Evidence map›Paper›PMID 27522002›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2016

Trends in antibiotic resistance among major bacterial pathogens isolated from blood cultures tested at a large private laboratory network in India, 2008-2014.

Sumanth Gandra, Nestor Mojica, Eili Y Klein, Ashvin Ashok, Vidya Nerurkar, Mamta Kumari, Uma Ramesh, Sunanda Dey, Viral Vadwai, Bibhu R Das and 1 more

Open access · goldAbstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 1% 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

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 143 citations in OpenAlex.

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  14. Ceftazidime-avibactam activity againstIranian journal of microbiology · 2025
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4 more citing papers are in PubMed but not listed here.

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

11 authors at 3 institutions in 2 countries.

Sumanth GandraCenter for Disease Dynamics, Economics and Policy, New Delhi, India.
Nestor MojicaCenter for Disease Dynamics, Economics and Policy, New Delhi, India.
Eili Y KleinJohns Hopkins University, Department of Emergency Medicine, Baltimore, Maryland, USA; Center for Disease Dynamics, Economics and Policy, 1400 Eye Street NW, Suite 500, Washington, DC, 20005, USA.
Ashvin AshokJohns Hopkins University, Department of Emergency Medicine, Baltimore, Maryland, USA.
Vidya NerurkarSRL Limited, Mumbai, India.
Mamta KumariSRL Limited, Mumbai, India.
Uma RameshSRL Limited, Mumbai, India.
Sunanda DeySRL Limited, Mumbai, India.
Viral VadwaiSRL Limited, Mumbai, India.
Bibhu R DasSRL Limited, Mumbai, India.
Ramanan LaxminarayanCenter for Disease Dynamics, Economics and Policy, New Delhi, India; Public Health Foundation of India, Gurgaon, India; Princeton Environmental Institute, Princeton, New Jersey, USA. Electronic address: ramanan@cddep.org.
Center for Disease Dynamics, Economics and Policy · INCenter for Disease Dynamics, Economics & Policy · USJohns Hopkins Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThere have been no long-term studies on trends in antibiotic resistance (ABR) on a national scale in India. Using a private laboratory network, the ABR patterns of organisms most commonly associated with bacteremia, obtained from patients across India between 2008 and 2014, were examined.

methodsA retrospective study of patient blood cultures collected over a 7-year period (January 1, 2008-December 31, 2014) was conducted. Data on the microorganism(s) identified and their antimicrobial susceptibility were obtained from SRL Diagnostics (Mumbai, India).

resultsOf 135268 blood cultures, 18695 (14%) had at least one identified pathogen. In addition to continual high rates of methicillin-resistant Staphylococcus aureus (MRSA; approximately 44.2%), high resistance to nalidixic acid among Salmonella Typhi (98%) was observed, and carbapenem resistance increased in both Escherichia coli (7.8% to 11.5%; p=0.332) and Klebsiella pneumoniae (41.5% to 56.6%; p<0.001). Carbapenem resistance was also stable and high for both Acinetobacter species (approximately 69.6%) and Pseudomonas aeruginosa (approximately 49%). Resistance was also detected to colistin in the Gram-negatives and to vancomycin and linezolid in S. aureus.

conclusionIncreasing resistance to antibiotics of last-resort, particularly among Gram-negatives, suggests an urgent need for new antibiotics and improved antimicrobial stewardship programs in India.

Indexed as

Drug Resistance, BacterialAdultAgedAnti-Bacterial AgentsBacteremiaBacteriaBlood CultureCarbapenemsFemaleHumansIndiaMaleMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsMiddle AgedRetrospective StudiesAnti-Bacterial AgentsCarbapenemsAntibacterial agentsAntibiotic resistanceBlood culture isolatesIndiaTrends

Identifiers

PMID27522002
PMCPMC5063511
OpenAlexW2513242990

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.