Evidence map›Paper›PMID 34380550›Full record

ArticleMicrobiome2021

Bacterial colonization dynamics and antibiotic resistance gene dissemination in the hospital environment after first patient occupancy: a longitudinal metagenetic study.

Tilman E Klassert, Rasmus Leistner, Cristina Zubiria-Barrera, Magdalena Stock, Mercedes López, Robert Neubert, Dominik Driesch, Petra Gastmeier, Hortense Slevogt

Open access · goldAbstract readVideo-Audio Media
In one paragraph

Article in Microbiome, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
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  7. Review
  8. Intrahospital dissemination of multidrug-resistantInfection prevention in practice · 2025
    Article
  9. Article
  10. Review
  11. The indoors microbiome and human health.Nature reviews. Microbiology · 2024
    Review
  12. Article
  13. Review
  14. Aerosol-Mediated Spread of Antibiotic Resistance Genes: Biomonitoring Indoor and Outdoor Environments.International journal of environmental research and public health · 2024
    Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. 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

9 authors at 3 institutions in 2 countries.

Tilman E Klassert *Jena University Hospital, ZIK Septomics, Host Septomics, Jena, Germany. Tilman.Klassert@med.uni-jena.com.ORCID 0000-0002-4502-5450
Rasmus Leistner *Institute for Hygiene and Environmental Medicine and Department for Medicine (Gastroenterology, Infectious diseases, Rheumatology), Charité - Universitätsmedizin Berlin, Berlin, Germany.
Cristina Zubiria-BarreraJena University Hospital, ZIK Septomics, Host Septomics, Jena, Germany.
Magdalena StockJena University Hospital, ZIK Septomics, Host Septomics, Jena, Germany.
Mercedes LópezUniversity Institute of Tropical Diseases and Public Health of the Canary Islands, University of La Laguna, San Cristóbal de La Laguna, Spain.
Robert NeubertJena University Hospital, ZIK Septomics, Host Septomics, Jena, Germany.
Dominik DrieschBioControl Jena GmbH, Jena, Germany.
Petra GastmeierInstitute for Hygiene and Environmental Medicine, Charité-Universitätsmedizin, Berlin, Germany.
Hortense SlevogtJena University Hospital, ZIK Septomics, Host Septomics, Jena, Germany.
Jena University Hospital · DEBerlin Institute of Health at Charité - Universitätsmedizin Berlin · DEUniversidad de La Laguna · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHumans spend the bulk of their time in indoor environments. This space is shared with an indoor ecosystem of microorganisms, which are in continuous exchange with the human inhabitants. In the particular case of hospitals, the environmental microorganisms may influence patient recovery and outcome. An understanding of the bacterial community structure in the hospital environment is pivotal for the prevention of hospital-acquired infections and the dissemination of antibiotic resistance genes. In this study, we performed a longitudinal metagenetic approach in a newly opened ward at the Charité Hospital (Berlin) to characterize the dynamics of the bacterial colonization process in the hospital environment after first patient occupancy.

resultsThe sequencing data showed a site-specific taxonomic succession, which led to stable community structures after only a few weeks. This data was further supported by network analysis and beta-diversity metrics. Furthermore, the fast colonization process was characterized by a significant increase of the bacterial biomass and its alpha-diversity. The compositional dynamics could be linked to the exchange with the patient microbiota. Over a time course of 30 weeks, we did not detect a rise of pathogenic bacteria in the hospital environment, but a significant increase of antibiotic resistance determinants on the hospital floor.

conclusionsThe results presented in this study provide new insights into different aspects of the environmental microbiome in the clinical setting, and will help to adopt infection control strategies in hospitals and health care-related buildings. Video Abstract.

Indexed as

Anti-Bacterial AgentsHospitalsMicrobiotaBacteriaDrug Resistance, MicrobialHumansLongitudinal StudiesAnti-Bacterial Agents

Identifiers

PMID34380550
PMCPMC8359561
OpenAlexW3190614707

What OpenQuestion holds

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LicenceCC BY
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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.