Evidence map›Paper›PMID 34704778›Full record

ArticleMicrobiology spectrum2021

Emergence of Tigecycline Nonsusceptible and IMP-4 Carbapenemase-Producing K2-ST65 Hypervirulent Klebsiella pneumoniae in China.

Yawei Zhang, Xiaojuan Wang, Qi Wang, Hongbin Chen, Henan Li, Shuyi Wang, Ruobing Wang, Hui Wang

Open access · goldAbstract readCase Reports
In one paragraph

Article in Microbiology spectrum, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Anti-plasmid defense in hypervirulentEmerging microbes & infections · 2025
    Article
  6. Review
  7. Article
  8. Multidrug-resistant hypervirulentFuture microbiology · 2025
    Review
  9. Molecular Epidemiological Characteristics ofInfection and drug resistance · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. The tigecycline resistance mechanisms in Gram-negative bacilli.Frontiers in cellular and infection microbiology · 2024
    Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

8 authors at 1 institution in 1 country.

Yawei ZhangDepartment of Clinical Laboratory, Peking University People's Hospital, Beijing, China.
Xiaojuan WangDepartment of Clinical Laboratory, Peking University People's Hospital, Beijing, China.
Qi WangDepartment of Clinical Laboratory, Peking University People's Hospital, Beijing, China.
Hongbin ChenDepartment of Clinical Laboratory, Peking University People's Hospital, Beijing, China.
Henan LiDepartment of Clinical Laboratory, Peking University People's Hospital, Beijing, China.
Shuyi WangDepartment of Clinical Laboratory, Peking University People's Hospital, Beijing, China.
Ruobing WangDepartment of Clinical Laboratory, Peking University People's Hospital, Beijing, China.
Hui WangDepartment of Clinical Laboratory, Peking University People's Hospital, Beijing, China.ORCID 0000-0001-9220-0357
Peking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Carbapenem-resistant hypervirulent Klebsiella pneumoniae (CR-hvKP) poses a significant public health challenge worldwide, but research on IMP-producing CR-hvKP and its tigecycline resistance is extremely scarce. We report herein the recovery of two IMP-4-producing, capsular serotype K2, sequence type 65 (K2-ST65), hypervirulent K. pneumoniae isolates (C1672 and C2051), which caused severe and fatal infections in ICU patients, after retrospectively screening 3,285 carbapenem-resistant K. pneumoniae isolates from 26 provinces in China. Notably, C2051 also demonstrated tigecycline nonsusceptibility, mediated by a frameshift mutation in the TetR/AcrR family transcriptional regulator. Both strains harbored

Indexed as

Drug Resistance, BacterialAgedAnti-Bacterial Agentsbeta-LactamasesChinaHumansKlebsiella InfectionsKlebsiella pneumoniaeMaleMicrobial Sensitivity TestsMiddle AgedPhylogenyPlasmidsRetrospective StudiesTigecyclineVirulenceAnti-Bacterial Agentsbeta-lactamase IMP-4beta-LactamasesTigecyclinecarbapenem-resistant hypervirulent Klebsiella pneumoniaefitnessIMP carbapenemasetigecycline nonsusceptibility

Identifiers

PMID34704778
PMCPMC8549734
OpenAlexW3210492633

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.