Evidence map›Paper›PMID 32345232›Full record

ArticleBMC microbiology2020

Extensively drug-resistant Haemophilus influenzae - emergence, epidemiology, risk factors, and regimen.

Pei-Yi Su, Ay-Huey Huang, Chung-Hsu Lai, Hsiu-Fang Lin, Tsun-Mei Lin, Cheng-Hsun Ho

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 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Multidrug-resistantERJ open research · 2026
    Article
  5. Article
  6. Extensively drug-resistant Haemophilus influenzae isolated in Geneva, Switzerland.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  7. Exploiting haem-iron dependence of nontypeableFrontiers in cellular and infection microbiology · 2025
    Review
  8. Microorganisms · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Epidemiology ofAccess microbiology · 2023
    Article
  14. Antimicrobial resistance among Haemophilus influenzae isolates responsible for lower respiratory tract infections in Poland, 2005-2019.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2022
    Article
  15. Review
  16. Article
  17. 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

6 authors at 2 institutions in 1 country.

Pei-Yi SuDepartment of Laboratory Medicine, E-DA Hospital, Kaohsiung, Taiwan.
Ay-Huey HuangDepartment of Laboratory Medicine, E-DA Hospital, Kaohsiung, Taiwan.
Chung-Hsu LaiSchool of Medicine, College of Medicine, I-Shou University, Kaohsiung, Taiwan.
Hsiu-Fang LinDepartment of Laboratory Medicine, E-DA Hospital, Kaohsiung, Taiwan.
Tsun-Mei LinDepartment of Medical Laboratory Science, College of Medicine, I-Shou University, No.8, Yida Road, Jiaosu Village, Yanchao District, Kaohsiung City, 82445, Taiwan.
Cheng-Hsun HoDepartment of Medical Laboratory Science, College of Medicine, I-Shou University, No.8, Yida Road, Jiaosu Village, Yanchao District, Kaohsiung City, 82445, Taiwan. chenghsunho@gmail.com.
E-Da Hospital · TWI-Shou University · TW

Funding

E-DA Hospital EDAHT107006Ministry of Science and Technology, Taiwan 108-2314-B-214-003-MY2
6 · The paper itself

Abstract

backgroundConcern about Haemophilus influenzae infection has been increasing over recent decades. Given the emergence of H. influenzae with severe drug resistance, we assessed the prevalence of as well as risk factors and potential therapies for extensively drug-resistant (XDR) H. influenzae infection in Taiwan.

resultsIn total, 2091 H. influenzae isolates with disk diffusion-based antibiotic susceptibility testing from 2007 to 2018 were enrolled. H. influenzae strains resistant to ampicillin, chloramphenicol, levofloxacin, and trimethoprim-sulfamethoxazole tended to be isolated from patient wards (≧41%), whereas those resistant to amoxicillin-clavulanate, cefotaxime, and cefuroxime were more likely to be isolated from intensive care units (approximately 50%). XDR H. influenzae was first identified in 2007, and its incidence did not significantly change thereafter. Overall prevalence of single, multiple, and extensively drug-resistant H. influenzae over 2007-2018 was 21.5% (n = 450), 26.6% (n = 557), and 2.5% (n = 52), respectively. A stepwise logistic regression analysis revealed that blood culture (odds ratio: 4.069, 95% confidence intervals: 1.339-12.365, P = 0.013) was an independent risk factor for XDR H. influenzae infection. No nosocomial transmission of XDR H. influenzae observed. Antibiotic susceptibility testing results demonstrated that cefotaxime was effective against 78.8% (n = 41) of the XDR strains.

conclusionsThe presence of XDR H. influenzae strains was identified in Taiwan, and cefotaxime was efficacious against most of these strains.

Indexed as

Drug Resistance, BacterialAmpicillinAnti-Bacterial AgentsCefotaximeCefuroximeChloramphenicolCross InfectionFemaleHaemophilus InfectionsHaemophilus influenzaeHumansIncidenceIntensive Care UnitsLevofloxacinLogistic ModelsMaleAmpicillinAnti-Bacterial AgentsCefotaximeCefuroximeChloramphenicolLevofloxacinTrimethoprim, Sulfamethoxazole Drug CombinationAntimicrobial susceptibility testingCefotaximeDrug resistanceHaemophilus influenzae

Identifiers

PMID32345232
PMCPMC7189504
OpenAlexW3020505875

What OpenQuestion holds

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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.