Evidence map›Paper›PMID 41184941›Full record

ArticleBMC medicine2025

Ultrahigh-throughput screening of heterogeneous vancomycin-intermediate Staphylococcus aureus based on fluorescence-activated droplet sorting.

Xin Cheng, Zerui Wang, Yadong Liu, Liyan Ma, Zhiyi Wang, Yuxin Qiao, Wenbin Du, Shuilong Guo, Dongwei Chen, Jianrong Su

Abstract read
In one paragraph

Article in BMC medicine, 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. 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

10 authors.

Xin Cheng *Clinical Laboratory Center, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.
Zerui Wang *National Clinical Research Center for Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Yadong LiuState Key Laboratory of Microbial Diversity and Innovative Utilization, Institute of Microbiology, Chinese Academy of Sciences, Beijing, 100101, China.
Liyan MaClinical Laboratory Center, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.
Zhiyi WangSouthern Marine Science and Engineering Guangdong Laboratory (Guangzhou), Nansha, Guangzhou, 511458, China.
Yuxin QiaoState Key Laboratory of Microbial Diversity and Innovative Utilization, Institute of Microbiology, Chinese Academy of Sciences, Beijing, 100101, China.
Wenbin DuState Key Laboratory of Microbial Diversity and Innovative Utilization, Institute of Microbiology, Chinese Academy of Sciences, Beijing, 100101, China.
Shuilong GuoDepartment of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China. slong.guo@163.com.ORCID http://orcid.org/0000-0001-6705-9339
Dongwei ChenState Key Laboratory of Microbial Diversity and Innovative Utilization, Institute of Microbiology, Chinese Academy of Sciences, Beijing, 100101, China. chendw@im.ac.cn.ORCID http://orcid.org/0000-0002-0471-6298
Jianrong SuClinical Laboratory Center, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China. youyi_lab@163.com.ORCID http://orcid.org/0000-0002-1709-6083

Funding

National Key Research and Development Program of China 2021YFC2301000
6 · The paper itself

Abstract

backgroundHeterogeneous vancomycin-intermediate Staphylococcus aureus (hVISA) is associated with suboptimal glycopeptide treatment outcomes. However, conventional antimicrobial susceptibility testing fails to distinguish hVISA from vancomycin-susceptible Staphylococcus aureus (VSSA), potentially delaying effective therapy. The gold standard population analysis profiling with area under the curve (PAP-AUC) method is labor-intensive and time-consuming, necessitating rapid detection alternatives.

methodsThis study introduces a microfluidic platform based on fluorescence-activated droplet sorting (FADS) for the rapid detection and isolation of hVISA. Through systematic optimization of key parameters such as droplet generation conditions, bacterial suspension concentration, fluorescence probe selection, fluorescence duration, and vancomycin screening concentration, we established a rapid hVISA screening system. The efficacy of this system was evaluated using the hVISA standard strain Mu3, followed by validation with 15 clinical hVISA isolates. Genomic analysis further elucidated the genetic basis of drug resistance in hVISA strains.

resultsWe developed a high-throughput detection platform for hVISA by integrating a microfluidic system with FADS. Based on a Poisson distribution theoretical model, the bacterial suspension concentration was optimized to 10

conclusionsThis study innovatively integrated a microfluidic detection platform and FADS to achieve rapid detection of hVISA. This technology reduced the detection time to just 12 h and significantly improved the enrichment efficiency of drug-resistant bacterial populations.

Indexed as

Anti-Bacterial AgentsHigh-Throughput Screening AssaysStaphylococcus aureusVancomycinHumansMicrobial Sensitivity TestsMicrofluidicsStaphylococcal InfectionsAnti-Bacterial AgentsVancomycinFADSHigh-throughput screeningHVISAMicrofluidics

Identifiers

PMID41184941
PMCPMC12581545

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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.