Evidence map›Paper›PMID 34408177›Full record

ArticleScientific reports2021

Identification and antimicrobial susceptibility profiles of Nocardia species clinically isolated in Japan.

Masahiro Toyokawa, Noboru Ohana, Akiko Ueda, Minako Imai, Daiki Tanno, Mutsuko Honda, Yukiko Takano, Kazutaka Ohashi, Kyoichi Saito, Hiroki Shimura

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing 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

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

  1. Pooled it
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  5. A Case of Disseminated Nocardiosis due toRespirology case reports · 2026
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  6. Clinical and microbiological characteristics of Nocardia infections: a 10-Year multicentre study from Türkiye.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  7. Respirology case reports · 2026
    Article
  8. Article
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  10. Review
  11. Article
  12. Review
  13. Phylogenetic and Genomic Feature Analysis of CutaneousInfection and drug resistance · 2026
    Article
  14. Microorganisms · 2025
    Article
  15. A Rare Case of DisseminatedInfectious disease reports · 2025
    Article
  16. Observational
  17. Article
  18. Article
  19. Article
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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

10 authors.

Masahiro ToyokawaPreparing section for New Faculty of Medical Science, Fukushima Medical University, 1 Hikariga-oka, Fukushima City, 960-1295, Japan. toyokawa@fmu.ac.jp.ORCID 0000-0002-9217-1936
Noboru OhanaDepartment of Laboratory Medicine, Fukushima Medical University, Fukushima, Japan.
Akiko UedaLaboratory for Clinical Investigation, Osaka University Hospital, Osaka, Japan.
Minako ImaiDepartment of Clinical Laboratory Medicine, Fukushima Medical University Hospital, Fukushima, Japan.
Daiki TannoDepartment of Laboratory Medicine, Fukushima Medical University, Fukushima, Japan.
Mutsuko HondaDepartment of Clinical Laboratory Medicine, Fukushima Medical University Hospital, Fukushima, Japan.
Yukiko TakanoDepartment of Clinical Laboratory Medicine, Fukushima Medical University Hospital, Fukushima, Japan.
Kazutaka OhashiDepartment of Clinical Laboratory Medicine, Fukushima Medical University Hospital, Fukushima, Japan.
Kyoichi SaitoDepartment of Laboratory Medicine, Fukushima Medical University, Fukushima, Japan.
Hiroki ShimuraDepartment of Laboratory Medicine, Fukushima Medical University, Fukushima, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aims of the present study were to profile the antimicrobial susceptibility patterns of a diverse range of Nocardia species isolated in Japan, and to determine the ability of matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) for species/complex identification. Identification of 153 clinical isolates was performed by full-length 16S rRNA gene sequencing as a reference method to evaluate the usefulness of MALDI-TOF MS identification. Antimicrobial susceptibility testing (AST) for 14 antibiotics was performed using the broth microdilution method against 146 of the isolates. Among the total 153 clinical isolates, Nocardia farcinica complex (25%) was the most common species, followed by Nocardia cyriacigeorgica (18%), Nocardia brasiliensis (9%), Nocardia nova (8%), and Nocardia otitidiscaviarum (7%). Among 150 isolates identified to the species/complex level by 16S rRNA gene sequencing, MALDI-TOF MS with the use of a supplemental Nocardia library (JMLD library ver.ML01) correctly identified 97.3% (n = 146) to the species/complex level and 1.3% (n = 2) to the genus level. Among the 146 Nocardia isolates that underwent AST, the susceptibilities were 100% to linezolid, 96% to amikacin, 94% to trimethoprim-sulfamethoxazole, and 76% to imipenem. None of the trimethoprim-sulfamethoxazole-resistant isolates carried either plasmid-mediated sulfonamide-resistant genes (sul1, sul2) or trimethoprim-resistant genes (dfrA).

Indexed as

Genes, BacterialNocardiaDrug Resistance, BacterialHumansJapanPlasmidsRNA, BacterialRNA, Ribosomal, 16SRNA, BacterialRNA, Ribosomal, 16S

Identifiers

PMID34408177
PMCPMC8373947

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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.