Colonization by Extended-Spectrum β-Lactamase-Producing Enterobacterales and Bacteremia in Hematopoietic Stem Cell Transplant Recipients Article Swipe
Luiza Arcas Gonçalves
,
Beatriz Barbosa dos Anjos
,
Bruno de Melo Tavares
,
Ana Paula Marchi
,
Marina Farrel Côrtes
,
Hermes Ryoiti Higashino
,
Bruna Del Guerra de Carvalho Moraes
,
José Victor Bortolotto Bampi
,
Liliane Dantas Pinheiro
,
Fernanda Spadão
,
Vanderson Rocha
,
Thaís Guimarães
,
Sílvia Figueiredo Costa
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/antibiotics13050448
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/antibiotics13050448
Background: Assessing the risk of multidrug-resistant colonization and infections is pivotal for optimizing empirical therapy in hematopoietic stem cell transplants (HSCTs). Limited data exist on extended-spectrum β-lactamase-producing Enterobacterales (ESBL-E) colonization in this population. This study aimed to assess whether ESBL-E colonization constitutes a risk factor for ESBL-E bloodstream infection (BSI) and to evaluate ESBL-E colonization in HSCT recipients. Methods: A retrospective analysis of ESBL-E colonization and BSI in HSCT patients was conducted from August 2019 to June 2022. Weekly swabs were collected and cultured on chromogenic selective media, with PCR identifying the β-lactamase genes. Pulsed-field gel electrophoresis (PFGE) and whole-genome sequencing (WGS) assessed the colonizing strains’ similarities. Results: Of 222 evaluated HSCT patients, 59.45% were colonized by ESBL-E, with 48.4% at admission. The predominant β-lactamase genes were blaTEM (52%) and blaSHV (20%). PFGE analysis did not reveal predominant clusters in 26 E. coli and 15 K. pneumoniae strains. WGS identified ST16 and ST11 as the predominant sequence types among K. pneumoniae. Thirty-three patients developed thirty-five Enterobacterales-BSIs, with nine being third-generation cephalosporin-resistant. No association was found between ESBL-E colonization and ESBL-BSI (p = 0.087). Conclusions: Although the patients presented a high colonization rate of ESBL-E upon admission, no association between colonization and infection were found. Thus, it seems that ESBL screening is not a useful strategy to assess risk factors and guide therapy for ESBL-BSI in HSCT-patients.
Related Topics
Concepts
Bacteremia
Colonization
Hematopoietic stem cell transplantation
Stem cell
Hematopoietic stem cell
Medicine
Microbiology
Haematopoiesis
Biology
Antibiotics
Genetics
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/antibiotics13050448
- https://www.mdpi.com/2079-6382/13/5/448/pdf?version=1715754017
- OA Status
- gold
- Cited By
- 1
- References
- 29
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4396937631
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4396937631Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/antibiotics13050448Digital Object Identifier
- Title
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Colonization by Extended-Spectrum β-Lactamase-Producing Enterobacterales and Bacteremia in Hematopoietic Stem Cell Transplant RecipientsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-05-15Full publication date if available
- Authors
-
Luiza Arcas Gonçalves, Beatriz Barbosa dos Anjos, Bruno de Melo Tavares, Ana Paula Marchi, Marina Farrel Côrtes, Hermes Ryoiti Higashino, Bruna Del Guerra de Carvalho Moraes, José Victor Bortolotto Bampi, Liliane Dantas Pinheiro, Fernanda Spadão, Vanderson Rocha, Thaís Guimarães, Sílvia Figueiredo CostaList of authors in order
- Landing page
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https://doi.org/10.3390/antibiotics13050448Publisher landing page
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https://www.mdpi.com/2079-6382/13/5/448/pdf?version=1715754017Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
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https://www.mdpi.com/2079-6382/13/5/448/pdf?version=1715754017Direct OA link when available
- Concepts
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Bacteremia, Colonization, Hematopoietic stem cell transplantation, Stem cell, Hematopoietic stem cell, Medicine, Microbiology, Haematopoiesis, Biology, Antibiotics, GeneticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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29Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.pneumoniae | 146 |
| abstract_inverted_index.sequencing | 100 |
| abstract_inverted_index.strains’ | 105 |
| abstract_inverted_index.Background: | 0 |
| abstract_inverted_index.association | 172, 197 |
| abstract_inverted_index.bloodstream | 47 |
| abstract_inverted_index.chromogenic | 85 |
| abstract_inverted_index.constitutes | 41 |
| abstract_inverted_index.identifying | 90 |
| abstract_inverted_index.pneumoniae. | 160 |
| abstract_inverted_index.population. | 32 |
| abstract_inverted_index.predominant | 123, 137, 155 |
| abstract_inverted_index.recipients. | 57 |
| abstract_inverted_index.thirty-five | 164 |
| abstract_inverted_index.transplants | 19 |
| abstract_inverted_index.Conclusions: | 183 |
| abstract_inverted_index.Pulsed-field | 94 |
| abstract_inverted_index.Thirty-three | 161 |
| abstract_inverted_index.colonization | 6, 29, 40, 54, 64, 177, 190, 199 |
| abstract_inverted_index.whole-genome | 99 |
| abstract_inverted_index.β-lactamase | 92, 124 |
| abstract_inverted_index.hematopoietic | 16 |
| abstract_inverted_index.retrospective | 60 |
| abstract_inverted_index.similarities. | 106 |
| abstract_inverted_index.HSCT-patients. | 225 |
| abstract_inverted_index.electrophoresis | 96 |
| abstract_inverted_index.Enterobacterales | 27 |
| abstract_inverted_index.third-generation | 169 |
| abstract_inverted_index.extended-spectrum | 25 |
| abstract_inverted_index.multidrug-resistant | 5 |
| abstract_inverted_index.Enterobacterales-BSIs, | 165 |
| abstract_inverted_index.β-lactamase-producing | 26 |
| abstract_inverted_index.cephalosporin-resistant. | 170 |
| cited_by_percentile_year.max | 95 |
| cited_by_percentile_year.min | 91 |
| corresponding_author_ids | https://openalex.org/A5003824515 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 13 |
| corresponding_institution_ids | https://openalex.org/I17974374, https://openalex.org/I4210145268 |
| citation_normalized_percentile.value | 0.4591048 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |