Evidence map›Paper›PMID 32099420›Full record

ArticleInfection and drug resistance2020

Molecular Epidemiology and Mechanisms of High-Level Resistance to Meropenem and Imipenem in

Noha Anwar Hassuna, Marwa K Darwish, Mohamed Sayed, Reham Ali Ibrahem

Open access · goldAbstract read
In one paragraph

Article in Infection and drug resistance, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 15% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Multidrug-resistant Pseudomonas aeruginosa in ICU patients and hospital surfaces: β-lactamase burden, biofilm formation and clonal spread.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  4. Article
  5. Molecular Epidemiology of Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2026
    Article
  6. Article
  7. Occurrence of Virulence and Antibiotic Resistance inAntibiotics (Basel, Switzerland) · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Regulation, structure, and activity of theAntimicrobial agents and chemotherapy · 2025
    Review
  14. Review
  15. Article
  16. Article
  17. Identification ofVeterinary world · 2024
    Article
  18. Antibiotics (Basel, Switzerland) · 2024
    Article
  19. High incidence of carbapenemase-producingJAC-antimicrobial resistance · 2023
    Article
  20. Transcriptional profilingMicrobiology (Reading, England) · 2023
    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

4 authors at 2 institutions in 1 country.

Noha Anwar HassunaMedical Microbiology and Immunology Department, Faculty of Medicine, Minia University, Minia, Egypt.ORCID 0000-0001-6702-2341
Marwa K DarwishChemistry Department (Biochemistry Branch), Faculty of Science, Suez University, Suez, Egypt.ORCID 0000-0002-3915-6104
Mohamed SayedMedical Microbiology and Immunology Department, Faculty of Medicine, Minia University, Minia, Egypt.
Reham Ali IbrahemMicrobiology and Immunology Department, Faculty of Pharmacy, Minia University, Minia, Egypt.ORCID 0000-0002-7050-5755
Minia University · EGSuez University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSTRAINS AND

methodsA total of 634 P. aeruginosa clinical isolates were collected from various patient sources and their MIC levels were measured. Molecular evaluation of carbapenem resistance was assessed by investigating the presence of

resultsCarbapenem resistance was detected in 32 (5%) isolates, which were all imipenem resistant (of which 29 were meropenem resistant). High-level resistance (≥64mg/mL) to imipenem was found in 27 (84.3%) isolates, and to meropenem in 28 (96.5%) isolates. The carbapenemase

conclusionHigh-level carbapenem resistance reported in this study was allied to multiple mechanisms including carbapenemase production and efflux-pump over-expression. Threatening cross-infection is possible inside the hospital and stringent infection control measures are crucial.

Indexed as

carbapenemsefflux pumpOprD and metallo-β-lactamases

Identifiers

PMID32099420
PMCPMC6996622
OpenAlexW3004005400

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.