Evidence map›Paper›PMID 34817232›Full record

ArticleMicrobiology spectrum2021

Genomic Investigation and Successful Containment of an Intermittent Common Source Outbreak of OXA-48-Producing Enterobacter cloacae Related to Hospital Shower Drains.

Dennis Nurjadi, Martin Scherrer, Uwe Frank, Nico T Mutters, Alexandra Heininger, Isabel Späth, Vanessa M Eichel, Jonas Jabs, Katja Probst, Carsten Müller-Tidow and 3 more

Open access · goldAbstract read
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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

16 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Rising incidence of carbapenem-resistantMicrobiology spectrum · 2026
    Article
  5. Review
  6. Persistence of OXA-48-producing ST-22Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
    Article
  7. Article
  8. Genomic epidemiology ofMicrobiology spectrum · 2024
    Article
  9. Outbreak of carbapenemase-producingEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
    Article
  10. Article
  11. Sink Drains in a Neonatal Intensive Care Unit: A Retrospective Risk Assessment and Evaluation.International journal of environmental research and public health · 2023
    Article
  12. Article
  13. BMJ case reports · 2023
    Article
  14. Article
  15. Article
  16. Review
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

13 authors at 3 institutions in 1 country.

Dennis NurjadiDepartment of Infectious Diseases, Medical Microbiology and Hygiene, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-1278-5939
Martin ScherrerDepartment of Infectious Diseases, Medical Microbiology and Hygiene, Heidelberg University Hospital, Heidelberg, Germany.
Uwe FrankDepartment of Infectious Diseases, Medical Microbiology and Hygiene, Heidelberg University Hospital, Heidelberg, Germany.
Nico T MuttersDepartment of Infectious Diseases, Medical Microbiology and Hygiene, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-0156-9595
Alexandra HeiningerDepartment of Infectious Diseases, Medical Microbiology and Hygiene, Heidelberg University Hospital, Heidelberg, Germany.
Isabel SpäthDepartment of Infectious Diseases, Medical Microbiology and Hygiene, Heidelberg University Hospital, Heidelberg, Germany.
Vanessa M EichelDepartment of Infectious Diseases, Medical Microbiology and Hygiene, Heidelberg University Hospital, Heidelberg, Germany.
Jonas JabsDepartment of Infectious Diseases, Medical Microbiology and Hygiene, Heidelberg University Hospital, Heidelberg, Germany.
Katja ProbstDepartment of Infectious Diseases, Medical Microbiology and Hygiene, Heidelberg University Hospital, Heidelberg, Germany.
Carsten Müller-TidowDepartment of Hematology, Oncology, and Rheumatology, University Hospital Heidelberggrid.5253.1, Heidelberg, Germany.
Juliane BrandtDepartment of Hematology, Oncology, and Rheumatology, University Hospital Heidelberggrid.5253.1, Heidelberg, Germany.
Klaus HeegDepartment of Infectious Diseases, Medical Microbiology and Hygiene, Heidelberg University Hospital, Heidelberg, Germany.
Sébastien BoutinDepartment of Infectious Diseases, Medical Microbiology and Hygiene, Heidelberg University Hospital, Heidelberg, Germany.
Heidelberg University · DEUniversity of Freiburg · DEUniversity of Mannheim · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The hospital environment has been reported as a source of transmission events and outbreaks of carbapenemase-producing Enterobacterales. Interconnected plumbing systems and the microbial diversity in these reservoirs pose a challenge for outbreak investigation and control. A total of 133 clinical and environmental OXA-48-producing Enterobacter cloacae isolates collected between 2015 and 2021 were characterized by whole-genome sequencing (WGS) to investigate a prolonged intermittent outbreak involving 41 patients in the hematological unit. A mock-shower experiment was performed to investigate the possible acquisition route. WGS indicated the hospital water environmental reservoir as the most likely source of the outbreak. The lack of diversity of the

Indexed as

Bacterial Proteinsbeta-LactamasesBiofilmsCross InfectionDisease OutbreaksEnterobacter cloacaeEnterobacteriaceae InfectionsGenome, BacterialHumansInfection ControlIntensive Care UnitsSanitary EngineeringWater MicrobiologyWhole Genome SequencingBacterial Proteinsbeta-lactamase OXA-48, Enterobacter cloacaebeta-LactamasescarbapenemasecarbapenemaseEnterobacter cloacaehospital outbreakinfection controlwhole-genome sequencing

Identifiers

PMID34817232
PMCPMC8612159
OpenAlexW3216308169

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.