Evidence map›Paper›PMID 35468722›Full record

ArticleBMC microbiology2022

Mutations in SilS and CusS/OmpC represent different routes to achieve high level silver ion tolerance in Klebsiella pneumoniae.

Charlotte A Woolley, J Mark Sutton, Matthew E Wand

Open access · goldAbstract read
In one paragraph

Article in BMC microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-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

9 citing papers in PubMed, 19 citations in OpenAlex.

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  5. Antibiotic Resistance inAntibiotics (Basel, Switzerland) · 2026
    Review
  6. Experimental evolution ofMicrobiology spectrum · 2025
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  9. Identification of hypervirulentFrontiers in public health · 2022
    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

3 authors at 1 institution in 1 country.

Charlotte A WoolleyTechnology Development Group, UKHSA, Research and Evaluation, Porton Down, Salisbury, Wiltshire, SP4 0JG, UK.
J Mark SuttonTechnology Development Group, UKHSA, Research and Evaluation, Porton Down, Salisbury, Wiltshire, SP4 0JG, UK.
Matthew E WandTechnology Development Group, UKHSA, Research and Evaluation, Porton Down, Salisbury, Wiltshire, SP4 0JG, UK. matthew.wand@phe.gov.uk.
Defence Science and Technology Laboratory · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSilver ions have potent broad-spectrum antimicrobial activity and are widely incorporated into a variety of products to limit bacterial growth. In Enterobacteriaceae, decreased silver susceptibility has been mapped to two homologous operons; the chromosomally located cus operon and the plasmid based sil operon. Here we characterised the mechanisms and clinical impact of induced silver tolerance in Klebsiella pneumoniae.

resultsIn K. pneumoniae carriage of the sil operon alone does not give elevated silver tolerance. However, when exposed to increasing concentrations of silver nitrate (AgNO

conclusionsThis study shows that K. pneumoniae has two possible pathways for development of increased silver tolerance but that the sil operon is preferentially mutated. This operon is essential when K. pneumoniae is exposed to high concentrations of silver. The potential clinical impact on wound management is shown by the increased survivability of these adapted strains when exposed to several silver impregnated dressings. This would make infections with these strains more difficult to treat and further limits our therapeutic options.

Indexed as

Klebsiella pneumoniaePorinsBacterial ProteinsIonsMicrobial Sensitivity TestsMutationBacterial ProteinsIonsPorinsCusSKlebsiella pneumoniaeOmpCSilSSilver nitrateSilver tolerance

Identifiers

PMID35468722
PMCPMC9036812
OpenAlexW4224868735

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.