Evidence map›Paper›PMID 26643537›Full record

ArticleThe American journal of tropical medicine and hygiene2016

Molecular Characterization of Extended-Spectrum β-Lactamase-Producer Klebsiella pneumoniae Isolates Causing Neonatal Sepsis in Peru.

Coralith García, Lizeth Astocondor, Beatriz Rojo-Bezares, Jan Jacobs, Yolanda Sáenz

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.5field-weighted citation impact, top 40% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Circulation of ESBL-producingFrontiers in public health · 2026
    Article
  2. Traditional marketed meats as a reservoir of multidrug-resistant Escherichia coli.International microbiology : the official journal of the Spanish Society for Microbiology · 2025
    Article
  3. Article
  4. Article
  5. High Prevalence ofInfection & chemotherapy · 2022
    Article
  6. Article
  7. Emerging Threat of Multidrug Resistant Pathogens From Neonatal Sepsis.Frontiers in cellular and infection microbiology · 2021
    Article
  8. Spread of ST348Microorganisms · 2020
    Article
  9. Article
  10. Article
  11. Antibiotic-ResistantThe American journal of tropical medicine and hygiene · 2019
    Article
  12. 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

5 authors at 3 institutions in 3 countries.

Coralith GarcíaInstituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru; Centro de Investigación Biomédica de La Rioja, Logroño, Spain; Institute of Tropical Medicine Antwerp, Antwerp, Belgium; Department of Microbiology and Immunology, University of Leuven, Leuven, Belgium coralith.garcia@upch.pe.
Lizeth AstocondorInstituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru; Centro de Investigación Biomédica de La Rioja, Logroño, Spain; Institute of Tropical Medicine Antwerp, Antwerp, Belgium; Department of Microbiology and Immunology, University of Leuven, Leuven, Belgium.
Beatriz Rojo-BezaresInstituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru; Centro de Investigación Biomédica de La Rioja, Logroño, Spain; Institute of Tropical Medicine Antwerp, Antwerp, Belgium; Department of Microbiology and Immunology, University of Leuven, Leuven, Belgium.
Jan JacobsInstituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru; Centro de Investigación Biomédica de La Rioja, Logroño, Spain; Institute of Tropical Medicine Antwerp, Antwerp, Belgium; Department of Microbiology and Immunology, University of Leuven, Leuven, Belgium.
Yolanda SáenzInstituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru; Centro de Investigación Biomédica de La Rioja, Logroño, Spain; Institute of Tropical Medicine Antwerp, Antwerp, Belgium; Department of Microbiology and Immunology, University of Leuven, Leuven, Belgium.
Instituut voor Tropische Geneeskunde · BEKU Leuven · BEUniversidad Peruana Cayetano Heredia · PE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Klebsiella pneumoniae (KP) is the most common cause of neonatal sepsis in the low- and middle-income countries. Our objective was to describe the phenotypic and molecular characteristics of extended-spectrum β-lactamase (ESBL)-producer KP in neonatal care centers from Peru. We collected 176 non-duplicate consecutive KP isolates from blood isolates of neonates from eight general public hospitals of Lima, Peru. The overall rate of ESBL production was 73.3% (N = 129). The resistance rates were higher among ESBL-producer isolates when compared with the nonproducers: 85.3% versus 12.8% for gentamicin (P < 0.01), 59.7% versus 8.5% for trimethoprim-sulfamethoxazole (P < 0.01), 45.0% versus 8.5% for ciprofloxacin (P < 0.01), and 36.4% versus 12.8% for amikacin (P < 0.01). A total of 359 β-lactamase-encoding genes were detected among 129 ESBL-producer isolates; 109 isolates (84.5%) carried two or more genes. Among 37 ESBL-producer isolates randomly selected, CTX-M-15 and CTX-M-2 were the most common ESBLs detected. Most of the isolates (92%) belonged to the group KpI. Pulsed-field gel electrophoresis showed that multiple KP clones were circulating among the eight neonatal units included.

Indexed as

Drug Resistance, BacterialAnti-Bacterial Agentsbeta-LactamasesGene Expression Regulation, BacterialGlucose OxidaseHumansInfant, NewbornInfant, Newborn, DiseasesKlebsiella InfectionsKlebsiella pneumoniaeLactoperoxidasePeruSepsisAnti-Bacterial Agentsbeta-LactamasesenzymobeadsGlucose OxidaseLactoperoxidase

Identifiers

PMID26643537
PMCPMC4751962
OpenAlexW2263588590

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.