Evidence map›Paper›PMID 26539176›Full record

ArticleFrontiers in microbiology2015

Wide distribution of carbapenem resistant Acinetobacter baumannii in burns patients in Iran.

Zahra Farshadzadeh, Farhad B Hashemi, Sara Rahimi, Babak Pourakbari, Davoud Esmaeili, Mohammad A Haghighi, Ali Majidpour, Saeed Shojaa, Maryam Rahmani, Samira Gharesi and 2 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in microbiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

22 citing papers in PubMed, 65 citations in OpenAlex.

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  4. Review
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  8. Article
  9. Carbapenem resistance inIranian journal of microbiology · 2021
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  12. Article
  13. Article
  14. Antibiotic resistance pattern ofIranian journal of microbiology · 2019
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  15. Article
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  19. Extensive colonization with carbapenemase-producing microorganisms in Romanian burn patients: infectious consequences from the Colectiv fire disaster.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018
    Article
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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

12 authors at 5 institutions in 1 country.

Zahra FarshadzadehDepartment of Microbiology, School of Medicine, Tehran University of Medical Sciences Tehran, Iran.
Farhad B HashemiDepartment of Microbiology, School of Medicine, Tehran University of Medical Sciences Tehran, Iran.
Sara RahimiDepartment of Microbiology, School of Medicine, Bushehr University of Medical Sciences Bushehr, Iran.
Babak PourakbariPediatrics Infectious Diseases Research Center, School of Medicine, Tehran University of Medical Sciences Tehran, Iran.
Davoud EsmaeiliMolecular Biology Research Center, Baqiyatallah University of Medical Sciences Tehran, Iran.
Mohammad A HaghighiDepartment of Microbiology, School of Medicine, Bushehr University of Medical Sciences Bushehr, Iran.
Ali MajidpourAnti-microbial Resistance Research Center, Iran University of Medical Sciences Tehran, Iran.
Saeed ShojaaDepartment of Microbiology, Faculty of Medicine, Hormozgan University of Medical Sciences Bandar Abbas, Iran.
Maryam RahmaniDepartment of Microbiology, School of Medicine, Tehran University of Medical Sciences Tehran, Iran.
Samira GharesiDepartment of Microbiology, School of Medicine, Tehran University of Medical Sciences Tehran, Iran.
Masoud AziemzadehDepartment of Microbiology, School of Medicine, Bushehr University of Medical Sciences Bushehr, Iran.
Abbas BahadorDepartment of Microbiology, School of Medicine, Tehran University of Medical Sciences Tehran, Iran.
Tehran University of Medical Sciences · IRBushehr University of Medical Sciences · IRBaqiyatallah University of Medical Sciences · IRHormozgan University of Medical Sciences · IRIran University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antimicrobial resistance in carbapenem non-susceptible Acinetobacter baumannii (CNSAb) is a major public health concern globally. This study determined the antibiotic resistance and molecular epidemiology of CNSAb isolates from a referral burn center in Tehran, Iran. Sixty-nine CNSAb isolates were tested for susceptibility to antimicrobial agents using the E test methodology. Multiple locus variable number tandem repeat analysis (MLVA), Multilocus sequence typing (MLST) and multiplex PCR were performed. PCR assays tested for ambler classes A, B, and D β-lactamases. Detection of ISAba1, characterization of integrons, and biofilm formation were investigated. Fifty-three (77%) isolates revealed XDR phenotypes. High prevalence of bla OXA-23-like (88%) and bla PER-1 (54%) were detected. ISAba1 was detected upstream of bla ADC, bla OXA-23-like and bla OXA51-like genes in, 97, 42, and 26% of isolates, respectively. Thirty-one (45%) isolates were assigned to international clone (IC) variants. MLVA identified 56 distinct types with six clusters and 53 singleton genotypes. Forty previously known MLST sequence types forming 5 clonal complexes were identified. The Class 1 integron (class 1 integrons) gene was identified in 84% of the isolates. The most prevalent (33%) cassette combination was aacA4-catB8-aadA1. The IC variants were predominant in the A. baumannii lineage with the ability to form strong biofilms. The XDR-CNSAb from burned patients in Iran is resistant to various antimicrobials, including tigecycline. This study shows wide genetic diversity in CNSAb. Integrating the new Iranian A. baumannii IC variants into the epidemiologic clonal and susceptibility profile databases can help effective global control measures against the XDR-CNSAb pandemic.

Indexed as

antimicrobial resistanceintegroninternational cloneMLSTMLVA

Identifiers

PMID26539176
PMCPMC4611150
OpenAlexW2192226600

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Registered trials

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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.