Evidence map›Paper›PMID 34529167›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2022

Possible misinterpretation of penicillin susceptibility in Staphylococcus aureus blood isolate due to in vitro loss of the blaZ gene.

Helle Brander Eriksen, Andreas Petersen, Michael Pedersen, Søren Overballe-Petersen, Anders Rhod Larsen, Barbara Juliane Holzknecht

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In one paragraph

Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Staphylococcus aureus genotypic penicillin susceptibility using a blaZ qPCR directly on blood cultures shows high concordance with phenotype.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  2. Article
  3. Article
  4. Staphylococcus aureus From Prosthetic Joint Infections and Blood Cultures Display the Same Genetic Background.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2025
    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

6 authors.

Helle Brander EriksenDepartment of Clinical Microbiology, Copenhagen University Hospital, Herlev and Gentofte, Borgmester Ib Juuls Vej 52, 5., 2730, Copenhagen, Herlev, Denmark. helle.brander.eriksen.01@regionh.dk.ORCID https://orcid.org/0000-0003-2012-0176
Andreas PetersenNational Reference Laboratory for Antimicrobial Resistance, Statens Serum Institut, Copenhagen, Denmark.
Michael PedersenDepartment of Clinical Microbiology, Copenhagen University Hospital - Amager and Hvidovre, Copenhagen, Denmark.
Søren Overballe-PetersenNational Reference Laboratory for Antimicrobial Resistance, Statens Serum Institut, Copenhagen, Denmark.
Anders Rhod LarsenNational Reference Laboratory for Antimicrobial Resistance, Statens Serum Institut, Copenhagen, Denmark.
Barbara Juliane HolzknechtDepartment of Clinical Microbiology, Copenhagen University Hospital, Herlev and Gentofte, Borgmester Ib Juuls Vej 52, 5., 2730, Copenhagen, Herlev, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe a case of recurrent catheter-related blood stream infections (BSI) with Staphylococcus aureus, in which the first isolate tested susceptible to penicillin, while subsequent isolates were resistant. Phenotypic susceptibility correlated with the absence/presence of the blaZ gene. The in vitro stability of penicillin resistance was investigated by subculturing single colonies. In two out of five colonies, phenotypical resistance was lost after a single subculture, which correlated with loss of the blaZ gene. This in vitro phenomenon probably resulted in a very major error in the microbiology report of the first BSI, where penicillin had been recommended as treatment.

Indexed as

Anti-Bacterial AgentsBacteremiaBacterial Proteinsbeta-LactamasesBloodCatheter-Related InfectionsHumansMicrobial Sensitivity TestsPenicillin ResistancePenicillinsStaphylococcal InfectionsStaphylococcus aureusAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesPenicillinsblaZIn vitro susceptibility testingPSSA PRSAStaphylococcus aureus

Identifiers

What OpenQuestion holds

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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.