Evidence map›Paper›PMID 41137180›Full record

ArticleAntimicrobial resistance and infection control2025

Understanding Serratia bockelmannii transmission during a neonatal intensive care unit outbreak: a combined genotyping and case-control study.

Kaisa Jaakkola, Aurélie Fischer, Louise Piquart, Pierre Cassier, Olivier Dauwalder, Jean-Charles Picaud, Mélanie Colomb-Cotinat, Stéphane Haÿs, Jean-Philippe Rasigade, Cédric Dananché

Abstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Kaisa JaakkolaInstitut Des Agents Infectieux, Hospices Civils de Lyon, Lyon, France. kaisa.jaakkola@fimnet.fi.
Aurélie FischerInstitut Des Agents Infectieux, Hospices Civils de Lyon, Lyon, France.
Louise PiquartInstitut Des Agents Infectieux, Hospices Civils de Lyon, Lyon, France.
Pierre CassierInstitut Des Agents Infectieux, Hospices Civils de Lyon, Lyon, France.
Olivier DauwalderInstitut Des Agents Infectieux, Hospices Civils de Lyon, Lyon, France.
Jean-Charles PicaudService de Réanimation Et Médecine Néonatales & Pédiatrie de Maternité, Hôpital De La Croix-Rousse, Hospices Civils de Lyon, Lyon, France.
Mélanie Colomb-CotinatInstitut Des Agents Infectieux, Hospices Civils de Lyon, Lyon, France.
Stéphane HaÿsService de Réanimation Et Médecine Néonatales & Pédiatrie de Maternité, Hôpital De La Croix-Rousse, Hospices Civils de Lyon, Lyon, France.
Jean-Philippe RasigadeInstitut Des Agents Infectieux, Hospices Civils de Lyon, Lyon, France.
Cédric DananchéCIRI (Centre International de Recherche en Infectiologie, team PHE3ID), INSERM, U1111CNRS, UMR5308, ENS de Lyon, Université Claude Bernard Lyon 1, Villeurbanne, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSerratia marcescens complex (SMC) is a group of opportunistic pathogens frequent in neonatal intensive care unit (NICU) outbreaks. We report a seven-month NICU outbreak of multidrug-resistant (MDR) SMC strain and assess the acquisition risk factors.

methodsBacterial isolates were sequenced using Illumina technology and profiled for antimicrobial resistance (AMR). Cases (culture positive for SMC) were compared with birth date and ward-matched controls (SMC negative) to identify clinical and environmental factors associated with SMC acquisition.

resultsA single strain of Serratia bockelmannii caused 42 cases from June 2022 to January 2023. All sequenced isolates (n = 49) carrued the same AMR genes, while the antibiogram (n = 32) assigned 15 strains as MDR, and 17 as non-MDR. The outbreak strain was recovered from ward surfaces and an analytical study revealed that beds used by several cases increased the acquisition odds by 3.27 (95%CI 1.71-8.77, p-value = 0.003) after adjusting for sex and length of stay.

conclusionsThe genomic typing was pivotal in confirming clonality across S. bockelmannii isolates with varied antibiograms, and identifying the bacterial species. Serratia bockelmannii should be considered during SMC outbreaks. Incubator-related within-ward transmission highlights the need for tailored risk assessments and disinfection protocols to prevent pathogen transmission and to improve infection prevention protocols.

Indexed as

Cross InfectionDisease OutbreaksIntensive Care Units, NeonatalSerratiaSerratia InfectionsAnti-Bacterial AgentsCase-Control StudiesDrug Resistance, Multiple, BacterialFemaleGenotypeHumansInfant, NewbornMaleMicrobial Sensitivity TestsRisk FactorsAnti-Bacterial AgentsAntimicrobial resistanceCluster identificationHospital outbreaksMultidrug-resistant bacteriaNeonatal intensive care unitSerratia marcescens complex

Identifiers

PMID41137180
PMCPMC12551129

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.