Evidence map›Paper›PMID 41684899›Full record

ArticleFrontiers in microbiology2025

Genomic analysis of non-carbapenem drug-resistant Gram-negative bacteria from advanced chronic liver disease (ACLD) patients suggests no evidence for in-house transmissions.

Christopher D Best, Zahra Nemati, Tilman Schultze, Michael Hogardt, Camilla Cadoli, Marcus M Mücke, Toska Wiedemann, Hans-Peter Erasmus, Christoph Welsch, Volkhard A J Kempf

Abstract read
In one paragraph

Article in Frontiers in microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Christopher D BestInstitute for Medical Microbiology and Infection Control, University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany.
Zahra NematiInstitute for Medical Microbiology and Infection Control, University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany.
Tilman SchultzeLandesbetrieb Hessisches Landeslabor, Giessen, Germany.
Michael HogardtInstitute for Medical Microbiology and Infection Control, University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany.
Camilla CadoliInstitute for Medical Microbiology and Infection Control, University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany.
Marcus M MückeMedical Clinic 1, University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany.
Toska WiedemannMedical Clinic 1, University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany.
Hans-Peter ErasmusMedical Clinic 1, University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany.
Christoph WelschMedical Clinic 1, University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany.
Volkhard A J KempfInstitute for Medical Microbiology and Infection Control, University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In advanced chronic liver disease (ACLD) patients, bacterial infections with multidrug-resistant Gram-negative bacteria (MDRGN) can progress to acute-on-chronic liver failure (ACLF) with high mortality rates. Particularly carbapenem-resistant Gram-negative bacteria (CR-GN) pose a significant threat due to limited antibiotic treatment options. However, non-carbapenem drug-resistant Gram-negative bacteria (NCR-DRGN) are clinically highly relevant, as they occur more frequently and may serve as precursors to CR-GN. This study aims to assess the prevalence, resistance mechanisms, and transmission dynamics of NCR-DRGN in ACLD patients including those with ACLF. Materials and methods: A prospective, single-center study was conducted at University Hospital Frankfurt. Over 32 months, ACLD patients were screened for NCR-DRGN by routine microbiology techniques. Whole-genome sequencing (WGS) of isolated bacteria was performed to analyze genetic diversity, resistance, and transmission patterns. Epidemiological links were explored through patient chart reviews. Results: NCR-DRGN were found in 12.1% ( Conclusion: NCR-DRGN are prevalent in ACLD patients, with

Indexed as

advanced chronic liver diseasedrug-resistant Gram-negative bacteriainfection controlmolecular epidemiologywhole-genome sequencing

Identifiers

PMID41684899
PMCPMC12891177

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