Evidence map›Paper›PMID 31741645›Full record

ArticleEthiopian journal of health sciences2019

Correlation between biofilm formation and carbapenem resistance among clinical isolates of

Hossein Ali Rahdar, Ebadallah Shiri Malekabad, Ali-Reza Dadashi, Elahe Takei, Masuod Keikha, Hossein Kazemian, Morteza Karami-Zarandi

Open access · diamondAbstract read
In one paragraph

Article in Ethiopian journal of health sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

29 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
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  4. Review
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  6. Article
  7. Overexpression of theFrontiers in microbiology · 2026
    Article
  8. Widespread Distribution of Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2025
    Article
  9. Article
  10. Article
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  12. Article
  13. Article
  14. Detection of virulent Klebsiella pneumoniae strains causing intestinal and extraintestinal infections during the 80s and 90s in Brazil.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2024
    Article
  15. Evaluation of biofilm formation and carbapenem resistance inJournal of family medicine and primary care · 2024
    Article
  16. Article
  17. TiOMicroorganisms · 2024
    Review
  18. Article
  19. Study on the inhibition activity and mechanism of Tanreqing againstFrontiers in cellular and infection microbiology · 2024
    Article
  20. The Characteristic of Biofilm Formation in ESBL-ProducingThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2024
    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

7 authors at 5 institutions in 1 country.

Hossein Ali RahdarDepartment of Social Medicine, Aja University of Medical Sciences, Tehran, Iran.
Ebadallah Shiri MalekabadDepartment of Social Medicine, Aja University of Medical Sciences, Tehran, Iran.
Ali-Reza DadashiDepartment of Infectious Diseases, Army University of Medical Sciences (AJA), Tehran, Iran.
Elahe TakeiDepartment of Medical microbiology, School of Medicine, Tehran University of Medical Science, Tehran, Iran.
Masuod KeikhaDepartment of Microbiology and Virology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Hossein KazemianClinical Microbiology Research Center, Ilam University of Medical Sciences, Ilam, Iran.
Morteza Karami-ZarandiDepartment of Medical microbiology, School of Medicine, Tehran University of Medical Science, Tehran, Iran.
Aja University of Medical Sciences · IRUniversity of Tehran · IRIranshahr University · IRMashhad University of Medical Sciences · IRMedical University of Ilam · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKlebsiella pneumoniae is a Gram-negative enteric bacterium that causes nosocomial infections; this bacterium has survived from harsh condition using biofilm formation in hospital equipment and cause severe infection. In the other hand, the emergence and extension of carbapenem resistance burden among K. pneumonia producing biofilm is the current concern of public health services. There are controversial findings about this subject. The aim of this study was to evaluate the correlation between biofilm formation and resistance to carbapenem among clinical isolates of K. pneumoniae.

methodsA total of 160 K. pneumoniae isolates were collected from various infections of hospitalized patients. The Carba NP test and molecular methods were used for detection of carbapenem resistance isolates of K. pneumonia. Subsequently, the ability for biofilm production was performed from all isolates. Finally, Correlation of biofilm formation among carbapenem resistant isolates was calculated using χ2 and Fisher's exact tests.

resultsAmong K. pneumoniae isolates 42.5% have carbapenemase activity by Carba NP test, while carbapenemase genes were detected in 35.6% of isolates in amplification assay. Moreover, there are 52.5% (n= 84) of all isolates were formed a strong biofilm, while 38.1% (n= 61) and 9.3% (n= 15) of isolates were middle and weak biofilm producer, respectively. Among carbapenem resistant cases (n= 68), there are 77.9% (n= 53) and 22% (n= 15) of isolates were reported as strong and middle biofilm producer, respectively. We see a significant correlation was seen between biofilm formation ability and carbapenem resistant isolates (p-value < 0.00001).

conclusionThe increase of carbapenem resistance burden in biofilm producing isolates of K. pneumoniae is considered as serious alert and the basic measures to combat this phenomenon is imperative.

Indexed as

Anti-Bacterial AgentsBiofilmsCarbapenemsDrug Resistance, BacterialHumansKlebsiella InfectionsKlebsiella pneumoniaeMicrobial Sensitivity TestsAnti-Bacterial AgentsCarbapenemsBiofilmcarbapenemasecarbapenem resistantKlebsiella pneumoniae

Identifiers

PMID31741645
PMCPMC6842719
OpenAlexW2991574077

What OpenQuestion holds

Textmetadata
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.