Evidence map›Paper›PMID 37838722›Full record

ArticleNature communications2023

Cryptic susceptibility to penicillin/β-lactamase inhibitor combinations in emerging multidrug-resistant, hospital-adapted Staphylococcus epidermidis lineages.

Xiaoliang Ba, Claire L Raisen, Olivier Restif, Lina Maria Cavaco, Carina Vingsbo Lundberg, Jean Y H Lee, Benjamin P Howden, Mette D Bartels, Birgit Strommenger, Ewan M Harrison and 3 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

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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

13 authors at 5 institutions in 4 countries.

Xiaoliang Ba *Department of Veterinary Medicine, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-3882-3585
Claire L Raisen *Department of Veterinary Medicine, University of Cambridge, Cambridge, UK.
Olivier RestifDepartment of Veterinary Medicine, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0001-9158-853X
Lina Maria CavacoDepartment of Bacteria, Parasites & Fungi, Statens Serum Institut, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-8919-1998
Carina Vingsbo LundbergDepartment of Bacteria, Parasites & Fungi, Statens Serum Institut, Copenhagen, Denmark.
Jean Y H LeeDepartment of Microbiology and Immunology, The University of Melbourne at The Doherty Institute for Infection and Immunity, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0001-5751-8503
Benjamin P HowdenDepartment of Microbiology and Immunology, The University of Melbourne at The Doherty Institute for Infection and Immunity, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0003-0237-1473
Mette D BartelsDepartment of Clinical Microbiology, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark.ORCID http://orcid.org/0000-0002-8187-3684
Birgit StrommengerNational Reference Centre for Staphylococci and Enterococci, Division Nosocomial Pathogens and Antibiotic Resistances, Department of Infectious Diseases, Robert Koch Institute, Wernigerode Branch, Wernigerode, Germany.
Ewan M HarrisonDepartment of Medicine, University of Cambridge, Cambridge, UK.
Anders Rhod LarsenDepartment of Bacteria, Parasites & Fungi, Statens Serum Institut, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-1713-8765
Mark A HolmesDepartment of Veterinary Medicine, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-5454-1625
Jesper LarsenDepartment of Bacteria, Parasites & Fungi, Statens Serum Institut, Copenhagen, Denmark. jrl@ssi.dk.ORCID http://orcid.org/0000-0003-0582-0457
University of Cambridge · GBStatens Serum Institut · DKThe University of Melbourne · AURobert Koch Institute · DEUniversity of Copenhagen · DK

Funding

Medical Research Council MR/S00291X/1Wellcome TrustWellcome Trust 220540/Z/20/A
6 · The paper itself

Abstract

Global spread of multidrug-resistant, hospital-adapted Staphylococcus epidermidis lineages underscores the need for new therapeutic strategies. Here we show that many S. epidermidis isolates belonging to these lineages display cryptic susceptibility to penicillin/β-lactamase inhibitor combinations under in vitro conditions, despite carrying the methicillin resistance gene mecA. Using a mouse thigh model of S. epidermidis infection, we demonstrate that single-dose treatment with amoxicillin/clavulanic acid significantly reduces methicillin-resistant S. epidermidis loads without leading to detectable resistance development. On the other hand, we also show that methicillin-resistant S. epidermidis is capable of developing increased resistance to amoxicillin/clavulanic acid during long-term in vitro exposure to these drugs. These findings suggest that penicillin/β-lactamase inhibitor combinations could be a promising therapeutic candidate for treatment of a high proportion of methicillin-resistant S. epidermidis infections, although the in vivo risk of resistance development needs to be further addressed before they can be incorporated into clinical trials.

Indexed as

PenicillinsStaphylococcal InfectionsAmoxicillinAnti-Bacterial Agentsbeta-Lactamase InhibitorsClavulanic AcidHumansMicrobial Sensitivity TestsStaphylococcus epidermidisAmoxicillinAnti-Bacterial Agentsbeta-Lactamase InhibitorsClavulanic AcidPenicillins

Identifiers

PMID37838722
PMCPMC10576800
OpenAlexW4387640625

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.