Evidence map›Paper›PMID 30913243›Full record

ArticlePloS one2019

A snapshot of antimicrobial resistance in Mexico. Results from 47 centers from 20 states during a six-month period.

Elvira Garza-González, Rayo Morfín-Otero, Soraya Mendoza-Olazarán, Paola Bocanegra-Ibarias, Samantha Flores-Treviño, Eduardo Rodríguez-Noriega, Alfredo Ponce-de-León, Domingo Sanchez-Francia, Rafael Franco-Cendejas, Sara Arroyo-Escalante and 42 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Global prevalence of macrolide-resistantFrontiers in microbiology · 2025
    Pooled it
  2. Article
  3. Article
  4. The threat of multidrug-resistant microorganisms: active surveillance of key antimicrobial resistant pathogens in 2025 - a report from the INVIFAR network.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  5. Prevalence and antimicrobial resistance ofJournal of preventive medicine and hygiene · 2026
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  6. Trends, Seasonality, and the Impact of COVID-19 on ClinicalAntibiotics (Basel, Switzerland) · 2026
    Article
  7. Article
  8. Clonal Dissemination of Pandrug-ResistantInternational journal of molecular sciences · 2025
    Article
  9. Molecular Characterization of Vancomycin-ResistantAntibiotics (Basel, Switzerland) · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Interesting Cytokine Profile Caused by Clinical Strains ofInternational journal of microbiology · 2024
    Article
  16. Article
  17. Isolation and Identification of Multidrug-ResistantPathogens (Basel, Switzerland) · 2023
    Article
  18. Article
  19. Article
  20. High Frequency of Antibiotic Resistance Genes (ARGs) in the Lerma River Basin, Mexico.International journal of environmental research and public health · 2022
    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

52 authors at 19 institutions in 1 country.

Elvira Garza-GonzálezHospital Universitario Dr. José Eleuterio González, Monterrey, Nuevo León, Mexico.
Rayo Morfín-OteroHospital Civil de Guadalajara e Instituto de Patología Infecciosa, Guadalajara, Jalisco, Mexico.ORCID 0000-0001-9576-1950
Soraya Mendoza-OlazaránHospital Universitario Dr. José Eleuterio González, Monterrey, Nuevo León, Mexico.
Paola Bocanegra-IbariasHospital Universitario Dr. José Eleuterio González, Monterrey, Nuevo León, Mexico.
Samantha Flores-TreviñoHospital Universitario Dr. José Eleuterio González, Monterrey, Nuevo León, Mexico.
Eduardo Rodríguez-NoriegaHospital Civil de Guadalajara e Instituto de Patología Infecciosa, Guadalajara, Jalisco, Mexico.
Alfredo Ponce-de-LeónInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, Mexico.
Domingo Sanchez-FranciaHospital del Niño y del Adolescente Morelense, Cuernavaca, Morelos, Mexico.
Rafael Franco-CendejasInstituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Ciudad de México, Mexico.
Sara Arroyo-EscalanteHospital general Dr. Manuel Gea González, Ciudad de México, Mexico.
Consuelo Velázquez-AcostaInstituto Nacional de Cancerología, Ciudad de México, Mexico.
Fabián Rojas-LariosHospital Regional Universitario de los Servicios de Salud del Estado de Colima y Facultad de Medicina, Universidad de Colima, Colima, Colima, Mexico.
Luis J QuintanillaHospital Ángeles Valle oriente, Monterrey, Nuevo León, Mexico.
Joyarit Y Maldonado-AnicacioHospital general Dr. Raymundo Abarca Alarcón, Chilpancingo, Guerrero, Mexico.
Rafael Martínez-MirandaHospital General de Mexicali/Facultad de Medicina Mexicali UABC, Mexicali, Baja California, Mexico.ORCID 0000-0003-0120-899X
Heidy L Ostos-CantúSwiss Hospital, Monterrey, Nuevo León, Mexico.
Abraham Gomez-ChoelHospital General de Zona n°1, Tapachula, Chiapas, Mexico.
Juan L Jaime-SanchezLaboratorio Estatal de Salud Pública de Michoacán, Morelia, Michoacán, Mexico.
Laura K Avilés-BenítezHospital Infantil de Morelia, Morelia, Michoacán, Mexico.
José M Feliciano-GuzmánHospital de Especialidades Pediátricas de Chiapas, Tuxtla Gutiérrez, Chiapas, Mexico.
Cynthia D Peña-LópezHospital Clínica Nova, Monterrey, Nuevo León, Mexico.
Carlos A Couoh-MayHospital General de Mérida Yucatán "Dr. Agustín O 'Horan", Mérida, Yucatán, Mexico.
Aaron Molina-JaimesHospital Regional de Alta Especialidad Bicentenario de la Independencia, Tultitlán de Mariano Escobedo, Estado de México, Mexico.
Elda G Vázquez-NarvaezHospital Ángeles de Morelia, Morelia, Michoacán, Mexico.
Joaquín Rincón-ZunoHospital para el Niño Toluca IMIEM, Toluca, Estado de México, Mexico.
Raúl Rivera-GarayHospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico.
Aurelio Galindo-EspinozaHospital General Presidente Lázaro Cárdenas del Rio, Chihuahua, Chihuahua, Mexico.
Andrés Martínez-RamirezSanatorio La Luz, Morelia, Michoacán, Mexico.
Javier P MoraHospital de Alta Especialidad de Veracruz, Veracruz, Veracruz, Mexico.
Reyna E Corte-RojasHospital para el Niño Poblano, Puebla, Puebla, Mexico.
Ismelda López-OvillaHospital Dr. Jesús Gilberto Gómez Maza, Tuxtla Gutiérrez, Chiapas, Mexico.
Víctor A Monroy-ColinCentenario Hospital Miguel Hidalgo, Aguascalientes, Aguascalientes, Mexico.
Juan M Barajas-MagallónLabortorio Dipromi, Morelia, Michoacán, Mexico.
Cecilia T Morales-De-la-PeñaHospital General con Especialidades Juan María de Salvatierra, La Paz, Baja California Sur, Mexico.
Efrén Aguirre-BurciagaHospital Regional Delicias, Delicias, Chihuahua, Mexico.
Mabel Coronado-RamírezHospital de la Mujer de Ciudad Juárez, Ciudad Juárez, Chihuahua, Mexico.
Alina A Rosales-GarcíaHospital de Especialidades Pediátrico de León, León, Guanajuato, Mexico.
María-de-J Ayala-TarínHospital Infantil de Especialidades de Juárez, Ciudad Juárez, Chihuahua, Mexico.
Silvia Sida-RodríguezLaboratorio Jurisdiccional de Ciudad Juárez, Ciudad Juárez, Chihuahua, Mexico.
Bertha A Pérez-VegaHospital Ángeles de Chihuahua, Chihuahua, Chihuahua, Mexico.
América Navarro-RodríguezGalenia Hospital, Cancún, Quintana Roo, Mexico.
Gloria E Juárez-VelázquezHospital Regional de Alta Especialidad Cd. Victoria, Ciudad Victoria, Tamaulipas, Mexico.
Carlos Miguel Cetina-UmañaHospital Materno Infantil Morelos de Chetumal, Chetumal, Quintana Roo, Mexico.
Juan P Mena-RamírezHospital General de zona 21 Tepatitlán de Morelos, Tepatitlán de Morelos, Jalisco, Mexico.ORCID 0000-0002-8933-3228
Jorge Canizales-OviedoCentro Universitario de Salud, UANL Pueblo Nuevo, Monterrey, Nuevo León, Mexico.
Martha Irene Moreno-MéndezLaboratorios del Centro, Zamora, Michoacán, Mexico.
Daniel Romero-RomeroLaboratorio de Análisis Bioquímico Clínicos "Louis Pasteur", Toluca, Estado de México, Mexico.
Alejandra Arévalo-MejíaHospital General Regional 220, Toluca, Estado de México, Mexico.
Dulce Isabel Cobos-CanulHospital General de Chetumal, Chetumal, Quintana Roo, Mexico.
Gilberto Aguilar-OrozcoHospital Arada de la Parra, León, Guanajuato, Mexico.
Jesús Silva-SánchezInstituto Nacional de Salud Pública, Cuernavaca, Morelos, Mexico.
Adrián Camacho-OrtizHospital Universitario Dr. José Eleuterio González, Monterrey, Nuevo León, Mexico.
Hospital Universitario Dr José Eleuterio Gonzalez · MXUniversidad de Morelia · MXHospital de Especialidades · MXHospital Regional de Alta Especialidad del Bajío · MXInstituto de Salud del Estado de México · MXAutonomous University of Chihuahua · MXHospital Civil de Guadalajara · MXInstituto Tecnológico de Chetumal · MXBenemerito Hospital General con Especialidades "Juan Maria de Salvatierra" · MXHospital General De Zona · MXHospital General Dr. Manuel Gea Gonzalez · MXHospital Juárez de México · MXInstituto Nacional de Cancerología · MXInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXInstituto Nacional de Rehabilitación · MXInstituto Nacional de Salud Pública · MXMexicali Institute of Technology · MXUniversidad de Colima · MXUniversidad Privada del Estado de Morelos · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimWe aimed to assess the resistance rates of antimicrobial-resistant, in bacterial pathogens of epidemiological importance in 47 Mexican centers. MATERIAL AND

