Evidence map›Paper›PMID 23703350›Full record

ArticleThe Indian journal of medical research2013

Antimicrobial susceptibility of Salmonella enterica serovars in a tertiary care hospital in southern India.

Ashwini Choudhary, Ram Gopalakrishnan, P Senthur Nambi, V Ramasubramanian, K Abdul Ghafur, M A Thirunarayan

Abstract read
In one paragraph

Article in The Indian journal of medical research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. A systematic review of antimicrobial resistance of typhoidalThe Indian journal of medical research · 2019
    Pooled it
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  6. Epidemiology of Multidrug-ResistantJournal of tropical medicine · 2024
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  9. Sensitivity Pattern OfInfection and drug resistance · 2019
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  10. Myositis associated withJournal of family medicine and primary care · 2019
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  11. mBio · 2018
    Article
  12. Longitudinal Typhoid Fever Trends in India from 2000 to 2015.The American journal of tropical medicine and hygiene · 2018
    Article
  13. Article
  14. Drug Resistance Pattern in the Recent Isolates ofJournal of clinical and diagnostic research : JCDR · 2017
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  15. Pefloxacin as a surrogate marker for quinolone susceptibility inThe Indian journal of medical research · 2017
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  19. Antibiogram of Salmonella Isolates: Time to Consider Antibiotic Salvage.Journal of clinical and diagnostic research : JCDR · 2016
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Ashwini ChoudharyDepartment of Infectious Diseases, Apollo Hospitals, Chennai, India. drashwini.tayade@gmail.com
Ram Gopalakrishnan
P Senthur Nambi
V Ramasubramanian
K Abdul Ghafur
M A Thirunarayan
Apollo Hospitals · INApollo Hospitals · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

objectivesSalmonella enterica serovars Typhi and Paratyphi are predominantly known to cause enteric fever. Multidrug resistance in S. Tphi and S. Paratyphi has emerged as a cause of concern. This study was done to evaluate status in antimicrobial susceptibility patterns of Salmonella enterica serovar Typhi (S. Typhi) and S. Paratyphi obtained from blood culture in a tertiary care hospital in south India.

methodsBlood isolates of Salmonella species over a two year period between May 2009 and June 2011 were studied. A total of 322 isolates of Salmonella species were tested for antimicrobial susceptibility by Kirby-Bauer disc diffusion method. The MIC of ciprofloxacin was obtained by E-test, and azithromycin MIC was confirmed by agar dilution method for a limited number of isolates.

resultsOf the total of 322 isolates studied, 186 (57.8%) were S. Typhi, 134 (41.6%) were S. Paratyphi A, and two were S. Paratyphi B. Of these, 44(13.66%) were resistant to ciprofloxacin (MIC <0.50 μg/ml) and 296 (91.9%) were nalidixic acid resistant. Of these 296 nalidixic acid resistant isolates, 278 (94%) were susceptible to ciprofloxacin by MIC criteria (<0.5 μg/ml). Of the 262 isolates tested for azithromycin sensitivity, only 120 (46%) were susceptible, whereas 81 (31%) were resistant and 55 (21%) showed intermediate susceptibility. Of the isolates, 322 (90%) were susceptible to ampicillin and (95%) were susceptible to co-trimoxazole. However, all the isolates were susceptible to chloramphenicol and ceftriaxone. INTERPRETATION &

conclusionsNalidixic acid resistance screening is not a reliable surrogate indicator of ciprofloxacin resistance. Ciprofloxacin MIC should to be routinely done. Azithromycin resistance appears to be emerging. However, isolates showed a high degree of susceptibility to ampicillin, co-trimoxazole and chloramphenicol. Thus, antibiotics like ampicillin and co-trimoxazole may once again be useful for the management of enteric fever in southern India.

Indexed as

AmpicillinChloramphenicolCiprofloxacinDisk Diffusion Antimicrobial TestsDrug Resistance, BacterialHumansIndiaMicrobial Sensitivity TestsNalidixic AcidSalmonella paratyphi ASalmonella typhiTertiary Health CareTrimethoprim, Sulfamethoxazole Drug CombinationTyphoid FeverAmpicillinChloramphenicolCiprofloxacinNalidixic AcidTrimethoprim, Sulfamethoxazole Drug Combination

Identifiers

PMID23703350
PMCPMC3724263
OpenAlexW2119426104

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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Registered trials

None linked

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.