Evidence map›Paper›PMID 38944650›Full record

ArticleNature communications2024

Detection of hidden antibiotic resistance through real-time genomics.

Ela Sauerborn, Nancy Carolina Corredor, Tim Reska, Albert Perlas, Samir Vargas da Fonseca Atum, Nick Goldman, Nina Wantia, Clarissa Prazeres da Costa, Ebenezer Foster-Nyarko, Lara Urban

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
–field-weighted citation impact
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

33 citing papers in PubMed.

  1. Review
  2. Article
  3. [Advances in the diagnosis and treatment of patients with multidrug-resistant bacterial infections combined with severe liver disease].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Antibiotic resistance inFrontiers in microbiology · 2026
    Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

10 authors.

Ela SauerbornHelmholtz AI, Helmholtz Zentrum Muenchen, Neuherberg, Germany.ORCID 0000-0003-1347-0346
Nancy Carolina CorredorInstitute of Medical Microbiology, Immunology and Hygiene, TUM School of Medicine and Health, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany.ORCID 0000-0003-3704-5715
Tim ReskaHelmholtz AI, Helmholtz Zentrum Muenchen, Neuherberg, Germany.ORCID 0009-0001-9700-5128
Albert PerlasHelmholtz AI, Helmholtz Zentrum Muenchen, Neuherberg, Germany.
Samir Vargas da Fonseca AtumHelmholtz AI, Helmholtz Zentrum Muenchen, Neuherberg, Germany.ORCID 0000-0001-6002-1370
Nick GoldmanEuropean Molecular Biology Laboratory, European Bioinformatics Institute (EMBL-EBI), Wellcome Genome Campus, Cambridge, UK.ORCID 0000-0001-8486-2211
Nina WantiaInstitute of Medical Microbiology, Immunology and Hygiene, TUM School of Medicine and Health, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany.
Clarissa Prazeres da CostaInstitute of Medical Microbiology, Immunology and Hygiene, TUM School of Medicine and Health, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany.ORCID 0000-0001-7996-4838
Ebenezer Foster-NyarkoDepartment of Infection Biology, London School of Hygiene & Tropical Medicine, Keppel Street, London, UK.
Lara UrbanHelmholtz AI, Helmholtz Zentrum Muenchen, Neuherberg, Germany. lara.h.urban@gmail.com.ORCID 0000-0002-5445-9314

Funding

Bayerisches Staatsministerium für Wirtschaft, Infrastruktur, Verkehr und Technologie (Bavarian Ministry of Economic Affairs, Infrastructure, Transport and Technology) 47-6665g/1311/2-MW-2012-0008Deutsches Zentrum für Infektionsforschung (German Center for Infection Research) TTU 03.818_01Helmholtz Association Helmholtz Principal Investigator Grant
6 · The paper itself

Abstract

Real-time genomics through nanopore sequencing holds the promise of fast antibiotic resistance prediction directly in the clinical setting. However, concerns about the accuracy of genomics-based resistance predictions persist, particularly when compared to traditional, clinically established diagnostic methods. Here, we leverage the case of a multi-drug resistant Klebsiella pneumoniae infection to demonstrate how real-time genomics can enhance the accuracy of antibiotic resistance profiling in complex infection scenarios. Our results show that unlike established diagnostics, nanopore sequencing data analysis can accurately detect low-abundance plasmid-mediated resistance, which often remains undetected by conventional methods. This capability has direct implications for clinical practice, where such "hidden" resistance profiles can critically influence treatment decisions. Consequently, the rapid, in situ application of real-time genomics holds significant promise for improving clinical decision-making and patient outcomes.

Indexed as

Anti-Bacterial AgentsDrug Resistance, Multiple, BacterialGenomicsKlebsiella InfectionsKlebsiella pneumoniaeGenome, BacterialHumansMicrobial Sensitivity TestsNanopore SequencingPlasmidsAnti-Bacterial Agents

Identifiers

PMID38944650
PMCPMC11214615

What OpenQuestion holds

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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.