Evidence map›Paper›PMID 40841895›Full record

ArticleAnnals of clinical microbiology and antimicrobials2025

Detection of hypervirulent Klebsiella pneumoniae (hvKp) strains directly from spiked blood cultures using a commercial Loop-Mediated isothermal amplification (LAMP) assay.

Domingo Fernández Vecilla, Jorge Rodríguez Grande, Nuria Fraile Valcárcel, Zaira Moure García, Sergio García Fernández, María Siller Ruiz, María Pía Roiz Mesones, José Luis Díaz de Tuesta Del Arco, Mikel Joseba Urrutikoetxea Gutiérrez, María Catalina Lomoro and 2 more

Abstract read
In one paragraph

Article in Annals of clinical microbiology and antimicrobials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. HypervirulentOpen forum infectious diseases · 2026
    Article
  2. Article
  3. Review
  4. Genomic Characterization of a Rare K30-ST198 HypervirulentInternational journal of molecular sciences · 2025
    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

12 authors.

Domingo Fernández Vecilla *Microbiology Service, Valdecilla Research Institute (IDIVAL), University Hospital Marqués de Valdecilla, Av. de Valdecilla, s/n, 39008, Santander, Cantabria, Spain. domingofvec@gmail.com.
Jorge Rodríguez Grande *Microbiology Service, Valdecilla Research Institute (IDIVAL), University Hospital Marqués de Valdecilla, Av. de Valdecilla, s/n, 39008, Santander, Cantabria, Spain.
Nuria Fraile Valcárcel *Microbiology Service, Valdecilla Research Institute (IDIVAL), University Hospital Marqués de Valdecilla, Av. de Valdecilla, s/n, 39008, Santander, Cantabria, Spain.
Zaira Moure GarcíaMicrobiology Service, Valdecilla Research Institute (IDIVAL), University Hospital Marqués de Valdecilla, Av. de Valdecilla, s/n, 39008, Santander, Cantabria, Spain.
Sergio García FernándezMicrobiology Service, Valdecilla Research Institute (IDIVAL), University Hospital Marqués de Valdecilla, Av. de Valdecilla, s/n, 39008, Santander, Cantabria, Spain.
María Siller RuizMicrobiology Service, Valdecilla Research Institute (IDIVAL), University Hospital Marqués de Valdecilla, Av. de Valdecilla, s/n, 39008, Santander, Cantabria, Spain.
María Pía Roiz MesonesMicrobiology Service, Valdecilla Research Institute (IDIVAL), University Hospital Marqués de Valdecilla, Av. de Valdecilla, s/n, 39008, Santander, Cantabria, Spain.
José Luis Díaz de Tuesta Del ArcoMicrobiology service, Basurto University Hosptital, Montevideo Etorb., 18, Basurtu-Zorrotza, 48013, Bilbo, Bizkaia, Spain.
Mikel Joseba Urrutikoetxea GutiérrezMicrobiology service, Basurto University Hosptital, Montevideo Etorb., 18, Basurtu-Zorrotza, 48013, Bilbo, Bizkaia, Spain.
María Catalina LomoroMompía Hospital, Av. de los Condes, s/n,, 39100, Santa Cruz de Bezana, Cantabria, Spain.
María Carmen FariñasCIBERINFEC, Health Institute Carlos III, Av. de Monforte de Lemos, 5, Fuencarral-El Pardo, 28029, Madrid, Spain.
Alain Ocampo-SosaMicrobiology Service, Valdecilla Research Institute (IDIVAL), University Hospital Marqués de Valdecilla, Av. de Valdecilla, s/n, 39008, Santander, Cantabria, Spain.

Funding

Instituto de Investigación Marqués de Valdecilla NVAL24/10
6 · The paper itself

Abstract

backgroundHypervirulent K. pneumoniae (hvKp) strains are characterized by their enhanced ability to evade immune responses and disseminate systemically. Rapid identification of hvKp strains is critical for guiding clinical management and implementing effective infection control measures. Loop-Mediated Isothermal Amplification (LAMP) assays provide a rapid and cost-effective method for detecting bacterial pathogens. This study evaluates the performance of the Eazyplex

methodsWe collected 20 K. pneumoniae (Kp) isolates between December 2021 and August 2024 from two hospitals in Northern Spain. Capsular serotyping and virulence gene detection were performed using PCR and whole-genome sequencing (WGS). The Eazyplex

resultsSeventeen Kp isolates had a Kleborate score of ≥ 2, suggesting high virulence. The LAMP assay detected 87 out of 95 virulence targets, demonstrating an overall accuracy of 91.5%. Although eight target genes were not directly detected, fluorescence signals indicated amplification in all cases. The assay identified 16 strains with high virulence profiles (score ≥ 3), with 14 strains scoring 4 or 5. The LAMP-based test effectively detected hvKp directly from blood cultures, with time-to-results ranging from 6:43 to 17:11 min. CONCLUSSION: The Eazyplex

Indexed as

Klebsiella InfectionsKlebsiella pneumoniaeMolecular Diagnostic TechniquesNucleic Acid Amplification TechniquesBlood CultureHumansSensitivity and SpecificitySpainVirulenceVirulence FactorsWhole Genome SequencingVirulence FactorsDiagnosisHypervirulentKlebsiella pneumoniaeLAMPSpiked blood cultures

Identifiers

PMID40841895
PMCPMC12372381

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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.