Evidence map›Paper›PMID 8789013›Full record

ArticleJournal of clinical microbiology1996

Molecular epidemiology of apparent outbreak of invasive aspergillosis in a hematology ward.

A Leenders, A van Belkum, S Janssen, S de Marie, J Kluytmans, J Wielenga, B Löwenberg, H Verbrugh

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of clinical microbiology, 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
5.2field-weighted citation impact, top 4% of its field
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

27 citing papers in PubMed, 108 citations in OpenAlex.

  1. Article
  2. Invasive Aspergillosis byJournal of fungi (Basel, Switzerland) · 2019
    Review
  3. Article
  4. Genome Sequences of Three Strains ofGenome announcements · 2017
    Article
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  13. Article
  14. Epidemiology and Prevention of Invasive Aspergillosis.Current infectious disease reports · 2001
    Article
  15. Article
  16. Article
  17. Article
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  19. Review
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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

8 authors at 1 institution in 1 country.

A LeendersDepartment of Bacteriology, University Hospital Dijkzigt, Rotterdam, Netherlands.
A van Belkum
S Janssen
S de Marie
J Kluytmans
J Wielenga
B Löwenberg
H Verbrugh
Rotterdam University of Applied Sciences · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During a 2-month period, five patients suffering from invasive infections caused by Aspergillus flavus or Aspergillus fumigatus were identified in the Hematology Department of the University Hospital Dijkzigt (Rotterdam, The Netherlands). To study the epidemiological aspects of invasive aspergillosis, strains from these patients and from the hospital environment, isolated during extensive microbiological screening, were subjected to genotyping. A novel DNA extraction technique, involving freezing, grinding, and direct lysis in guanidium isothiocyanate-containing buffers of mycelial material, was applied. DNA isolation was followed by typing by random amplification of polymorphic DNA (RAPD) analysis. This showed that strains isolated from all patients infected with the same fungal species were genotypically distinct, thus providing evidence against the possibility of an ongoing, single-source nosocomial outbreak. Strains could also be differentiated from strains of geographically diverse origins. However, an A. flavus strain from one of the patients was also frequently encountered in the hospital environment. As all environmental strains were collected after this patient had been diagnosed with invasive disease, the epidemiological value of this observation could not be ascertained. Intensive investigations showed no single source of A. flavus or other aspergilli. RAPD genotyping proved that the outbreak of invasive aspergillosis in the hematology ward consisted of a series of unrelated events and was not due to a common source within the hospital. RAPD fingerprinting of aspergilli may greatly facilitate future investigations of the epidemiology of invasive disease caused by these pathogens.

Indexed as

Disease OutbreaksAdultAgedAir ConditioningAir MicrobiologyAspergillosisAspergillus flavusAspergillus fumigatusBase SequenceCross InfectionDNA, FungalDNA PrimersFemaleHematologyHospital DepartmentsHospitals, UniversityDNA, FungalDNA Primers

Identifiers

PMID8789013
PMCPMC228795
OpenAlexW2147900437

What OpenQuestion holds

Textmetadata
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.