Evidence map›Paper›PMID 33413184›Full record

ArticleBMC infectious diseases2021

Prevalence, distribution and antimicrobial susceptibility pattern of bacterial isolates from a tertiary Hospital in Malawi.

Pizga Kumwenda, Emmanuel C Adukwu, Ebot S Tabe, Victor C Ujor, Pocha S Kamudumuli, Maono Ngwira, Joseph Tsung Shu Wu, Master R O Chisale

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.5field-weighted citation impact, top 19% 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, 28 citations in OpenAlex.

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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

8 authors at 4 institutions in 4 countries.

Pizga KumwendaDepartment of Biomedical Sciences, Faculty of Health Sciences, Mzuzu University, Private Bag 201, Luwinga, Mzuzu 2, Malawi.
Emmanuel C AdukwuCentre for Research in Biosciences, Faculty of Health and Applied Sciences, University of the West of England, Bristol, BS16 1QY, UK.
Ebot S TabeAlbany College of Pharmacy and Health Sciences, Albany, NY, 12208, USA.
Victor C UjorBioenergy and Water Treatment Management Program, Agricultural Technical Institute, The Ohio State University, 1328 Dover Road, Wooster, OH, 44691, USA.
Pocha S KamudumuliMaryland Global Initiative Corporation, Golden Peacock Shopping Complex, Area 13, City Centre, P.O Box 2298, Lilongwe, Malawi.
Maono NgwiraDepartment of Biomedical Sciences, Faculty of Health Sciences, Mzuzu University, Private Bag 201, Luwinga, Mzuzu 2, Malawi.
Joseph Tsung Shu WuLuke International (LIN), Box 1088, Mzuzu, Malawi.
Master R O ChisaleDepartment of Biomedical Sciences, Faculty of Health Sciences, Mzuzu University, Private Bag 201, Luwinga, Mzuzu 2, Malawi. masterchisale@gmail.com.ORCID http://orcid.org/0000-0002-8301-6184
Mzuzu University · MWAlbany College of Pharmacy and Health Sciences · USThe Ohio State University · USUniversity of the West of England · GB

Funding

Pingtung Christian Hospital (Taiwan) through Luke International Malawi PS-IR-108001
6 · The paper itself

Abstract

backgroundBacterial infections are a significant cause of sickness and death in sub-Saharan Africa. This study aimed at establishing the prevalence, distribution and antimicrobial susceptibility pattern of major bacterial isolates from patients accessing medical care at a tertiary hospital in Malawi.

methodsWe retrospectively reviewed bacteria culture and antimicrobial susceptibility records for 4617 patients from 2002 to 2014 at Mzuzu Central Hospital (MCH). No inclusion and exclusion criteria were followed. Data was analysed using excel (Microsoft office, USA) and GraphPad prism 7 software programs.

resultsThe most prevalent isolates were S. aureus (34.7%, n = 783), Klebsiella species (17.4%, n = 393) and Proteus species (11.4%, n = 256). Most microorganisms were isolated from adults (88.3%, n = 3889) and pus was the main source (69.3%, n = 1224). S. pneumoniae was predominantly isolated from cerebrospinal fluid (60.3%, n = 44) largely collected from children (88.2%, n = 64). Overall, most bacteria exhibited high resistance to all regularly used antimicrobials excluding ciprofloxacin.

conclusionsOur report demonstrates an increase in bacterial infection burden in sites other than blood stream and subsequent increase in prevalence of antimicrobial resistance for all major isolates. Creating an epidemiological survey unit at MCH will be essential to help inform better treatment and management options for patients with bacterial infections.

Indexed as

AdolescentAdultAnti-Bacterial AgentsBacteriaBacterial InfectionsCerebrospinal FluidChildCiprofloxacinDrug Resistance, BacterialFemaleHumansKlebsiellaMalawiMaleMicrobial Sensitivity TestsPrevalenceAnti-Bacterial AgentsCiprofloxacinAntibioticsAntimicrobial resistanceMalawiPrevalenceSusceptibility

Identifiers

PMID33413184
PMCPMC7791782
OpenAlexW3120535323

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.