Paper of the Month


Die DGHM würdigt jeden Monat DGHM-Mitglieder, die als Erst- oder LetztautorIn an einer herausragenden Publikation, die in den vorangegangenen 3 Monaten hochrangig publiziert wurde, beteiligt waren. Die Forschungsergebnisse können so einer größeren Öffentlichkeit vorgestellt werden.

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Aktuelles Paper of the Month

Contact isolation versus standard precautions to decrease acquisition of extended-spectrum β-lactamase-producing Enterobacterales in non-critical care wards: a cluster-randomised crossover trial

Friederike Maechler, Frank Schwab, Sonja Hansen, Carolina Fankhauser, Stephan Harbarth, Benedikt D Huttner, Cristina Diaz-Agero, Nieves Lopez, Rafael Canton, Patricia Ruiz, Hetty Blok, Marc J Bonten, Fieke Kloosterman, Joost Schotsman, Ben S Cooper, Michael Behnke, Jennifer Golembus, Axel Kola, Petra Gastmeier, on behalf of the R-GNOSIS WP5 study group

Infectious diseases, 2020, 20(5): 575-548

Link zum vollständigen Artikel: https://www.ncbi.nlm.nih.gov/pubmed/32087113

Erstautorin: Dr. med. Friederike Maechler


Original Abstract des Artikels:
Background: The effectiveness of contact isolation for decreasing the spread of extended-spectrum β-lactamaseproducing Enterobacterales (ESBL-E) has been questioned. The aim of this study was to establish the benefits of contact isolation over standard precautions for reducing the incidence density of ESBL-E colonisation and infection in adult medical and surgical wards with an active surveillance culture programme.

Methods: We did a cluster-randomised crossover trial in adult wards in four European university hospitals. Wards had to be medical, surgical, or combined medical–surgical wards without critical care. Wards were randomised to continue standard precautions alone or implement contact isolation alongside standard precautions for 12 months, followed by a 1 month washout period and 12 months of the alternate strategy. Randomisation was done via a computer-generated sequence, with a block size of two consecutive wards. Only laboratory technicians and data analysts were masked to allocation. Patients were screened for ESBL-E carriage within 3 days of admission, once a week thereafter, and on discharge. The primary outcome was the incidence density of ESBL-E, defined as the acquisition rate per 1000 patientdays at risk at the ward level and assessed in the per-protocol population, which included all patients screened at least twice with a length of stay of more than 1 week for each intervention period. No specific safety measures were assessed given the minimal risk of adverse events. The trial is registered, ISRCTN57648070.

Findings: We enrolled 20 wards from four hospitals in Germany (eight wards), the Netherlands (four wards), Spain (four wards), and Switzerland (four wards). Between Jan 6, 2014, and Aug 31, 2016, 38 357 patients were admitted to these wards. Among 15 184 patients with a length of stay of more than 1 week, 11 368 patients (75%) were screened at least twice. The incidence density of ward-acquired ESBL-E was 6·0 events per 1000 patient-days at risk (95% CI 5·4–6·7) during periods of contact isolation and 6·1 (5·5–6·7) during periods of standard precautions (p=0·9710). Multivariable analysis adjusted for length of stay, percentage of patients screened, and prevalence in first screening cultures yielded an incidence rate ratio of 0·99 (95% CI 0·80–1·22; p=0·9177) for care under contact isolation compared with standard precautions.

Interpretation: Contact isolation showed no benefit when added to standard precautions for controlling the spread of ESBL-E on non-critical care wards with extensive surveillance screening.

Diese internationale, cluster-randomisierte Studie mit Crossover-Design konnte zeigen, dass Kontaktisolierung im Vergleich zu Standardmaßnahmen bezüglich der Verbreitung von ESBL-produzierenden Enterobakterien (ESBL-E) in Nicht-Intensivstationen keinen Mehrwert hatte. Damit ist die derzeit gängige Praxis in vielen Ländern, ESBL-E-Träger gezielt zu identifizieren und zu isolieren, in der endemischen Situation nicht effektiv.

