Evidence map›Paper›PMID 27400864›Full record

ArticleBMC infectious diseases2016

High prevalence of extended-spectrum ß-lactamase producing enterobacteriaceae among clinical isolates in Burkina Faso.

Abdoul-Salam Ouedraogo, Mahamadou Sanou, Aimée Kissou, Soufiane Sanou, Hermann Solaré, Firmin Kaboré, Armel Poda, Salim Aberkane, Nicolas Bouzinbi, Idrissa Sano and 7 more

Abstract read
In one paragraph

Article in BMC infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

60 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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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

17 authors.

Abdoul-Salam OuedraogoCentre Hospitalier Universitaire Souro Sanou, BP 676, Bobo Dioulasso, Burkina Faso. abdousal2000@yahoo.fr.
Mahamadou SanouCentre Hospitalier Universitaire Pédiatrique Charles de Gaulle, Ouagadougou, Burkina Faso.
Aimée KissouCentre Hospitalier Universitaire Souro Sanou, BP 676, Bobo Dioulasso, Burkina Faso.
Soufiane SanouCentre Hospitalier Universitaire Souro Sanou, BP 676, Bobo Dioulasso, Burkina Faso.
Hermann SolaréCentre Hospiatlier Universitaire Yalgado Ouédraogo, Ouagadougou, Burkina Faso.
Firmin KaboréCentre Hospitalier Universitaire Souro Sanou, BP 676, Bobo Dioulasso, Burkina Faso.
Armel PodaCentre Hospitalier Universitaire Souro Sanou, BP 676, Bobo Dioulasso, Burkina Faso.
Salim AberkaneCentre Hospitalier Régional Universitaire (CHRU) de Montpellier, Département de Bactériologie-Virologie, Montpellier, France.
Nicolas BouzinbiCentre Hospitalier Régional Universitaire (CHRU) de Montpellier, Département de Bactériologie-Virologie, Montpellier, France.
Idrissa SanoCentre Hospiatlier Universitaire Yalgado Ouédraogo, Ouagadougou, Burkina Faso.
Boubacar NacroCentre Hospitalier Universitaire Souro Sanou, BP 676, Bobo Dioulasso, Burkina Faso.
Lassana SangaréCentre Hospiatlier Universitaire Yalgado Ouédraogo, Ouagadougou, Burkina Faso.
Christian CarrièreCentre Hospitalier Régional Universitaire (CHRU) de Montpellier, Département de Bactériologie-Virologie, Montpellier, France.
Dominique DecréCIMI, team E13 (bacteriology), Sorbonne University, UPMC Université Paris 06 CR7, F-75013, Paris, France.
Rasmata OuégraogoCentre Hospitalier Universitaire Pédiatrique Charles de Gaulle, Ouagadougou, Burkina Faso.
Hélène Jean-PierreCentre Hospitalier Régional Universitaire (CHRU) de Montpellier, Département de Bactériologie-Virologie, Montpellier, France.
Sylvain GodreuilCentre Hospitalier Régional Universitaire (CHRU) de Montpellier, Département de Bactériologie-Virologie, Montpellier, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNothing is known about the epidemiology and resistance mechanisms of extended-spectrum ß-lactamase-producing Enterobacteriaceae (ESBL-PE) in Burkina Faso. The objective of this study was to determine ESBL-PE prevalence and to characterize ESBL genes in Burkina Faso.

methodsDuring 2 months (June-July 2014), 1602 clinical samples were sent for bacteriologic investigations to the microbiology laboratories of the tree main hospitals of Burkina Faso. Isolates were identified by mass spectrometry using a matrix-assisted laser desorption ionization-time of flight (MALDI-TOF) BioTyper. Antibiotic susceptibility was tested using the disk diffusion method on Müller-Hinton agar. The different ESBL genes in potential ESBL-producing isolates were detected by PCR and double stranded DNA sequencing. Escherichia coli phylogenetic groups were determined using a PCR-based method.

resultsESBL-PE frequency was 58 % (179 strains among the 308 Enterobacteriaceae isolates identified in the collected samples; 45 % in outpatients and 70 % in hospitalized patients). The CTX-M-1 group was dominant (94 %, CTX-M-15 enzyme), followed by the CTX-M-9 group (4 %). ESBL producers were more often found in E. coli (67.5 %) and Klebsiella pneumoniae (26 %) isolates. E. coli isolates (n = 202; 60 % of all Enterobacteriaceae samples) were distributed in eight phylogenetic groups (A = 49, B1 = 15, B2 = 43, C = 22, Clade I = 7, D = 37, F = 13 and 16 unknown); 22 strains belonged to the sequence type ST131. No association between a specific strain and ESBL production was detected.

conclusionsThis report shows the alarming spread of ESBL genes in Burkina Faso. Public health efforts should focus on education (population and healthcare professionals), surveillance and promotion of correct and restricted antibiotic use to limit their dissemination.

Indexed as

AdolescentAdultAgedAnti-Bacterial Agentsbeta-LactamasesBurkina FasoChildChild, PreschoolDNA, BacterialEnterobacteriaceaeEnterobacteriaceae InfectionsEscherichia coliFemaleHumansInfantInfant, NewbornAnti-Bacterial Agentsbeta-LactamasesDNA, BacterialBurkina FasoClinical samplesEnterobacteriaceaeESBLInpatient and outpatient

Identifiers

PMID27400864
PMCPMC4939587

What OpenQuestion holds

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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.