Evidence map›Paper›PMID 34514407›Full record

ArticleJAC-antimicrobial resistance2021

Carbapenemase production among less-common Enterobacterales genera: 10 US sites, 2018.

Alicia Shugart, Garrett Mahon, Jennifer Y Huang, Maria Karlsson, Ann Valley, Megan Lasure, Annastasia Gross, Brittany Pattee, Elisabeth Vaeth, Richard Brooks and 22 more

Abstract read
In one paragraph

Article in JAC-antimicrobial resistance, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Prevalence ofJournal of clinical microbiology · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Epidemiological Characteristics of Carbapenem-ResistantPathogens (Basel, Switzerland) · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. 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

32 authors.

Alicia ShugartDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, GA, USA.ORCID https://orcid.org/0000-0002-7304-7294
Garrett MahonDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, GA, USA.
Jennifer Y HuangDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, GA, USA.
Maria KarlssonDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, GA, USA.
Ann ValleyWisconsin State Laboratory of Hygiene, Madison, WI, USA.
Megan LasureWisconsin State Laboratory of Hygiene, Madison, WI, USA.
Annastasia GrossMinnesota Department of Health, St Paul, MN, USA.
Brittany PatteeMinnesota Department of Health, St Paul, MN, USA.
Elisabeth VaethMaryland Department of Health, Baltimore, MD, USA.
Richard BrooksDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, GA, USA.
Tyler MarucaMaryland Department of Health, Baltimore, MD, USA.
Catherine E DominguezMaryland Department of Health, Baltimore, MD, USA.
David TorpeyMaryland Department of Health, Baltimore, MD, USA.
Drew FrancisArizona Department of Health Services, Phoenix, AZ, USA.
Rachana BhattaraiArizona Department of Health Services, Phoenix, AZ, USA.
Marion A KainerTennessee Department of Health, Nashville, TN, USA.
Allison ChanTennessee Department of Health, Nashville, TN, USA.
Heather DubendrisNorth Carolina Department of Health and Human Services, Raleigh, NC, USA.
Shermalyn R GreeneNorth Carolina Department of Health and Human Services, Raleigh, NC, USA.
Sara J BlosserIndiana State Department of Health, Indianapolis, IN, USA.
D J ShannonIndiana State Department of Health, Indianapolis, IN, USA.
Kelly JonesMichigan Department of Health and Human Services, Lansing, MI, USA.
Brenda BrennanMichigan Department of Health and Human Services, Lansing, MI, USA.
Sopheay HunWashington State Department of Health, Tumwater, WA, USA.
Marisa D'AngeliWashington State Department of Health, Tumwater, WA, USA.
Caitlin N MurphyUniversity of Nebraska Medical Center, Department of Pathology and Microbiology, Omaha, NE, USA.
Maureen TierneyNebraska Department of Health and Human Services, Lincoln, NE, USA.
Natashia ReeseDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, GA, USA.
Amelia BhatnagarDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, GA, USA.
Alex KallenDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, GA, USA.
Allison C BrownDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, GA, USA.
Maroya Spalding WaltersDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, GA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHistorically, United States' carbapenem-resistant Enterobacterales (CRE) surveillance and mechanism testing focused on three genera:

objectivesFrom January through May 2018, we conducted a 10 state evaluation to assess the contribution of less common genera (LCG) to carbapenemase-producing (CP) CRE.

methodsState public health laboratories (SPHLs) requested participating clinical laboratories submit all Enterobacterales from all specimen sources during the surveillance period that were resistant to any carbapenem (Morganellaceae required resistance to doripenem, ertapenem, or meropenem) or were CP based on phenotypic or genotypic testing at the clinical laboratory. SPHLs performed species identification, phenotypic carbapenemase production testing, and molecular testing for carbapenemases to identify CP-CRE. Isolates were categorized as CP if they demonstrated phenotypic carbapenemase production and ≥1 carbapenemase gene (

resultsSPHLs tested 868 CRE isolates, 127 (14.6%) were from eight LCG. Overall, 195 (26.3%) EsKE isolates were CP-CRE, compared with 24 (18.9%) LCG isolates. LCG accounted for 24 (11.0%) of 219 CP-CRE identified.

conclusionsParticipating sites would have missed approximately 1 in 10 CP-CRE if isolate submission had been limited to EsKE genera. Expanding mechanism testing to additional genera could improve detection and prevention efforts.

Identifiers

PMID34514407
PMCPMC8417453

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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.