Kontaktadresse der Autorin:
Dr. med. Friederike Maechler
Institut für Hygiene und Umweltmedizin
Charité – Universitätsmedizin Berlin
Hindenburgdamm 27
12203 Berlin

1 Institute of Hygiene and Environmental Medicine, Charité-Universitätsmedizin Berlin, Berlin, Germany. Electronic address: friederike.maechler@charite.de.
2 Institute of Hygiene and Environmental Medicine, Charité-Universitätsmedizin Berlin, Berlin, Germany.
3 Infection Control Program, Geneva University Hospitals and Medical School, Geneva, Switzerland.
4 Servicio de Medicina Preventiva y Salud Pública, Hospital Universitario Ramón y Cajal and Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain.
5 Servicio de Microbiología, Hospital Universitario Ramón y Cajal and Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain.
6 Department of Medical Microbiology and Infection Control, Julius Center, University Medical Center Utrecht, Utrecht, Netherlands.
7 Department of Biostatistics and Research Support, Julius Center, University Medical Center Utrecht, Utrecht, Netherlands.
8 Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.

Juni 2020:

Mai 2020: Variations in microbiota composition of laboratory mice influence Citrobacter rodentium infection via variable short-chain fatty acid production
Osbelt L1,2, Thiemann S1, Smit N1, Lesker TR1, Schröter M1, Gálvez EJC1,3, Schmidt-Hohagen K4, Pils MC5, Mühlen S6,7, Dersch P6,7, Hiller K4,8, Schlüter D2,9, Neumann-Schaal M10, Strowig T1,3,11. PLoS Pathog. 2020 Mar 24;16(3):e1008448
Link zum vollständigen Artikel: www.ncbi.nlm.nih.gov/pubmed/32208465

März/April 2020: Infections caused by extended-spectrum β-lactamase-producing Enterobacterales after rectal colonization with ESBL-producing Escherichia coli or Klebsiella pneumoniae
Denkel LA1, Maechler F1, Schwab F1, Kola A1, Weber A1, Gastmeier P1, Pfäfflin F2, Weber S3, Werner G4, Pfeifer Y4, Pietsch M5, Leistner R6. 2019 Dec 3. 31809805 [Epub ahead of print]
Link zum vollständigen Artikel: www.ncbi.nlm.nih.gov/pubmed/?term=31809805

Februar 2020:Co-infection with Staphylococcus aureus after primary influenza virus infection leads to damage of the endothelium in a human alveolus-on-a-chip model
Deinhardt-Emmer S1, Rennert K2, Schicke E3, Cseresnyes Z4, Windolph M5, Nietzsche S6, Heller R7, Siwczak F8, Haupt KF9, Carlstedt S8, Schacke M9, Figge MT10, Ehrhardt C9, Loeffler B11, Mosig AS12. Biofabrication. 2020 Jan 27. doi: 10.1088/1758-5090/ab7073.
Link zum vollständigen Artikel: www.ncbi.nlm.nih.gov/pubmed/?term=31994489

November 2019:A Chlamydia pneumoniae adhesin induces phosphatidylserine exposure on host cells
Galle JN, Fechtner T, Eierhoff T, Römer W, Hegemann JH.
2019 Oct 11;10(1):4644.
Vollständiger Artikel: www.ncbi.nlm.nih.gov/pubmed/31604911#

Oktober 2019: Oxidative stress drives the selection of quorum sensing mutants in the Staphylococcus aureus population
Shilpa Elizabeth George, Jennifer Hrubesch, Inga Breuing, Naisa Vetter, Natalya Korn, Katja Hennemann, Lisa Bleul, Matthias Willmann, Patrick Ebner, Friedrich Götz, and Christiane Wolz
PNAS, 2019, 116, 19145–19154
Link zur Veröffentlichung: www.ncbi.nlm.nih.gov/pubmed/31488708

September 2019: Concomitant Infection of S. mansoni and H. pylori Promotes Promiscuity of Antigen-Experienced Cells and Primes the Liver for a Lower Fibrotic Response
Bhattacharjee S, Mejías-Luque R, Loffredo-Verde E, Toska A, Flossdorf M, Gerhard M, Prazeres da Costa C.
Cell Rep. 2019 Jul 2;28(1):231-244.e5.
Link zum vollständigen Artikel: www.ncbi.nlm.nih.gov/pubmed/31269443

August 2019: MpsAB is important for Staphylococcus aureus virulence and growth under atmospheric CO2 levels
Sook-Ha Fan, Patrick Ebner, Sebastian Reichert, Tobias Hertlein, Susanne Zabel, Aditya Kumar Lankapalli, Kay Nieselt, Knut Ohlsen, Friedrich Götz
Nature Communication  2019 Aug 9;10(1):3627. doi: 10.1038/s41467-019-11547-5.
Link zum vollständigen Artikel: https://www.ncbi.nlm.nih.gov/pubmed/31399577