methodsIn this retrospective study, we included a stratified sample of 47 centers, covering 20 Mexican states. Selected isolates considered as potential causatives of disease collected over a 6-month period were included. Laboratories employed their usual methods to perform microbiological studies. The results were deposited into a database and analyzed with the WHONET 5.6 software.

resultsIn this 6-month study, a total of 22,943 strains were included. Regarding Gram-negatives, carbapenem resistance was detected in ≤ 3% in Escherichia coli, 12.5% in Klebsiella sp. and Enterobacter sp., and up to 40% in Pseudomonas aeruginosa; in the latter, the resistance rate for piperacillin-tazobactam (TZP) was as high as 19.1%. In Acinetobacter sp., resistance rates for cefepime, ciprofloxacin, meropenem, and TZP were higher than 50%. Regarding Gram-positives, methicillin resistance in Staphylococcus aureus (MRSA) was as high as 21.4%, and vancomycin (VAN) resistance reached up to 21% in Enterococcus faecium. Acinetobacter sp. presented the highest multidrug resistance (53%) followed by Klebsiella sp. (22.6%) and E. coli (19.4%).

conclusionThe multidrug resistance of Acinetobacter sp., Klebsiella sp. and E. coli and the carbapenem resistance in specific groups of enterobacteria deserve special attention in Mexico. Vancomycin-resistant enterococci (VRE) and MRSA are common in our hospitals. Our results present valuable information for the implementation of measures to control drug resistance.

Indexed as

Drug Resistance, Multiple, BacterialAcinetobacterEscherichia coliFemaleGram-Negative BacteriaGram-Negative Bacterial InfectionsHumansKlebsiellaMaleMexicoPrevalenceRetrospective StudiesSoftware

Identifiers

PMID30913243
PMCPMC6435111
OpenAlexW2922655592

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LicenceCC BY
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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.