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Phenotypic and genotypic characteristics of ESBL and AmpC producing organisms associated with bacteraemia in Ho Chi Minh City, Vietnam

Overview of attention for article published in Antimicrobial Resistance & Infection Control, October 2017
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  • Above-average Attention Score compared to outputs of the same age (54th percentile)
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Title
Phenotypic and genotypic characteristics of ESBL and AmpC producing organisms associated with bacteraemia in Ho Chi Minh City, Vietnam
Published in
Antimicrobial Resistance & Infection Control, October 2017
DOI 10.1186/s13756-017-0265-1
Pubmed ID
Authors

Nguyen Phu Huong Lan, Nguyen Huu Hien, Tu Le Thi Phuong, Duy Pham Thanh, Nga Tran Vu Thieu, Dung Tran Thi Ngoc, Ha Thanh Tuyen, Phat Voong Vinh, Matthew J. Ellington, Guy E. Thwaites, Nguyen Van Vinh Chau, Stephen Baker, Christine J. Boinett

Abstract

Broad-spectrum antimicrobials are commonly used as empirical therapy for infections of presumed bacterial origin. Increasing resistance to these antimicrobial agents has prompted the need for alternative therapies and more effective surveillance. Better surveillance leads to more informed and improved delivery of therapeutic interventions, potentially leading to better treatment outcomes. We screened 1017 Gram negative bacteria (excluding Pseudomonas spp. and Acinetobacter spp.) isolated between 2011 and 2013 from positive blood cultures for susceptibility against third generation cephalosporins, ESBL and/or AmpC production, and associated ESBL/AmpC genes, at the Hospital for Tropical Diseases in Ho Chi Minh City. Phenotypic screening found that 304/1017 (30%) organisms were resistance to third generation cephalosporins; 172/1017 (16.9%) of isolates exhibited ESBL activity, 6.2% (63/1017) had AmpC activity, and 0.5% (5/1017) had both ESBL and AmpC activity. E. coli and Aeromonas spp. were the most common organisms associated with ESBL and AmpC phenotypes, respectively. Nearly half of the AmpC producers harboured an ESBL gene. There was no significant difference (p > 0.05) between the antimicrobial resistance phenotypes of the organisms associated with community and hospital-acquired infections. AmpC and ESBL producing organisms were commonly associated with bloodstream infections in this setting, with antimicrobial resistant organisms being equally distributed between infections originating from the community and healthcare settings. Aeromonas spp., which was associated with bloodstream infections in cirrhotic/hepatitis patients, were the most abundant AmpC producing organism. We conclude that empirical monotherapy with third generation cephalosporins may not be optimum in this setting.

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The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 92 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 92 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 13 14%
Student > Bachelor 11 12%
Student > Ph. D. Student 10 11%
Student > Postgraduate 9 10%
Researcher 6 7%
Other 9 10%
Unknown 34 37%
Readers by discipline Count As %
Medicine and Dentistry 11 12%
Biochemistry, Genetics and Molecular Biology 10 11%
Immunology and Microbiology 8 9%
Agricultural and Biological Sciences 7 8%
Nursing and Health Professions 7 8%
Other 10 11%
Unknown 39 42%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 25 October 2017.
All research outputs
#7,977,154
of 24,003,070 outputs
Outputs from Antimicrobial Resistance & Infection Control
#740
of 1,347 outputs
Outputs of similar age
#125,402
of 329,215 outputs
Outputs of similar age from Antimicrobial Resistance & Infection Control
#20
of 31 outputs
Altmetric has tracked 24,003,070 research outputs across all sources so far. This one is in the 44th percentile – i.e., 44% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,347 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 15.6. This one is in the 43rd percentile – i.e., 43% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 329,215 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 54% of its contemporaries.
We're also able to compare this research output to 31 others from the same source and published within six weeks on either side of this one. This one is in the 35th percentile – i.e., 35% of its contemporaries scored the same or lower than it.