Evidence map›Paper›PMID 30558551›Full record

ArticleBMC infectious diseases2018

Prevalence of metallo-β-lactamase acquired genes among carbapenems susceptible and resistant Gram-negative clinical isolates using multiplex PCR, Khartoum hospitals, Khartoum Sudan.

Mudathir Abdallah Adam, Wafa I Elhag

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  6. Review
  7. Article
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  9. Review
  10. Article
  11. Article
  12. Article
  13. Antibiotics (Basel, Switzerland) · 2023
    Article
  14. Article
  15. Article
  16. The Emergence of Carbapenem ResistantInfection and drug resistance · 2022
    Article
  17. Article
  18. β-lactam Resistance inPathogens (Basel, Switzerland) · 2021
    Review
  19. Prevalence of multidrug-resistance andIranian journal of microbiology · 2021
    Article
  20. Review
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

2 authors at 1 institution in 1 country.

Mudathir Abdallah AdamMedical Microbiology Department, Faculty of Medical Laboratory Science, Al Neelain University, Khartoum, Sudan. mudathirdodo@gmail.com.
Wafa I ElhagMedical Microbiology Department, Faculty of Medical Laboratory Science, Al Neelain University, Khartoum, Sudan. Wafaelhag75@yahoo.com.
Al-Neelain University · SD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe increased prevalence of carbapenem-resistant Gram-negative isolates caused by Metallo-β-lactamase (MBL) is worrisome in clinical settings worldwide. The mortality rate associated with infections caused by MBLs producing organisms ranging from 18 to 67%. This study aimed to determine the prevalence of Metallo-β-lactamase genes among some Gram-negative clinical isolates (Carbapenems susceptible and resistant).

methodsThis paper describes a descriptive cross-sectional study carried out to detect MBL genes such as (blaVIM, blaIMP and blaNDM) by multiplex PCR mixture reaction among 200 Gram-negative clinical isolates (Citrobacter spp, Escherichia coli, Enterobacter spp, Klebsiella pneumoniae, Pseudomonas aeruginosa, Proteus mirabilis, Proteus valgaris). Khartoum hospitals during 2015 to 2016. LIMITATION: The study organisms were not evaluated for non-MBL carbapenemases, such as KPC and OXA-48.

resultsThe prevalence of MBL genes by multiplex PCR assays among 200 Gram-negative clinical isolates was 72(36.1%). MBL positive genes among 100 carbapenems sensitive and 100 resistant isolates were 27(27%) and 45(45%) respectively. There was a statistically, significant association between the antimicrobial susceptibility and the presences of MBL genes (P.value = 0.008). E.coli was the predominant species possessing MBL genes 26(36.1%), with 22(30.7%) species having a combination of MBL genes. Verona integron Metallo beta-lactamase (VIM) was the most frequent genes 28(38.9%) out of 72 MBL detected genes, followed by imipenemase (IMP) was 19(26.4%), and consequently, New Delhi Metallo beta lactamase was 3(4.2%).

conclusionThis study revealed a high prevalence of MBL genes in some Gram-negative isolates from Khartoum State Hospitals which were not previously established in these hospitals.

Indexed as

Multiplex Polymerase Chain ReactionAnti-Bacterial AgentsBacterial Typing Techniquesbeta-LactamasesCarbapenemsCross-Sectional StudiesGram-Negative BacteriaGram-Negative Bacterial InfectionsHumansKlebsiella pneumoniaeMicrobial Sensitivity TestsPrevalencePseudomonas aeruginosaSudanAnti-Bacterial Agentsbeta-LactamasesCarbapenemsCarbapenemGram-negative bacteriaIMPKhartoumMetallo β-lactamaseNDMPCRVIM

Identifiers

PMID30558551
PMCPMC6296134
OpenAlexW2904901411

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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.