Juli 2019: Gut Dysbiosis With Bacilli Dominance and Accumulation of Fermentation Products Precedes Late-onset Sepsis in Preterm Infants
Graspeuntner S, Waschina S, Künzel S, Twisselmann N, Rausch TK, Cloppenborg-Schmidt K, Zimmermann J, Viemann D, Herting E, Göpel W, Baines JF, Kaleta C, Rupp J, Härtel C, Pagel.
Link zum vollständigen Artikel: www.ncbi.nlm.nih.gov/pubmed/30329017
Clinical Infectious Diseases, Volume 69, Issue 2, 15 July 2019, Pages 268–277

Juni 2019: Mucispirillum schaedleri Antagonizes Salmonella Virulence to Protect Mice against Colitis
Herp S#, Brugiroux S#, Garzetti D, Ring D, Jochum LM, Beutler M, Eberl C, Hussain S, Walter S, Gerlach RG, Ruscheweyh HJ, Huson D, Sellin ME, Slack E, Hanson B, Loy A, Baines JF, Rausch P, Basic M, Bleich A, Berry D, Stecher B.   #geteilte Autorenschaft.
Link zum vollständigen Artikel: www.ncbi.nlm.nih.gov/pubmed/31006637
Cell Host & Microbe, 2019, Volume (25), Issue 5: 681-694.e8

Mai 2019: A non‐death function of the mitochondrial apoptosis apparatus in immunity
Brokatzky D, Dörflinger B, Haimovici A, Weber A, Kirschnek S, Vier J, Metz A, Henschel J, Steinfeldt T, Gentle IE, Häcker G. Link zum vollständigen Artikel: www.ncbi.nlm.nih.gov/pubmed/?term=30979778
The EMBO Journal; Volume 38, Issue 10

April 2019: Limitation of TCA Cycle Intermediates Represents an Oxygen-Independent Nutritional Antibacterial Effector Mechanism of Macrophages
Hayek I, Fischer F, Schulze-Luehrmann J, Dettmer K, Sobotta K, Schatz V, Kohl L, Boden K, Lang R, Oefner PJ, Wirtz S, Jantsch J, Lührmann A.
Cell Reports, 2019, 26, 3502-3510. Link zum vollständigen Artikel: www.ncbi.nlm.nih.gov/pubmed/30917307

März 2019: Chronic Chlamydia infection in human organoids increases stemness and promotes age-dependent CpG methylation
Kessler M, Hoffmann K, Fritsche K, Brinkmann V, Mollenkopf HJ, Thieck O, Teixeira da Costa AR, Braicu EI, Sehouli J, Mangler M, Berger H, Meyer TF.
Nature Communications, 2019, 10(1):1194; Link zum vollständigen Artikel: www.ncbi.nlm.nih.gov/pubmed/?te

Februar 2019: Evolution of fluconazole-resistant Candida albicans strains by drug-induced mating competence and parasexual recombination
Christina Popp, Bernardo Ramírez-Zavala, Sonja Schwanfelder, Ines Krüger, Joachim Morschhäuser
mBio, 2019, 10:e02740-18;  Link zum vollständigen Artikel: www.ncbi.nlm.nih.gov/pubmed/?term=30723130

Januar 2019: Potential Role for Urine Polymerase Chain Reaction in the Diagnosis of Whipple’s Disease
Moter A*#1,2, Janneck M#3, Wolters M#4, Iking-Konert C3, Wiessner A1,2, Loddenkemper C5, Hartleben B6, Lütgehetmann M4, Schmidt J1,2, Langbehn U6, Janssen S7, Geelhaar-Karsch A7, Schneider T7, Moos V#7, Rohde H#4, Kikhney J#1,2, Wiech T#6.
#geteilte Autorenschaft, *Corrsponding author
Clinical Infectious Diseases, 2018, Oct 22
Link zum vollständigen Artikel: www.ncbi.nlm.nih.gov/pubmed/?term=30351371

Dezember 2018: The importance of adjusting for enterococcus species when assessing the burden of vancomycin resistance: a cohort study including over 1000 cases of enterococcal bloodstream infections.
Kramer TS, Remschmidt C, Werner S, Behnke M, Schwab F, Werner G, Gastmeier P, Leistner R
Antimicrobial Resistance & Infection Control 2018; 7:133
Link zum vollständigen Artikel: www.ncbi.nlm.nih.gov/pubmed/?term=30459945

November 2018: The fungal peptide toxin Candidalysin activates the NLRP3 inflammasome and causes cytolysis in mononuclear phagocytes
Kasper L#, König A#, Koenig PA#, Gresnigt MS, Westman J, Drummond RA, Lionakis MS, Groß O, Ruland J, Naglik JR, Hube B*
#geteilte Erstautorenschaft, *Corrsponding author
Nature Communication 2018 9(1), 4260
Link zum vollständigen Artikel: www.ncbi.nlm.nih.gov/pubmed/?term=PMC6189146

