{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T02:37:24Z","timestamp":1783132644410,"version":"3.54.6"},"reference-count":12,"publisher":"American Society for Microbiology","issue":"6","license":[{"start":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T00:00:00Z","timestamp":1702339200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T00:00:00Z","timestamp":1702339200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["Microbiol Spectr"],"published-print":{"date-parts":[[2023,12,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n          <jats:p>\n            The majority of antimicrobial susceptibility testing (AST) in Dutch medical microbiology laboratories (MMLs) is performed using the automated system VITEK2 or Phoenix. One of the Phoenix users noted a high percentage of gentamicin resistance in\n            <jats:italic>Proteus mirabilis<\/jats:italic>\n            compared to national resistance data. We therefore performed a descriptive analysis comparing gentamicin and tobramycin minimum inhibitory concentration (MIC) distributions for Enterobacterales and non-fermenters as measured using VITEK2 and Phoenix. Routine susceptibility data from 5 MMLs using Phoenix and 31 using VITEK2 with complete data in the Dutch national surveillance system for antimicrobial resistance from January 2016 to December 2021 were included. A panel of 12 discrepant isolates was sent to Becton Dickinson for confirmation. In general, Phoenix measured higher MICs, with discrepancies being most prevalent for\n            <jats:italic>Proteus<\/jats:italic>\n            ,\n            <jats:italic>Providencia<\/jats:italic>\n            ,\n            <jats:italic>Morganella<\/jats:italic>\n            ,\n            <jats:italic>Serratia,<\/jats:italic>\n            and\n            <jats:italic>Acinetobacter<\/jats:italic>\n            species (borderline susceptibility for gentamicin ranging from 1% for VITEK2 to 67% for Phoenix systems), and less, but still clinically relevant, for\n            <jats:italic>Escherichia coli<\/jats:italic>\n            (1%\u201312%). Furthermore, we observed a yearly increase in resistance for\n            <jats:italic>Proteus<\/jats:italic>\n            and\n            <jats:italic>Providencia<\/jats:italic>\n            species measured by Phoenix. Similar discrepancies were found for tobramycin. The company confirmed our findings on all strains. Significantly more false aminoglycoside borderline susceptible and resistant Enterobacterales were found using Phoenix compared to the VITEK2 system. These findings should be taken into consideration in the development of clinical treatment guidelines for patients with sepsis.\n          <\/jats:p>\n          <jats:sec>\n            <jats:title>IMPORTANCE<\/jats:title>\n            <jats:p>Antimicrobial sensitivity data are important to guide antimicrobial therapy. In microbiological laboratories, routine sensitivity measurements are typically performed with automated testing systems such as VITEK2 and Phoenix. Using data from the Dutch national surveillance system for antimicrobial resistance over a 6-year period, we found that the measured minimum inhibitory concentrations for aminoglycosides in Enterobacterales and non-fermenters were too high for the Phoenix system. In addition, we observed a yearly increase in resistance for several species measured by Phoenix. These findings might have consequences for clinical treatment of patients with sepsis.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1128\/spectrum.03093-23","type":"journal-article","created":{"date-parts":[[2023,11,16]],"date-time":"2023-11-16T14:00:32Z","timestamp":1700143232000},"update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":3,"title":["False aminoglycoside resistance in Enterobacterales and non-fermenters by an automated testing system: a descriptive study"],"prefix":"10.1128","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8155-5336","authenticated-orcid":true,"given":"P. M. C.","family":"Klein Klouwenberg","sequence":"first","affiliation":[{"name":"Department of pharmacy, Fundashon Mariadal , Kralendijk, Bonaire, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Altorf\u2013van der Kuil","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM) , Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. J.","family":"van Griethuysen","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Gelderse Vallei Hospital , Ede, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Hendriks","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Gelderse Vallei Hospital , Ede, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5726-2405","authenticated-orcid":false,"given":"E. J.","family":"Kuijper","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM) , Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. W.","family":"Notermans","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM) , Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3447-2009","authenticated-orcid":false,"given":"A. F.","family":"Schoffelen","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM) , Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the ISIS-AR study group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.W.T.","family":"Cohen Stuart","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Noordwest Ziekenhuisgroep , Alkmaar, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.C.","family":"Melles","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Meander Medical Center , Amersfoort, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"van Dijk","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Infection Prevention, Amsterdam UMC, University of Amsterdam, Amsterdam Infection and Immunity Institute , Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Alzubaidy","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Atalmedial , Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Scholing","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, OLVG Lab BV , Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.D.","family":"Kuil","sequence":"additional","affiliation":[{"name":"Public Health Service, Public Health Laboratory , Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.J.","family":"Blaauw","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Infection Prevention, Gelre Hospitals , Apeldoorn, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Altorf\u2013van der Kuil","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM) , Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.M.","family":"Bierman","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM) , Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.C.","family":"de Greeff","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM) , Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.R.","family":"Groenendijk","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM) , Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Hertroys","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM) , Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Marchal","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM) , Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.C.M.","family":"Monen","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM) , Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Polman","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM) , Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.J.","family":"van den Reek","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM) , Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Schneeberger\u2013van der Linden","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM) , Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.F.","family":"Schoffelen","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM) , Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.C.H.","family":"Wielders","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM) , Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.J.","family":"de Wit","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM) , Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.E.","family":"Zoetigheid","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM) , Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"van den Bijllaardt","sequence":"additional","affiliation":[{"name":"Microvida Amphia, Laboratory