Evidence map›Paper›PMID 34606331›Full record

ArticleAntimicrobial agents and chemotherapy2021

KPC-39-Mediated Resistance to Ceftazidime-Avibactam in a Klebsiella pneumoniae ST307 Clinical Isolate.

Agnès B Jousset, Saoussen Oueslati, Cécile Emeraud, Rémy A Bonnin, Laurent Dortet, Bogdan I Iorga, Thierry Naas

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 29 citations in OpenAlex.

  1. KPC-producing Klebsiella pneumoniae in Switzerland from 2024 to 2025: comparative genomics and cefiderocol resistance mechanisms analyses.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
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  9. Clinical microbiology reviews · 2023
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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

7 authors at 2 institutions in 1 country.

Agnès B JoussetTeam Resist, UMR1184, Immunology of Viral, Auto-Immune, Hematological, and Bacterial Diseases, INSERM, Université Paris-Saclay, CEA, LabEx LERMIT, Faculty of Medicine, Le Kremlin-Bicêtre, France.
Saoussen OueslatiTeam Resist, UMR1184, Immunology of Viral, Auto-Immune, Hematological, and Bacterial Diseases, INSERM, Université Paris-Saclay, CEA, LabEx LERMIT, Faculty of Medicine, Le Kremlin-Bicêtre, France.
Cécile EmeraudTeam Resist, UMR1184, Immunology of Viral, Auto-Immune, Hematological, and Bacterial Diseases, INSERM, Université Paris-Saclay, CEA, LabEx LERMIT, Faculty of Medicine, Le Kremlin-Bicêtre, France.
Rémy A BonninTeam Resist, UMR1184, Immunology of Viral, Auto-Immune, Hematological, and Bacterial Diseases, INSERM, Université Paris-Saclay, CEA, LabEx LERMIT, Faculty of Medicine, Le Kremlin-Bicêtre, France.ORCID 0000-0002-2307-3232
Laurent DortetTeam Resist, UMR1184, Immunology of Viral, Auto-Immune, Hematological, and Bacterial Diseases, INSERM, Université Paris-Saclay, CEA, LabEx LERMIT, Faculty of Medicine, Le Kremlin-Bicêtre, France.ORCID 0000-0001-6596-7384
Bogdan I IorgaUniversité Paris-Saclay, CNRS, Institut de Chimie des Substances Naturelles, Gif-sur-Yvette, France.
Thierry NaasTeam Resist, UMR1184, Immunology of Viral, Auto-Immune, Hematological, and Bacterial Diseases, INSERM, Université Paris-Saclay, CEA, LabEx LERMIT, Faculty of Medicine, Le Kremlin-Bicêtre, France.ORCID 0000-0001-9937-9572
Inserm · FRCentre National de la Recherche Scientifique · FR

Funding

Agence Nationale de la Recherche (ANR) ANR-10-LABX-33Agence Nationale de la Recherche (ANR) ANR-19-AMRB-0004Assistance Publique - Hôpitaux de Paris (AP-HP)Institut National de la Santé et de la Recherche Médicale (Inserm) 1184Université Paris-Saclay (University of Paris-Saclay)
6 · The paper itself

Abstract

Resistance to the ceftazidime (CAZ)-avibactam (AVI) combination is increasingly being reported. Here, we report a CAZ-AVI-resistant Klebsiella pneumoniae strain belonging to the high-risk sequence type 307 (ST307) clone and producing Klebsiella pneumoniae carbapenemase 39 (KPC-39), a single-amino-acid variant of KPC-3 (A172T). Cloning experiments, steady-state kinetic parameters, and molecular dynamics simulations revealed a loss of carbapenemase activity and increased affinity for CAZ. KPC-39 was identified in a patient without prior exposure to CAZ-AVI, suggesting silent dissemination in European health care settings.

Indexed as

CeftazidimeKlebsiella InfectionsAnti-Bacterial AgentsAzabicyclo CompoundsBacterial Proteinsbeta-LactamasesDrug CombinationsHumansKlebsiella pneumoniaeMicrobial Sensitivity TestsAnti-Bacterial Agentsavibactam, ceftazidime drug combinationAzabicyclo CompoundsBacterial Proteinsbeta-LactamasescarbapenemaseCeftazidimeDrug Combinationsavibactam resistancecarbapenemaseKPC

Identifiers

PMID34606331
PMCPMC8597731
OpenAlexW3204629280

What OpenQuestion holds

Textmetadata
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.