Evidence map›Paper›PMID 35435751›Full record

ArticleMicrobiology spectrum2022

Extensively Drug-Resistant Klebsiella pneumoniae Counteracts Fitness and Virulence Costs That Accompanied Ceftazidime-Avibactam Resistance Acquisition.

Elias Eger, Michael Schwabe, Lukas Schulig, Nils-Olaf Hübner, Jürgen A Bohnert, Uwe T Bornscheuer, Stefan E Heiden, Justus U Müller, Fazal Adnan, Karsten Becker and 5 more

Open access · goldAbstract read
In one paragraph

Article in Microbiology spectrum, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.3field-weighted citation impact, top 5% 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

25 citing papers in PubMed, 48 citations in OpenAlex.

  1. Resistance development in KPC-producingMicrobiology spectrum · 2026
    Article
  2. Hypermucoviscosity inJournal of bacteriology · 2026
    Review
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  13. Polyproline peptide targetsCell reports. Physical science · 2024
    Article
  14. Frontiers in cellular and infection microbiology · 2024
    Article
  15. ConvergentEmerging microbes & infections · 2023
    Article
  16. Article
  17. Article
  18. Review
  19. Isolation and Identification of Multidrug-ResistantPathogens (Basel, Switzerland) · 2023
    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

15 authors at 6 institutions in 2 countries.

Elias EgerPharmaceutical Microbiology, Institute of Pharmacy, University of Greifswaldgrid.5603.0, Greifswald, Germany.ORCID 0000-0002-5514-8083
Michael SchwabePharmaceutical Microbiology, Institute of Pharmacy, University of Greifswaldgrid.5603.0, Greifswald, Germany.
Lukas SchuligPharmaceutical and Medicinal Chemistry, Institute of Pharmacy, University of Greifswaldgrid.5603.0, Greifswald, Germany.
Nils-Olaf HübnerCentral Unit for Infection Prevention and Control, University Medicine Greifswald, Greifswald, Germany.
Jürgen A BohnertFriedrich Loeffler-Institute of Medical Microbiology, University Medicine Greifswald, Greifswald, Germany.
Uwe T BornscheuerBiotechnology and Enzyme Catalysis, Institute of Biochemistry, University of Greifswaldgrid.5603.0, Greifswald, Germany.
Stefan E HeidenPharmaceutical Microbiology, Institute of Pharmacy, University of Greifswaldgrid.5603.0, Greifswald, Germany.ORCID 0000-0001-9562-5529
Justus U MüllerPharmaceutical Microbiology, Institute of Pharmacy, University of Greifswaldgrid.5603.0, Greifswald, Germany.
Fazal AdnanAtta-ur-Rahman School of Applied Biosciences, National University of Sciences and Technology, Islamabad, Pakistan.
Karsten BeckerFriedrich Loeffler-Institute of Medical Microbiology, University Medicine Greifswald, Greifswald, Germany.ORCID 0000-0002-6391-1341
Carlos L Correa-MartinezInstitute of Hygiene, University Hospital Münster, Münster, Germany.
Sebastian GuentherPharmaceutical Biology, Institute of Pharmacy, University of Greifswaldgrid.5603.0, Greifswald, Germany.
Evgeny A IdelevichFriedrich Loeffler-Institute of Medical Microbiology, University Medicine Greifswald, Greifswald, Germany.
Daniel BaeckerPharmaceutical and Medicinal Chemistry, Institute of Pharmacy, University of Greifswaldgrid.5603.0, Greifswald, Germany.
Katharina SchauflerPharmaceutical Microbiology, Institute of Pharmacy, University of Greifswaldgrid.5603.0, Greifswald, Germany.ORCID 0000-0002-2669-8799
Universität Greifswald · DEFriedrich-Loeffler-Institut · DEChristian-Albrechts-Universität zu Kiel · DENational University of Sciences and Technology · PKUniversitätsmedizin Greifswald · DEUniversity Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ability of extensively drug-resistant (XDR) Klebsiella pneumoniae to rapidly acquire resistance to novel antibiotics is a global concern. Moreover, Klebsiella clonal lineages that successfully combine resistance and hypervirulence have increasingly occurred during the last years. However, the underlying mechanisms of counteracting fitness costs that accompany antibiotic resistance acquisition remain largely unexplored. Here, we investigated whether and how an XDR sequence type (ST)307 K. pneumoniae strain developed resistance against the novel drug combination ceftazidime-avibactam (CAZ-AVI) using experimental evolution. In addition, we performed

Indexed as

Klebsiella InfectionsKlebsiella pneumoniaeAnti-Bacterial AgentsAzabicyclo CompoundsBacterial Proteinsbeta-LactamasesCeftazidimeDrug CombinationsHumansMicrobial Sensitivity TestsPorinsVirulenceAnti-Bacterial Agentsavibactam, ceftazidime drug combinationAzabicyclo CompoundsBacterial Proteinsbeta-LactamasesCeftazidimeDrug CombinationsPorinsexperimental evolutionfitness and virulence compensationOmpK36RpoEST307XDR

Identifiers

PMID35435751
PMCPMC9241641
OpenAlexW4224022421

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.