Evidence map›Paper›PMID 39277715›Full record

ArticleBMC microbiology2024

Linezolid-resistant Enterococcus faecium clinical isolates from Pakistan: a genomic analysis.

Syed Ali Raza Nasir, Mohammad Zeeshan, Najia Ghanchi, Noureen Saeed, Hassan Ghayas, Sadaf Zaka, Javaria Ashraf, Kauser Jabeen, Joveria Farooqi, Zahra Hasan and 7 more

Abstract read
In one paragraph

Article in BMC microbiology, 2024. 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
–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

6 citing papers in PubMed.

  1. TransferableApplied and environmental microbiology · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Linezolid in the Focus of Antimicrobial Resistance ofInternational journal of molecular sciences · 2025
    Review
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

17 authors.

Syed Ali Raza NasirAga Khan University Hospital, Karachi, Sindh, Pakistan.
Mohammad ZeeshanAga Khan University Hospital, Karachi, Sindh, Pakistan.
Najia GhanchiAga Khan University Hospital, Karachi, Sindh, Pakistan.
Noureen SaeedAga Khan University Hospital, Karachi, Sindh, Pakistan.
Hassan GhayasAga Khan University Hospital, Karachi, Sindh, Pakistan.
Sadaf ZakaAga Khan University Hospital, Karachi, Sindh, Pakistan.
Javaria AshrafAga Khan University Hospital, Karachi, Sindh, Pakistan.
Kauser JabeenAga Khan University Hospital, Karachi, Sindh, Pakistan.
Joveria FarooqiAga Khan University Hospital, Karachi, Sindh, Pakistan.
Zahra HasanAga Khan University Hospital, Karachi, Sindh, Pakistan.
Tazeen FatimaNational Institute of Cardiovascular Diseases, Karachi, Sindh, Pakistan.
Faiza RezwanNational Institute of Cardiovascular Diseases, Karachi, Sindh, Pakistan.
Syed Faisal MahmoodAga Khan University Hospital, Karachi, Sindh, Pakistan.
Mehreen ArshadAga Khan University Hospital, Karachi, Sindh, Pakistan.
Erum KhanAga Khan University Hospital, Karachi, Sindh, Pakistan.
Egon A OzerNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
Rumina HasanAga Khan University Hospital, Karachi, Sindh, Pakistan. rumina.hasan@aku.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLinezolid-resistant Enterococcus faecium (LRE) is a global priority pathogen. Thirteen LRE were reported from clinical specimens between November 2021 and April 2023 at two laboratories in Karachi, Pakistan. We aimed to investigate the strain types and genes associated with linezolid resistance among these isolates. Whole genome sequencing (WGS) was performed and analyzed by multilocus sequence typing (MLST). The presence of linezolid resistance genes was identified using ResFinder v4.1.11 and the LRE-finder tool.

resultsTwelve isolates belonged to clonal complex 17 (CC17); ST80 (n = 10), ST612 (n = 1) and ST1380 (n = 1). Six isolates showed the presence of optrA gene and G2576T mutations in the 23S rRNA gene, while six showed poxtA and cfr(D) genes. One isolate showed the combination of optrA, cfr(D) and poxtA genes.

conclusionOur findings show the circulation of CC17 sequence types with a known outbreak potential and we identified molecular mechanisms of resistance that were not previously reported from Pakistan.

Indexed as

Anti-Bacterial AgentsDrug Resistance, BacterialEnterococcus faeciumGram-Positive Bacterial InfectionsLinezolidMicrobial Sensitivity TestsMultilocus Sequence TypingWhole Genome SequencingAdultBacterial ProteinsFemaleGenome, BacterialGenomicsHumansMaleMiddle AgedAnti-Bacterial AgentsBacterial ProteinsLinezolidRNA, Ribosomal, 23SLinezolid resistant EnterococcusMechanism of resistancePakistanWhole genome sequencing

Identifiers

PMID39277715
PMCPMC11401331

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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.