRE clusters with genetically closely related patient and environmental isolates. The cluster was terminated by enhanced infection control bundle strategies.

conclusionsOur results illustrate the importance of continued adherence to infection prevention and control measures during the COVID-19 pandemic to prevent VRE transmission and healthcare associated infections.

Indexed as

BetacoronavirusCoinfectionCoronavirus InfectionsCOVID-19Cross InfectionDisease OutbreaksGenome, BacterialGram-Positive Bacterial InfectionsHumansInfection ControlIntensive Care UnitsMultilocus Sequence TypingPandemicsPneumonia, ViralPrimary PreventionSARS-CoV-2COVID-19Healthcare-associated infectionIntensive care unitNosocomial VRE clusterSurface contaminationvanB

Identifiers

PMID32962759
PMCPMC7506805

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.