Evidence map›Paper›PMID 31847837›Full record

ArticleAnnals of clinical microbiology and antimicrobials2019

Extended spectrum β-lactamase producing uropathogenic Escherichia coli and the correlation of biofilm with antibiotics resistance in Nepal.

Raju Shrestha, Santosh Khanal, Pramod Poudel, Karan Khadayat, Sajani Ghaju, Anita Bhandari, Sunil Lekhak, Narayan Dutt Pant, Manisha Sharma, Bishnu P Marasini

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical microbiology and antimicrobials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.6field-weighted citation impact, top 5% 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, 54 citations in OpenAlex.

  1. Unraveling Biofilm-Forming Uropathogens: Isolation and Antimicrobial Resistance Patterns at Nepal Police Hospital, Kathmandu.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2026
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  6. Comparative evaluation of biofilm-forming capacity in uropathogenic and commensalFrontiers in cellular and infection microbiology · 2025
    Article
  7. Detection of Integrons inInternational journal of microbiology · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. UropathogenicMicroorganisms · 2023
    Review
  12. Effect of Essential Oil fromAntibiotics (Basel, Switzerland) · 2023
    Article
  13. Correlation of biofilm formation, virulence factors, and phylogenetic groups amongJournal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2023
    Review
  14. Article
  15. Antibiofilm Activity of Sundew Species against Multidrug-ResistantInternational journal of molecular sciences · 2022
    Article
  16. Article
  17. Article
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  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

10 authors at 2 institutions in 1 country.

Raju ShresthaDepartment of Microbiology, National College, Tribhuvan University, Naya Bazar, Kathmandu, Nepal. shrestharaj167@gmail.com.ORCID http://orcid.org/0000-0001-6918-0757
Santosh KhanalDepartment of Microbiology, National College, Tribhuvan University, Naya Bazar, Kathmandu, Nepal.
Pramod PoudelDepartment of Microbiology, National College, Tribhuvan University, Naya Bazar, Kathmandu, Nepal.
Karan KhadayatDepartment of Biotechnology, National College, Tribhuvan University, Naya Bazar, Kathmandu, Nepal.
Sajani GhajuDepartment of Biotechnology, National College, Tribhuvan University, Naya Bazar, Kathmandu, Nepal.
Anita BhandariDepartment of Microbiology, Goldengate International College, Tribhuvan University, Kathmandu, Nepal.
Sunil LekhakDepartment of Microbiology, National College, Tribhuvan University, Naya Bazar, Kathmandu, Nepal.
Narayan Dutt PantDepartment of Microbiology, Grande International Hospital, Kathmandu, Nepal.
Manisha SharmaDepartment of Microbiology, Grande International Hospital, Kathmandu, Nepal.
Bishnu P MarasiniDepartment of Biotechnology, National College, Tribhuvan University, Naya Bazar, Kathmandu, Nepal.
Tribhuvan University · NPGrande International Hospital · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrinary tract infection (UTI) is one of the frequently diagnosed infectious diseases which is caused mainly by Escherichia coli. E. coli confers resistance against the two major classes of antibiotics due to the production of extended spectrum β-lactamase enzymes (ESBL), biofilm, etc. Biofilm produced by uropathogenic E. coli (UPEC) protects from host immune system and prevent entry of antimicrobial compounds. The main objective of this cross-sectional study was to determine the correlation of biofilm production and antibiotic resistance as well as to characterize the pgaA and pgaC genes responsible for biofilm formation among uropathogenic ESBL producing E. coli.

methodsA total of 1977 mid-stream urine samples were examined and cultured for bacterial strain identification. ESBL was detected by combined disc method following CLSI whereas biofilm formation was analyzed by semi-quantitative method. Furthermore, the pgaA and pgaC genes responsible for biofilm formation in UPEC were detected by multiplex PCR. All the statistical analyses were done via IBM SPSS Statistics 21 where Pearson's correlation test were used to determine correlation (-1 ≥ r ≤ 1).

resultsE. coli was the predominant causative agent, which accounted 159 (59.3%) of the Gram-negative bacteria, where 81 (50.9%) E. coli strains were found to be ESBL producers. In addition, 86 (54.1%) E. coli strains were found to be biofilm producers. Both the pgaA and pgaC genes were detected in 45 (93.7%) the UPEC isolates, which were both biofilm and ESBL producers. Moreover, there was a positive correlation between biofilm and ESBL production.

conclusionThe analyses presented weak positive correlation between biofilm and ESBL production in which biofilm producing UPEC harbors both pgaA and pgaC genes responsible for biofilm formation.

Indexed as

BiofilmsDrug Resistance, BacterialEscherichia coli InfectionsUropathogenic Escherichia coliAdolescentAdultAnti-Bacterial AgentsBacterial Outer Membrane Proteinsbeta-LactamasesChildChild, PreschoolCross-Sectional StudiesEscherichia coli ProteinsFemaleHumansInfantAnti-Bacterial AgentsBacterial Outer Membrane Proteinsbeta-LactamasesEscherichia coli ProteinspgaA protein, E coliBiofilmE. coliESBLpgaA and pgaCUTI

Identifiers

PMID31847837
PMCPMC6918583
OpenAlexW2996698055

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.