Evidence map›Paper›PMID 30464557›Full record

ArticleInfection and drug resistance2018

Community acquired pneumonia among adult patients at an Egyptian university hospital: bacterial etiology, susceptibility profile and evaluation of the response to initial empiric antibiotic therapy.

Rehab H El-Sokkary, Raghdaa A Ramadan, Mohamed El-Shabrawy, Lobna A El-Korashi, Abeer Elhawary, Sameh Embarak, Rehab M Elsaid Tash, Neveen G Elantouny

Abstract read
In one paragraph

Article in Infection and drug resistance, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Ceftaroline Exhibits PromisingInternational journal of microbiology · 2025
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  13. Bacterial Isolates and Antibacterial Resistance Patterns in a Patient with Acute Exacerbation of Chronic Obstructive Pulmonary Disease in a Tertiary Teaching Hospital, Southwest Ethiopia.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2022
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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

8 authors.

Rehab H El-SokkaryMedical Microbiology and Immunology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt, rehab_elsokkary@yahoo.com.
Raghdaa A RamadanMedical Microbiology and Immunology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt, rehab_elsokkary@yahoo.com.
Mohamed El-ShabrawyChest Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Lobna A El-KorashiMedical Microbiology and Immunology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt, rehab_elsokkary@yahoo.com.
Abeer ElhawaryChest Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Sameh EmbarakChest Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Rehab M Elsaid TashMedical Microbiology and Immunology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt, rehab_elsokkary@yahoo.com.
Neveen G ElantounyInternal Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffective empirical antibiotic therapy for community acquired pneumonia (CAP), based on frequently updated data about the pattern of bacterial distribution and their antimicrobial susceptibilities, is mandatory.

aimTo identify the bacterial etiology of CAP in adults and their antibiotic susceptibility patterns and to evaluate the response to initial empirical antibiotic therapy in an Egyptian university hospital. SETTINGS AND

designA cross-sectional hospital-based study. PATIENTS AND

methodsCAP cases were selected by systemic random sampling from those admitted to the chest department. All were evaluated at admission and 4 days after starting empiric therapy. Typical bacteria were isolated, identified and tested for their antibiotic susceptibility. An indirect IF assay was used to diagnose atypical bacteria. Clinical response to initial empiric antibiotic therapy was clinically, laboratory and radiologically evaluated.

resultsTwo hundred and seventy CAP patients were included. Bacteria represented 50.4% of them.

conclusionMultidrug resistance in bacteria causing CAP and high frequency of isolation of hospital pathogens are prominent features of this study. Azithromycin containing regimens were associated with the lowest rates of nonresponsiveness. Development and implementation of an antibiotic stewardship program are highly recommended for CAP management.

Indexed as

antibiotic stewardshipatypical bacteriacommunityempirical therapyinfection controlpneumoniarespiratory infection

Identifiers

PMID30464557
PMCPMC6223388

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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.