Evidence map›Paper›PMID 35641522›Full record

ArticleNature communications2022

Genomic dissection of Klebsiella pneumoniae infections in hospital patients reveals insights into an opportunistic pathogen.

Claire L Gorrie, Mirjana Mirčeta, Ryan R Wick, Louise M Judd, Margaret M C Lam, Ryota Gomi, Iain J Abbott, Nicholas R Thomson, Richard A Strugnell, Nigel F Pratt and 9 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 113 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 1 pooled it
14.0field-weighted citation impact, top 1% 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

113 citing papers in PubMed, 1 synthesis or guideline pooled it, 199 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Genomic Surveillance of ESBL-ProducingPathogens (Basel, Switzerland) · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Factors associated withSouthern African journal of infectious diseases · 2026
    Article
  20. Genomic Characterization ofOpen forum infectious diseases · 2026
    Article

53 more citing papers are in PubMed but not listed here.

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

19 authors at 8 institutions in 3 countries.

Claire L GorrieDepartment of Microbiology and Immunology at the Peter Doherty Institute for Infection and Immunity, The University of Melbourne, Melbourne, Vic, Australia. gorrie.c@unimelb.edu.au.ORCID http://orcid.org/0000-0002-2637-2529
Mirjana MirčetaMicrobiology Unit, Alfred Pathology Service, The Alfred Hospital, Melbourne, Vic, Australia.
Ryan R WickDepartment of Infectious Diseases, Central Clinical School, Monash University, Melbourne, Vic, Australia.ORCID http://orcid.org/0000-0001-8349-0778
Louise M JuddDepartment of Infectious Diseases, Central Clinical School, Monash University, Melbourne, Vic, Australia.
Margaret M C LamDepartment of Infectious Diseases, Central Clinical School, Monash University, Melbourne, Vic, Australia.
Ryota GomiDepartment of Infectious Diseases, Central Clinical School, Monash University, Melbourne, Vic, Australia.ORCID http://orcid.org/0000-0002-3299-333X
Iain J AbbottMicrobiology Unit, Alfred Pathology Service, The Alfred Hospital, Melbourne, Vic, Australia.
Nicholas R ThomsonWellcome Sanger Institute, Hinxton, Cambs, UK.ORCID http://orcid.org/0000-0002-4432-8505
Richard A StrugnellDepartment of Microbiology and Immunology at the Peter Doherty Institute for Infection and Immunity, The University of Melbourne, Melbourne, Vic, Australia.ORCID http://orcid.org/0000-0003-0614-5641
Nigel F PrattInfectious Diseases Clinical Research Unit, The Alfred Hospital, Melbourne, Vic, Australia.
Jill S GarlickInfectious Diseases Clinical Research Unit, The Alfred Hospital, Melbourne, Vic, Australia.
Kerrie M WatsonDepartment of Infectious Diseases, Central Clinical School, Monash University, Melbourne, Vic, Australia.
Peter C HunterAged Care, Caulfield Hospital, Alfred Health, Melbourne, Vic, Australia.
David V PilcherIntensive Care Unit, The Alfred Hospital, Melbourne, Vic, Australia.
Steve A McGloughlinIntensive Care Unit, The Alfred Hospital, Melbourne, Vic, Australia.
Denis W SpelmanMicrobiology Unit, Alfred Pathology Service, The Alfred Hospital, Melbourne, Vic, Australia.
Kelly L WyresDepartment of Infectious Diseases, Central Clinical School, Monash University, Melbourne, Vic, Australia.ORCID http://orcid.org/0000-0002-4033-6639
Adam W J JenneyDepartment of Microbiology and Immunology at the Peter Doherty Institute for Infection and Immunity, The University of Melbourne, Melbourne, Vic, Australia.
Kathryn E HoltDepartment of Infectious Diseases, Central Clinical School, Monash University, Melbourne, Vic, Australia. kat.holt@lshtm.ac.uk.ORCID http://orcid.org/0000-0003-3949-2471
The Alfred Hospital · AUMonash University · AUThe University of Melbourne · AUCaulfield Hospital · AUKyoto University · JPLondon School of Hygiene & Tropical Medicine · GBPeter Doherty Institute · AUWellcome Sanger Institute · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

Klebsiella pneumoniae is a major cause of opportunistic healthcare-associated infections, which are increasingly complicated by the presence of extended-spectrum beta-lactamases (ESBLs) and carbapenem resistance. We conducted a year-long prospective surveillance study of K. pneumoniae clinical isolates in hospital patients. Whole-genome sequence (WGS) data reveals a diverse pathogen population, including other species within the K. pneumoniae species complex (18%). Several infections were caused by K. variicola/K. pneumoniae hybrids, one of which shows evidence of nosocomial transmission. A wide range of antimicrobial resistance (AMR) phenotypes are observed, and diverse genetic mechanisms identified (mainly plasmid-borne genes). ESBLs are correlated with presence of other acquired AMR genes (median n = 10). Bacterial genomic features associated with nosocomial onset are ESBLs (OR 2.34, p = 0.015) and rhamnose-positive capsules (OR 3.12, p < 0.001). Virulence plasmid-encoded features (aerobactin, hypermucoidy) are observed at low-prevalence (<3%), mostly in community-onset cases. WGS-confirmed nosocomial transmission is implicated in just 10% of cases, but strongly associated with ESBLs (OR 21, p < 1 × 10

Indexed as

Cross InfectionKlebsiella InfectionsGenomicsHospitalsHumansKlebsiella pneumoniaeProspective Studies

Identifiers

PMID35641522
PMCPMC9156735
OpenAlexW4281682674

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.