Evidence map›Paper›PMID 33148329›Full record

ArticleAntimicrobial resistance and infection control2020

Fluoroquinolone resistance of Staphylococcus epidermidis isolated from healthy conjunctiva and analysis of their mutations in quinolone-resistance determining region.

Jung Youb Kang, Woonhyoung Lee, Gwang Myeong Noh, Bo Hyun Jeong, Indal Park, Sang Joon Lee

Open access · goldAbstract 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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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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

6 authors at 1 institution in 1 country.

Jung Youb KangDepartment of Ophthalmology, Kosin University College of Medicine, 262 Gamchun-ro, Seo-gu, Busan, South Korea.
Woonhyoung LeeDepartment of Laboratory Medicine, Kosin University College of Medicine, Busan, South Korea.
Gwang Myeong NohDepartment of Ophthalmology, Kosin University College of Medicine, 262 Gamchun-ro, Seo-gu, Busan, South Korea.
Bo Hyun JeongDepartment of Microbiology, Kosin University College of Medicine, Busan, South Korea.
Indal ParkDepartment of Microbiology, Kosin University College of Medicine, Busan, South Korea.
Sang Joon LeeDepartment of Ophthalmology, Kosin University College of Medicine, 262 Gamchun-ro, Seo-gu, Busan, South Korea. hhiatus@gmail.com.ORCID 0000-0001-6673-569X
Kosin University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStaphylococcus epidermidis is the most common pathogen in postoperative endophthalmitis and causes various infectious eye diseases. However, there is very little information on fluoroquinolone antibiotic resistance to S. epidermidis identified in conjunctival microbe and analysis of related genes. Here, the authors investigated the rate of resistance to fluoroquinolones of Staphylococcus epidermidis isolated from normal conjunctival microbes and mutations in the quinolone-resistance determining region (QRDR).

methods377 eye samples from 187 patients who underwent intravitreal injection and cataract surgery were included. Specimens were taken from the bilateral lower conjunctival sacs using a cotton swab and cultured. The cultures were identified using MALDI-TOP MS and gyrA, gyrB, parC, and parE gene mutations of QRDR were confirmed by DNA extraction from resistant strains of S. epidermidis with a micro-dilution method using ciprofloxacin, levofloxacin, and moxifloxacin.

resultsThe culture positive rate was 61.8% (231) for 374 eye samples. Of the 303 total strains cultured, S. epidermidis was the most common with 33.7% (102). Ten types of gene mutations were observed in the resistant S. epidermidis of 21 strains. One-point mutation was observed mainly in gyrA and parC, and a small number of mutations were observed in parE in the form of a double point mutations. When there were multiple point mutations in both gyrA and parC, the highest minimum inhibitory concentration was observed.

conclusionsThe quinolone resistance rate of S. epidermidis increased in comparison with previous studies, and resistant S. epidermidis showed mostly QRDR mutations, which were mainly found in gyrA and parC, and showed strong resistance when mutated in both genes.

Indexed as

MutationConjunctivaDNA GyraseDNA Topoisomerase IVDrug Resistance, BacterialFluoroquinolonesStaphylococcus epidermidisDNA GyraseDNA Topoisomerase IVFluoroquinolonesConjunctivaMicrobesMutationQRDRQuinolone resistanceStaphylococcus epidermidis

Identifiers

PMID33148329
PMCPMC7640383
OpenAlexW3095108376

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.