Evidence map›Paper›PMID 35892394›Full record

ArticleAntibiotics (Basel, Switzerland)2022

Highly Virulent and Multidrug-Resistant

Elias Eger, Marielle Domke, Stefan E Heiden, Madeleine Paditz, Veronika Balau, Christiane Huxdorff, Dirk Zimmermann, Timo Homeier-Bachmann, Katharina Schaufler

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Whole Genome Sequencing Reveals Genetic Variability ofAntibiotics (Basel, Switzerland) · 2026
    Article
  2. Article
  3. ESBL-producingOne health (Amsterdam, Netherlands) · 2025
    Article
  4. Article
  5. Article
  6. A comparativeFrontiers in microbiology · 2025
    Article
  7. Article
  8. Article
  9. Temperatures above 37°C increase virulence of a convergentFrontiers in cellular and infection microbiology · 2024
    Article
  10. Antimicrobial Resistance and Clonal Lineages ofAntibiotics (Basel, Switzerland) · 2023
    Review
  11. Article
  12. Article
  13. Article
  14. Multidrug-Resistant High-RiskAntibiotics (Basel, Switzerland) · 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

9 authors at 4 institutions in 1 country.

Elias EgerInstitute of Infection Medicine, Christian-Albrecht University Kiel and University Medical Center Schleswig-Holstein, 24105 Kiel, Germany.ORCID 0000-0002-5514-8083
Marielle DomkePharmaceutical Microbiology, Institute of Pharmacy, University of Greifswald, 17489 Greifswald, Germany.
Stefan E HeidenPharmaceutical Microbiology, Institute of Pharmacy, University of Greifswald, 17489 Greifswald, Germany.ORCID 0000-0001-9562-5529
Madeleine PaditzPharmaceutical Microbiology, Institute of Pharmacy, University of Greifswald, 17489 Greifswald, Germany.
Veronika BalauInstitute of Medical Diagnostics, IMD Laboratory Greifswald, 17493 Greifswald, Germany.
Christiane HuxdorffGreenpeace e.V., 20547 Hamburg, Germany.
Dirk ZimmermannGreenpeace e.V., 20547 Hamburg, Germany.
Timo Homeier-BachmannFriedrich Loeffler-Institut, Federal Research Institute for Animal Health, Institute of Epidemiology, 17493 Greifswald, Germany.ORCID 0000-0002-8135-3814
Katharina SchauflerInstitute of Infection Medicine, Christian-Albrecht University Kiel and University Medical Center Schleswig-Holstein, 24105 Kiel, Germany.ORCID 0000-0002-2669-8799
Universität Greifswald · DEChristian-Albrechts-Universität zu Kiel · DEFriedrich-Loeffler-Institut · DEUniversitätsmedizin Greifswald · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Studies have previously described the occurrence of multidrug-resistant (MDR) Escherichia coli in human and veterinary medical settings, livestock, and, to a lesser extent, in the environment and food. While they mostly analyzed foodborne E. coli regarding phenotypic and sometimes genotypic antibiotic resistance and basic phylogenetic classification, we have limited understanding of the in vitro and in vivo virulence characteristics and global phylogenetic contexts of these bacteria. Here, we investigated in-depth an E. coli strain (PBIO3502) isolated from a pork sausage in Germany in 2021. Whole-genome sequence analysis revealed sequence type (ST)58, which has an internationally emerging high-risk clonal lineage. In addition to its MDR phenotype that mostly matched the genotype, PBIO3502 demonstrated pronounced virulence features, including in vitro biofilm formation, siderophore secretion, serum resilience, and in vivo mortality in Galleria mellonella larvae. Along with the genomic analysis indicating close phylogenetic relatedness of our strain with publicly available, clinically relevant representatives of the same ST, these results suggest the zoonotic and pathogenic character of PBIO3502 with the potential to cause infection in humans and animals. Additionally, our study highlights the necessity of the One Health approach while integrating human, animal, and environmental health, as well as the role of meat products and food chains in the putative transmission of MDR pathogens.

Indexed as

antimicrobial resistanceCTX-M-1EnterobacteralesEscherichia colifood safetyIncI1One Health

Identifiers

PMID35892394
PMCPMC9331442
OpenAlexW4288038114

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.