Evidence map›Paper›PMID 36124515›Full record

ArticleThe Indian journal of medical research2022

Genotypic characterization of vancomycin-resistant

Ayan Kumar Das, Mridu Dudeja, Sunil Kohli, Pratima Ray

Open access · diamondAbstract read
In one paragraph

Article in The Indian journal of medical research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.2field-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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
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  4. Review
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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

4 authors at 1 institution in 1 country.

Ayan Kumar DasDepartment of Microbiology, Hamdard Institute of Medical Sciences and Research & Hakeem Abdul Hamid Centenary Hospital, Jamia Hamdard, New Delhi, India.
Mridu DudejaDepartment of Microbiology, Hamdard Institute of Medical Sciences and Research & Hakeem Abdul Hamid Centenary Hospital, Jamia Hamdard, New Delhi, India.
Sunil KohliDepartment of Medicine, Hamdard Institute of Medical Sciences and Research & Hakeem Abdul Hamid Centenary Hospital, Jamia Hamdard, New Delhi, India.
Pratima RayDepartment of Biotechnology, School of Chemical & Life Sciences, Jamia Hamdard, New Delhi, India.
Jamia Hamdard · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & objectives: Infections caused by vancomycin-resistant Enterococci are difficult to treat given the limited therapeutic alternatives. Different gene clusters are known to confer vancomycin resistance. vanA and vanB genes are transferable and are clinically relevant. This cross-sectional study aimed to identify the vancomycin-resistant genotypes in the strains causing urinary tract infection and also to test the in vitro efficacy of linezolid and pristinamycin against the vancomycin-resistant isolates. Methods: Antimicrobial resistance profile of 118 enterococcal isolates was evaluated. Minimum inhibitory concentration of vancomycin, teicoplanin and high-level gentamicin (HLG) was determined by micro broth dilution. The vancomycin-resistant isolates were tested against linezolid and pristinamycin by micro-broth dilution and E strip method. The presence of vancomycin-resistant genes was detected by multiplex polymerase chain reaction and was sequenced and analyzed. Results: Most commonly isolated species were Enterococcus faecalis (76.9%) and Enterococcus faecium (16.9%). It was found that 43 per cent of the isolates were resistant to HLG and 16.9 per cent to vancomycin. Higher resistance was seen against fluoroquinolones, erythromycin, tetracycline and β-lactam drugs. However, 5.08 per cent strains were resistant to tigecycline. All vancomycin-resistant strains were sensitive to pristinamycin and one was resistant to linezolid. vanA and vanB gene were found in 15 and five isolates, respectively. The gene sequences were submitted to NCBI gene bank and accession numbers were obtained. Interpretation & conclusions: The present study showed prevalence of vanA and vanB genes carrying Enterococcus in a tertiary care centre in north India. The emergence of resistance against drugs such as tigecycline and linezolid is a topic of concern as it will be a therapeutic challenge for physicians.

Indexed as

Urinary Tract InfectionsVancomycin-Resistant EnterococciAnti-Bacterial Agentsbeta-LactamsCross-Sectional StudiesErythromycinFluoroquinolonesGenotypeGentamicinsHumansLinezolidPristinamycinTeicoplaninTigecyclineVancomycinAnti-Bacterial Agentsbeta-LactamsErythromycinFluoroquinolonesGentamicinsLinezolidPristinamycinTeicoplaninTigecyclineVancomycinEnterococcuslinezolid –resistance –tigecylinevanAvanBvancomycin

Identifiers

PMID36124515
PMCPMC9707681
OpenAlexW4296226041

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.