Evidence map›Paper›PMID 32600258›Full record

ArticleBMC infectious diseases2020

Biofilm formation, antimicrobial susceptibility and virulence genes of Uropathogenic Escherichia coli isolated from clinical isolates in Uganda.

Paul Katongole, Fatuma Nalubega, Najjuka Christine Florence, Benon Asiimwe, Irene Andia

Abstract read
In one paragraph

Article in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

51 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Current Insights into Antibiotic Resistance in UropathogenicAntibiotics (Basel, Switzerland) · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Detection of Integrons inInternational journal of microbiology · 2025
    Article
  17. A Comparison of Antibiotics' Resistance Patterns ofInfectious disorders drug targets · 2025
    Article
  18. Biofilm-mediated resistance to berberine inFrontiers in cellular and infection microbiology · 2025
    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.

Paul KatongoleDepartment of Medical Microbiology, College of Health Sciences Makerere University, Kampala, Uganda. paul.katongole@gmail.com.ORCID http://orcid.org/0000-0003-4952-801X
Fatuma NalubegaDepartment of Medical Microbiology, College of Health Sciences Makerere University, Kampala, Uganda.
Najjuka Christine FlorenceDepartment of Medical Microbiology, College of Health Sciences Makerere University, Kampala, Uganda.
Benon AsiimweDepartment of Medical Microbiology, College of Health Sciences Makerere University, Kampala, Uganda.
Irene AndiaDepartment of Medicine, College of Health Sciences Makerere University, Kampala, Uganda.

Funding

African Academy of Sciences 107743
6 · The paper itself

Abstract

introductionUropathogenic E. coli is the leading cause of Urinary tract infections (UTIs), contributing to 80-90% of all community-acquired and 30-50% of all hospital-acquired UTIs. Biofilm forming Uropathogenic E. coli are associated with persistent and chronic inflammation leading to complicated and or recurrent UTIs. Biofilms provide an environment for poor antibiotic penetration and horizontal transfer of virulence genes which favors the development of Multidrug-resistant organisms (MDRO). Understanding biofilm formation and antimicrobial resistance determinants of Uropathogenic E. coli strains will provide insight into the development of treatment options for biofilm-associated UTIs. The aim of this study was to determine the biofilm forming capability, presence of virulence genes and antimicrobial susceptibility pattern of Uropathogenic E. coli isolates in Uganda.

methodsThis was a cross-sectional study carried in the Clinical Microbiology and Molecular biology laboratories at the Department of Medical Microbiology, Makerere University College of Health Sciences. We randomly selected 200 Uropathogenic E. coli clinical isolates among the stored isolates collected between January 2018 and December 2018 that had significant bacteriuria (> 10

resultsIn this study, 62.5% (125/200) were positive biofilm formers and 78% (156/200) of these were multi-drug resistant (MDR). The isolates were most resistant to Trimethoprim sulphamethoxazole and Amoxicillin (93%) followed by gentamycin (87%) and the least was imipenem (0.5%). Fim was the most prevalent Urovirulence gene (53.5%) followed by Pap (21%), Sfa (13%), Afa (8%), Cnf (5.5%) and Hyl (0%).

conclusionsWe demonstrate a high prevalence of biofilm-forming Uropathogenic E. coli strains that are highly associated with the MDR phenotype. We recommend routine surveillance of antimicrobial resistance and biofilm formation to understand the antibiotics suitable in the management of biofilm-associated UTIs.

Indexed as

Anti-Bacterial AgentsBiofilmsCross-Sectional StudiesDrug Resistance, Multiple, BacterialEscherichia coli InfectionsHumansMicrobial Sensitivity TestsPhenotypePolymerase Chain ReactionPrevalenceUgandaUrinary Tract InfectionsUropathogenic Escherichia coliVirulenceVirulence FactorsAnti-Bacterial AgentsVirulence FactorsAntimicrobial resistanceBiofilmsUropathogenic E. coliVirulence genes

Identifiers

PMID32600258
PMCPMC7325280

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.