for Microbiology and Infection Control , Breda, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.M.","family":"Kraan","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, IJsselland Hospital , Capelle aan den IJssel, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.B.","family":"Haeseker","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Haeseker, Reinier de Graaf Group , Delft, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.M.","family":"da Silva","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Deventer Hospital , Deventer, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"de Jong","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Slingeland Hospital , Doetinchem, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Maraha","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Albert Schweitzer Hospital , Dordrecht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.J.","family":"van Griethuysen","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Gelderse Vallei Hospital , Ede, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.B.","family":"Wintermans","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Admiraal De Ruyter Hospital , Goes, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.J.C.A.","family":"van Trijp","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Infection Prevention, Groene Hart Hospital , Gouda, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.E.","family":"Muller","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Haaglanden MC , 's-Gravenhage, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Haga Hospital , 's-Gravenhage, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Ott","sequence":"additional","affiliation":[{"name":"Certe, Medical Microbiology Groningen|Drenthe , Groningen, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Bathoorn","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, University of Groningen, University Medical Center , Groningen, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Lokate","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, University of Groningen, University Medical Center , Groningen, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Sinnige","sequence":"additional","affiliation":[{"name":"Regional Public Health Laboratory Haarlem , Haarlem, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.C.","family":"Melles","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, St Jansdal Hospital , Harderwijk, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.H.","family":"Renders","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Infection Control, Jeroen Bosch Hospital , 's-Hertogenbosch, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.W.","family":"Dorigo\u2013Zetsma","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, CBSL, Tergooi MC , Hilversum, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.J.","family":"Bakker","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, CBSL, Tergooi MC , Hilversum, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Waar","sequence":"additional","affiliation":[{"name":"Certe, Medical Microbiology Friesland|NOP , Leeuwarden, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.T.","family":"van der Beek","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Leiden University Medical Center , Leiden, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.A.","family":"Leversteijn\u2013van Hall","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Eurofins Clinical Diagnostics , Leiden-Leiderdorp, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.P.","family":"van Mens","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Maastricht University Medical Centre , Maastricht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Schaftenaar","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Immunology, St Antonius Hospital , Nieuwegein, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.H.","family":"Nabuurs\u2013Franssen","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Infectious Diseases, Canisius Wilhelmina Hospital , Nijmegen, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Maat","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Radboud University Medical Center , Nijmegen, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.D.J.","family":"Sturm","sequence":"additional","affiliation":[{"name":"Laurentius Hospital , Roermond, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.M.W.","family":"Diederen","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Bravis Hospital , Roosendaal, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.G.M.","family":"Bode","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center , Rotterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.S.Y.","family":"Ong","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Infection Control, Franciscus Gasthuis and Vlietland , Rotterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"van Rijn","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Ikazia Hospital , Rotterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Pontesilli","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Ikazia Hospital , Rotterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Dinant","sequence":"additional","affiliation":[{"name":"Star-SHL , Rotterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.W.","family":"van Dam","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Infection Control, Zuyderland Medical Centre , Sittard-Geleen, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.I.G.B.","family":"de Brauwer","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Infection Control, Zuyderland Medical Centre , Sittard-Geleen, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.G.","family":"Bentvelsen","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Microvida ZorgSaam , Terneuzen, the Netherlands"},{"name":"Department of Medical Microbiology, Microvida ZorgSaam , Terneuzen, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.G.M.","family":"Buiting","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, St. Elisabeth Hospital , Tilburg, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.L.M.","family":"Vlek","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Immunology, Diakonessenhuis , Utrecht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"de Graaf","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Saltro Diagnostic Centre , Utrecht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Troelstra","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, University Medical Center Utrecht , Utrecht, the 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Available from: https:\/\/www.eucast.org\/fileadmin\/src\/media\/PDFs\/EUCAST_files\/Breakpoint_tables\/v_12.0_Breakpoint_Tables.xlsx"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0210012"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2017.22.46.17-00062"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmi.2020.01.018"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1159\/000237829"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1128\/jcm.30.3.585-589.1992"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2012.03980.x"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijantimicag.2019.05.002"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13756-017-0235-7"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.02006-09"}],"container-title":["Microbiology Spectrum"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.asm.org\/doi\/pdf\/10.1128\/spectrum.03093-23","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.asm.org\/doi\/pdf\/10.1128\/spectrum.03093-23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T13:44:49Z","timestamp":1702388689000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.asm.org\/doi\/10.1128\/spectrum.03093-23"}},"subtitle":[],"editor":[{"given":"Krisztina M.","family":"Papp-Wallace","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2023,12,12]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,12,12]]}},"alternative-id":["10.1128\/spectrum.03093-23"],"URL":"https:\/\/doi.org\/10.1128\/spectrum.03093-23","relation":{},"ISSN":["2165-0497"],"issn-type":[{"value":"2165-0497","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,12]]},"assertion":[{"value":"2023-08-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e03093-23"}}