Evidence map›Paper›PMID 39384811›Full record

ArticleScientific reports2024

Evaluation of mrkD, pgaC and wcaJ as biomarkers for rapid identification of K. pneumoniae biofilm infections from endotracheal aspirates and bronchoalveolar lavage.

Naveen Kumar Devanga Ragupathi, Dhiviya Prabaa Muthuirulandi Sethuvel, Anju Ganesan, Dhivya Murugan, Ashtawarthani Baskaran, Dhammika Leshan Wannigama, Peter N Monk, Esther Karunakaran, Balaji Veeraraghavan

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

9 authors.

Naveen Kumar Devanga RagupathiDepartment of Chemical and Biological Engineering, The University of Sheffield, Sheffield, S1 3JD, UK. drdrnaveenkumar@gmail.com.
Dhiviya Prabaa Muthuirulandi SethuvelDepartment of Clinical Microbiology, Christian Medical College, Vellore, India.
Anju GanesanDepartment of Clinical Microbiology, Christian Medical College, Vellore, India.
Dhivya MuruganDepartment of Clinical Microbiology, Christian Medical College, Vellore, India.
Ashtawarthani BaskaranDepartment of Clinical Microbiology, Christian Medical College, Vellore, India.
Dhammika Leshan WannigamaBiofilms and Antimicrobial Resistance Consortium of ODA Receiving Countries (BARCOD), The University of Sheffield, Sheffield, UK.
Peter N MonkBiofilms and Antimicrobial Resistance Consortium of ODA Receiving Countries (BARCOD), The University of Sheffield, Sheffield, UK.
Esther KarunakaranDepartment of Chemical and Biological Engineering, The University of Sheffield, Sheffield, S1 3JD, UK.
Balaji VeeraraghavanBiofilms and Antimicrobial Resistance Consortium of ODA Receiving Countries (BARCOD), The University of Sheffield, Sheffield, UK.

Funding

Academy of Medical Sciences, UK GCRFNGR5\1293QR GCRF , UKRI 10065043
6 · The paper itself

Abstract

Klebsiella pneumoniae has been identified as one of the most important opportunistic pathogens responsible for nosocomial infections. Antibiotic resistance and the ability to form biofilms are the two main factors involved in the persistence of infections. Conventional detection methods involve culture isolation and identification followed by biofilm assay that takes 48-72 h. Timely detection of biofilm-forming resistant pathogens is essential to appropriately treat the infection with the right dose and combinations. The present study focuses on evaluating an RT-PCR panel using mrkD, pgaC, and wcaJ genes to screen for biofilm-forming K. pneumoniae from ETA/BAL specimens. The assay accurately identified K. pneumoniae harboring samples with a limit of detection of 1 ng/µl total RNA. Representative culture-negative-PCR-positive samples were subjected to metagenomics which identified K. pneumoniae reads in these samples confirming the specificity of RT-PCR. mrkD and pgaC act as K. pneumoniae specific identification whereas wcaJ acts as a negative marker for biofilm-forming K. pneumoniae. In addition, RT-PCR results correlated well with the phenotypic biofilm-forming assay. This RT-PCR assay is the first of its kind for rapid identification of biofilm-forming K. pneumoniae. The result of this study highlights that the rapid detection of K. pneumoniae biofilms based on the RT-PCR results coupled with clinical conditions would be appropriate to treat emerging infections or to prevent re-infections in clinical settings.

Indexed as

BiofilmsBiomarkersKlebsiella InfectionsKlebsiella pneumoniaeBacterial ProteinsBronchoalveolar Lavage FluidHumansBacterial ProteinsBiomarkersAntimicrobial resistanceBiofilmsBiomarkerDiagnosisK. pneumoniaeNosocomial

Identifiers

PMID39384811
PMCPMC11464835

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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.