Evidence map›Paper›PMID 35871001›Full record

ArticleAntimicrobial resistance and infection control2022

Interhospital transmission of vancomycin-resistant Enterococcus faecium in Aomori, Japan.

Norihiro Saito, Junichi Kitazawa, Hiroko Horiuchi, Takeo Yamamoto, Masahiko Kimura, Fumio Inoue, Mika Matsui, Satoko Minakawa, Masamichi Itoga, Junichiro Tsuchiya and 5 more

Open access · goldAbstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.4field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 34 citations in OpenAlex.

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  5. Surveillance of vancomycin-resistant enterococci reveals shift in dominating clusters fromEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
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  6. Article
  7. Review
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  9. Vancomycin-resistantMicrobiology spectrum · 2024
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  10. Article
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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 8 institutions in 1 country.

Norihiro SaitoDepartment of Clinical Laboratory Medicine, Hirosaki University Graduate School of Medicine, 5 Zaifucho, Hirosaki, Aomori, 036-8562, Japan. norihiro@hirosaki-u.ac.jp.ORCID 0000-0003-2239-6846
Junichi KitazawaAomori Infection Control Network, Hirosaki, Japan.
Hiroko HoriuchiAomori Infection Control Network, Hirosaki, Japan.
Takeo YamamotoAomori Infection Control Network, Hirosaki, Japan.
Masahiko KimuraClinical Laboratory, Hirosaki University Hospital, Hirosaki, Japan.
Fumio InoueClinical Laboratory, Hirosaki University Hospital, Hirosaki, Japan.
Mika MatsuiAomori Infection Control Network, Hirosaki, Japan.
Satoko MinakawaClinical Laboratory, Hirosaki University Hospital, Hirosaki, Japan.
Masamichi ItogaClinical Laboratory, Hirosaki University Hospital, Hirosaki, Japan.
Junichiro TsuchiyaClinical Laboratory, Hirosaki University Hospital, Hirosaki, Japan.
Satowa SuzukiAntimicrobial Resistance Research Center, National Institute of Infectious Diseases, Tokyo, Japan.
Junzo HisatsuneAntimicrobial Resistance Research Center, National Institute of Infectious Diseases, Tokyo, Japan.
Yoshiaki GuAMR Clinical Reference Center, National Center for Global Health and Medicine, Tokyo, Japan.
Motoyuki SugaiAntimicrobial Resistance Research Center, National Institute of Infectious Diseases, Tokyo, Japan.
Hiroyuki KayabaDepartment of Clinical Laboratory Medicine, Hirosaki University Graduate School of Medicine, 5 Zaifucho, Hirosaki, Aomori, 036-8562, Japan.
Hirosaki University Hospital · JPNational Institute of Infectious Diseases · JPHirosaki University · JPAomori Prefectural Central Hospital · JPHachinohe Gakuin University · JPHirosaki National Hospital · JPJapanese Red Cross Hadano Hospital · JPNational Center for Global Health and Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpread of vancomycin-resistant Enterococcus (VRE) is a global concern as a significant cause of healthcare-associated infections. A series of VRE faecium (VREf) outbreaks caused by clonal propagation due to interhospital transmission occurred in six general hospitals in Aomori prefecture, Japan.

methodsThe number of patients with VREf was obtained from thirty seven hospitals participating in the local network of Aomori prefecture. Thirteen hospitals performed active screening tests for VRE. Whole genome sequencing analysis was performed.

resultsThe total number of cases with VREf amounted to 500 in fourteen hospitals in Aomori from Jan 2018 to April 2021. It took more than three years for the frequency of detection of VRE to return to pre-outbreak levels. The duration and size of outbreaks differed between hospitals according to the countermeasures available at each hospital. Whole genome sequencing analysis indicated vanA-type VREf ST1421 for most samples from six hospitals.

conclusionsThis was the first multi-jurisdictional outbreak of VREf sequence type 1421 in Japan. In addition to strict infection control measures, continuous monitoring of VRE detection in local medical regions and smooth and immediate communication among hospitals are required to prevent VREf outbreaks.

Indexed as

Enterococcus faeciumGram-Positive Bacterial InfectionsVancomycin-Resistant EnterococciHumansJapanVancomycinVancomycinInfection controlInterhospital transmissionOutbreakVancomycin-resistant Enterococcus (VRE)

Identifiers

PMID35871001
PMCPMC9308179
OpenAlexW4286715832

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Registered trials

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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.