Evidence map›Paper›PMID 34053144›Full record

ArticleJournal of applied microbiology2022

Epidemiology of resistance of carbapenemase-producing Klebsiella pneumoniae to ceftazidime-avibactam in a Chinese hospital.

D Chen, L Xiao, D Hong, Y Zhao, X Hu, S Shi, F Chen

Open access · hybridAbstract read
In one paragraph

Article in Journal of applied microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 35% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Characterization of Carbapenem-ResistantInfection and drug resistance · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Prevalence and Characterization ofInfection and drug resistance · 2023
    Article
  8. First Report of Potentially PathogenicFoods (Basel, Switzerland) · 2022
    Article
  9. The Spread of NDM-1 and NDM-7-ProducingAntibiotics (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

7 authors at 2 institutions in 1 country.

D ChenShengli Clinical Medical College, Fujian Medical University, Fuzhou, China.
L XiaoDepartment of Respiratory Medicine, The Affiliated Hospital (Group) of Putian University, Putian, China.
D HongShengli Clinical Medical College, Fujian Medical University, Fuzhou, China.
Y ZhaoShengli Clinical Medical College, Fujian Medical University, Fuzhou, China.
X HuShengli Clinical Medical College, Fujian Medical University, Fuzhou, China.
S ShiShengli Clinical Medical College, Fujian Medical University, Fuzhou, China.
F ChenShengli Clinical Medical College, Fujian Medical University, Fuzhou, China.ORCID https://orcid.org/0000-0002-5764-4670
Fujian Medical University · CNPutian University · CN

Funding

Fujian Natural Science Foundation 2020J05258Fujian Province Intensive Care Medical Center Construction Project Grants from Fujian Provincial Hospital (2017)510#Health Science and Technology Program of Fujian Province 2020GGA006High-level hospital foster grants from Fujian Provincial Hospital 2020HSJJ09
6 · The paper itself

Abstract

aimsKlebsiella pneumoniae has been reported to develop increased antibiotic resistance. Ceftazidime-avibactam (CZA) is a novel antibiotic with activity against serine-lactamase. Here, we investigated the sensitivity of carbapenem-resistant K. pneumoniae (CRKP) to CZA and the mechanisms of drug resistance in our hospital. METHODS AND

resultsPatient characteristics were obtained from medical records. K. pneumoniae and its antibiotic susceptibility were determined using the Vitek-2 Compact instrument. The antibiotic resistance genes KPC, NDM, OXA-48, VIM, IMP, CIM, SPM, TMB, SMB, SIM, AIM and DIM were detected using real-time PCR. Multilocus sequence typing was used for genetic RELATEDNESS analysis. In total, 121 CRKP strains were isolated from patients in the intensive care unit (51·2%), senior ward (12·4%) and neurosurgery department (10%). With an average age of 72·5 years, most patients were in care for respiratory (34·7%), brain (20·7%), digestive tract (13·2%) and cardiovascular (8·3%) diseases. Specimens were predominantly obtained from sputum (39·67%), urine (29·75%) and blood (6·61%).

conclusionOf 23 CZA-resistant CRKP strains (19·01%), ST11 being the most common at 56·52%, 11 NDM-1-positive (47·83%) and four NDM-5-positive (17·39%) strains were detected. SIGNIFICANCE AND IMPACT OF THE STUDY: Our study indicates that CZA resistance occurs in ~19·01% CRKP strains and that bla

Indexed as

Klebsiella InfectionsKlebsiella pneumoniaeAgedAnti-Bacterial AgentsAzabicyclo CompoundsBacterial Proteinsbeta-LactamasesCeftazidimeChinaDrug CombinationsHospitalsHumansMicrobial Sensitivity TestsAnti-Bacterial Agentsavibactam, ceftazidime drug combinationAzabicyclo CompoundsBacterial Proteinsbeta-LactamasescarbapenemaseCeftazidimeDrug Combinationscarbapenem resistanceceftazidime-avibactamepidemiologyKlebsiella pneumoniaeNDM-1NDM-5

Identifiers

PMID34053144
PMCPMC9290937
OpenAlexW3164300582

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.