Evidence map›Paper›PMID 32143566›Full record

ArticleBMC microbiology2020

Antibiotic resistance and virulence patterns of pathogenic Escherichia coli strains associated with acute gastroenteritis among children in Qatar.

Nahla O Eltai, Asmaa A Al Thani, Sara H Al Hadidi, Khalid Al Ansari, Hadi M Yassine

Open access · goldAbstract read
In one paragraph

Article in BMC microbiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. EnteroaggregativeEcoSal Plus · 2025
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  9. Review
  10. Combating EnteroaggregativeAIMS microbiology · 2025
    Article
  11. Role of phage therapy in acute gastroenteritis.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2025
    Review
  12. Article
  13. Review
  14. Prevalence of CTX-M types among ESBL-producing pathogenicFood science and biotechnology · 2024
    Article
  15. Article
  16. Characteristics of PathogenicTropical medicine and infectious disease · 2024
    Article
  17. Review
  18. Extracellular components in enteroaggregativeFrontiers in cellular and infection microbiology · 2024
    Article
  19. Article
  20. 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

5 authors at 2 institutions in 1 country.

Nahla O EltaiBiomedical Research Center, Qatar University, P.O. Box 2713, Doha, Qatar.
Asmaa A Al ThaniBiomedical Research Center, Qatar University, P.O. Box 2713, Doha, Qatar.
Sara H Al HadidiBiomedical Research Center, Qatar University, P.O. Box 2713, Doha, Qatar.
Khalid Al AnsariPediatrics Emergency Center, Hamad Medical Corporation, Doha, Qatar.
Hadi M YassineBiomedical Research Center, Qatar University, P.O. Box 2713, Doha, Qatar. hyassine@qu.edu.qa.
Qatar University · QAHamad Medical Corporation · QA

Funding

Qatar National Research Fund NPRP9-133-1-025‎Qatar University QUCG-BRC-19/20-1‎
6 · The paper itself

Abstract

backgroundThe treatment of Enterobacteriaceae family including diarrheagenic E. coli (DEC) has been increasingly complicated due to the emergence of resistant strains. Here we report on the phenotypic resistance profiles and ESBL genotype and virulence profiles of Enteroaggregative E. coli (EAEC) and Enteropathogenic E. coli (EPEC) isolated from children hospitalized with acute gastroenteritis in Qatar (AGE).

resultsE. coli were isolated and characterized from 76 diarrheagenic stool positive samples, collected from hospitalized children less than 10 years old. Isolates were tested for antibiotic susceptibility against eighteen clinically relevant antibiotics using E-test method. Conventional PCR was performed to detect genes encoding ESBL and virulence factors. Chi-square test was performed to compare the individual antibiotic resistance between EPEC and EAEC. A significant percentage (73.7%) of isolates were resistant to at least one antibiotic. Overall, high resistance (70%) was reported to the first-line antibiotics such as ampicillin, tetracycline (46.4%), and sulfamethoxazole-trimethoprim (42.9%). Further, 39.5% of the isolates were multidrug resistant (MDR), with 22.4% being ESBL producers. On the other hand, all isolates were susceptible to carbapenem, fosfomycin, amikacin and colistin. The incidences of resistance to the 18 antibiotics between EPEC and EAEC were not significantly different by Pearson chi -square test (P > 0.05). Genetic analysis revealed that 88.23% of ESBL production was bla

conclusionsAtypical EPEC and EAEC were the primary etiological agents of diarrhea in children among DEC pathotypes. Our results indicated high rate of antimicrobial resistance pattern of DEC strains, which necessities the development of regulatory programs and reporting systems of antimicrobial resistance in DEC and other AGE-associated bacteria to insure effective control of diarrheal diseases. Results from this study demand a further research on identifying the phenotypic and genotypic profiles of more DEC pathotypes in various clinical samples.

Indexed as

Drug Resistance, MicrobialAnti-Bacterial AgentsChildChild, PreschoolDiarrheaEnteropathogenic Escherichia coliEscherichia coli InfectionsFecesFemaleGastroenteritisHumansIncidenceInfantInfant, NewbornInpatientsMaleAnti-Bacterial AgentsVirulence FactorsAntibiotic resistanceDECEAECEPECESBLMDRVirulence

Identifiers

PMID32143566
PMCPMC7060563
OpenAlexW3011574975

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.