Oktober 2018: The olfactory epithelium as a port of entry in neonatal neurolisteriosis
Dennis Pägelow, Chintan Chhatbar, Andreas Beineke, Xiaokun Liu, Andreas Nerlich, Kira van Vorst, Manfred Rohde, Ulrich Kalinke, Reinhold Förster, Stephan Halle, Peter Valentin-Weigand, Mathias W. Hornef & Marcus Fulde
Nature Communications, 2018, Oct 15;9(1):4269. doi: 10.1038/s41467-018-06668-2.
Link zum vollständigen Artikel: https://www.ncbi.nlm.nih.gov/pubmed/30323282

September 2018: Azole-induced cell wall carbohydrate patches kill Aspergillus fumigatus, Bernadette Geißel, Veronika Loiko, Isabel Klugherz, Zhaojun Zhu, Nikola Wagener, Oliver Kurzai, Cees A. M., J. J. van den Hondel & Johannes Wagener
Nature Communications, 2018, volume 9, Article number: 3098 (2018)
Vollständiger Artikel: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078979/

August 2018: Neonatal selection by Toll-like receptor 5 influences long-term gut microbiota composition, Marcus Fulde, Felix Sommer, Benoit Chassaing, Kira van Vorst, Aline Dupont, Michael Hensel, Marijana Basic, Robert Klopfleisch, Philip Rosenstiel, André Bleich, Fredrik Bäckhed, Andrew T. Gewirtz & Mathias W. Hornef
Nature. 2018 Aug 8. doi: 10.1038/s41586-018-0395-5.
Vollständiger Artikel: https://www.nature.com/articles/s41586-018-0395-5

Juli 2018: Candida albicans-induced epithelial damage mediates translocation through intestinal barriers, Stefanie Allert & Toni M. Förster…….. and Bernhard Hube
MBio. 2018 Jun 5;9(3). pii: e00915-18. doi: 10.1128/mBio.00915-18.
Vollständiger Artikel: https://www.ncbi.nlm.nih.gov/pubmed/?term=29871918externer Link

Juni 2018: Chlamydia trachomatis paralyzes neutrophils to evade the host innate immune response, Karthika Rajeeve …….and Thomas Rudel
Nat Microbiol. 2018 Jul;3(7):824-835. doi: 10.1038/s41564-018-0182-y. Epub 2018 Jun 25.
Vollständiger Artikel: https://www.ncbi.nlm.nih.gov/pubmed/?term=29946164externer Link

Mai 2018: Combined Human Genome-wide RNAi and Metabolite Analyses Identify IMPDH as a Host-Directed Target against Chlamydia Infection, Marion Rother,…..and  Thomas Meyer
Cell Host Microbe. 2018 May 9;23(5):661-671.e8. doi: 10.1016/j.chom.2018.04.002. Epub 2018 Apr 26. Vollständiger Artikel: https://www.ncbi.nlm.nih.gov/pubmed/?term=29706504externer Link

April 2018: Minimal SPI1-T3SS effector requirement for Salmonella enterocyte invasion and intracellular proliferation in vivo, Zhang K, …….and  Hornef M*.
PloS Pathogens, 2018, 14(3), e1006925
Vollständiger Artikel: https://www.ncbi.nlm.nih.gov/pubmed/29522566

März 2018: CRISPR RNA-Dependent Binding and Cleavage of Endogenous RNAs by the Campylobacter jejuni Cas9, Dugar G, ….and Sharma CM
Molecular Cell, 2018, 69(5):893-905
Vollständiger Artikel: https://www.ncbi.nlm.nih.gov/pubmed/29499139externer Link

Februar 2018: Plasmid-Encoded Transferable mecB-Mediated Methicillin Resistance in Staphylococcus aureus, Becker K, …and Peters G
Emerg Infect Dis 2018 Feb;24(2):242-248. doi: 10.3201/eid2402.171074.
Vollständiger Artikel: https://www.ncbi.nlm.nih.gov/pubmed/29350135externer Link

Januar 2018: Lipid moieties on lipoproteins of commensal and non-commensal staphylococci induce differential immune responses, Minh-Thu Nguyen…and Friedrich Götz
t Commun. 2017 Dec 21;8(1):2246. doi: 10.1038/s41467-017-02234-4.
Vollständiger Artikel: https://www.ncbi.nlm.nih.gov/pubmed/29269769externer Link