Evidence map›Paper›PMID 23638855›Full record

ArticleAnnals of clinical microbiology and antimicrobials2013

Genetic characterization of antimicrobial resistance of Shigella flexneri 1c isolates from patients in Egypt and Pakistan.

Salwa F Ahmed, John Klena, Tupur Husain, Jesse Monestersky, Amel Naguib, Momtaz O Wasfy

Abstract read
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Article in Annals of clinical microbiology and antimicrobials, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
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11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Clonal serotype 1c multidrug-resistantFrontiers in medicine · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Genome Sequencing Analysis of AtypicalOsong public health and research perspectives · 2017
    Article
  11. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Salwa F AhmedResearch Science Directorate, United States Naval Medical Research Unit No. 3, Cairo, Egypt. salwa.fouad.eg@med.navy.mil
John Klena
Tupur Husain
Jesse Monestersky
Amel Naguib
Momtaz O Wasfy

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShigella flexneri serotype 1c emerged as a critical isolate from children in Egypt and Pakistan. The pattern of antimicrobial susceptibility (AMS) and resistance genes of this serotype have yet to be characterized.

findingsSixty nine S. flexneri 1c isolates isolates were identified from both Egypt (n-46) and Pakistan (n = 23) and tested for AMS by disk diffusion method and minimal inhibitory concentrations were also determined. Isolates were genotyped by pulsed field gel electrophoresis (PFGE) and five relevant resistance genes (bla(TEM), bla(SHV), bla(OXA), sulI and sulII) were detected by polymerase chain reaction (PCR) and confirmed by DNA sequencing. High resistance was observed in all isolates for ampicillin (AM >96%); trimethoprim-sulphamethoxazole and tetracycline (>88%). Most AM-resistant isolates from Egypt (70%) harbored bla(TEM) resistance, while 52% of isolates from Pakistan expressed bla(OXA). All isolates were closely related by PFGE, irrespective of source or time of collection. The sulII gene was present in 100% of isolates from pediatric cases in Egypt, 65% of Pakistan isolates, and 53% of isolates from older Egyptian patients.

conclusionsWhile different Shigella serotypes gathered in specific genotypic groups, 1c serotype isolates formed multiple clusters. Although AMS was considerably high to most commonly used drugs, genetic determinants were variable between countries over time. The data stress the need for a more careful selection of antibiotics in the treatment of shigellosis.

Indexed as

Drug Resistance, Multiple, BacterialAdolescentAmpicillinAnti-Bacterial AgentsBacterial ProteinsBacterial Typing Techniquesbeta-LactamasesCarrier ProteinsChildChild, PreschoolDisk Diffusion Antimicrobial TestsDysentery, BacillaryEgyptGenes, BacterialHumansPakistanAmpicillinAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesCarrier ProteinsSul2 protein, bacteriaTrimethoprim

Identifiers

PMID23638855
PMCPMC3661368

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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.