Evidence map›Paper›PMID 33477731›Full record

ReviewAntibiotics (Basel, Switzerland)2021

OXA-48 Carbapenemase-Producing Enterobacterales in Spanish Hospitals: An Updated Comprehensive Review on a Rising Antimicrobial Resistance.

Mario Rivera-Izquierdo, Antonio Jesús Láinez-Ramos-Bossini, Carlos Rivera-Izquierdo, Jairo López-Gómez, Nicolás Francisco Fernández-Martínez, Pablo Redruello-Guerrero, Luis Miguel Martín-delosReyes, Virginia Martínez-Ruiz, Elena Moreno-Roldán, Eladio Jiménez-Mejías

Open access · goldAbstract readReview
In one paragraph

Review in Antibiotics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

23 citing papers in PubMed, 35 citations in OpenAlex.

  1. Risk factors for infection in NDM-colonized patients and applicability of the Giannella Risk Score.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
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  2. Review
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  8. Microbiology spectrum · 2024
    Article
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  11. Production of OXA-48 carbapenemase acts as an independent risk factor for poor outcome in Klebsiella pneumoniae infection.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2023
    Article
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  18. Review
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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

10 authors at 3 institutions in 1 country.

Mario Rivera-IzquierdoDepartment of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain.ORCID 0000-0001-6159-6037
Antonio Jesús Láinez-Ramos-BossiniDepartment of Radiology, University of Granada, 18016 Granada, Spain.ORCID 0000-0002-0663-2856
Carlos Rivera-IzquierdoDepartment of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain.
Jairo López-GómezService of Internal Medicine, San Cecilio University Hospital, 18016 Granada, Spain.
Nicolás Francisco Fernández-MartínezDepartment of Preventive Medicine and Public Health, Reina Sofía University Hospital, 14004 Córdoba, Spain.ORCID 0000-0001-8257-4304
Pablo Redruello-GuerreroSchool of Medicine, University of Granada, 18016 Granada, Spain.ORCID 0000-0001-9992-5801
Luis Miguel Martín-delosReyesDepartment of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain.
Virginia Martínez-RuizDepartment of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain.ORCID 0000-0001-6512-8935
Elena Moreno-RoldánDepartment of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain.
Eladio Jiménez-MejíasDepartment of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain.
Universidad de Granada · ESInstituto de Investigación Biosanitaria de Granada · ESInstituto Maimónides de Investigación Biomédica de Córdoba · ES

Funding

Chair of Teaching and Research in Family Medicine SEMERGEN-UGR, University of Granada No specific grant
6 · The paper itself

Abstract

Carbapenemase-producing Enterobacterales (CPE) are significant contributors to the global public health threat of antimicrobial resistance. OXA-48-like enzymes and their variants are unique carbapenemases with low or null hydrolytic activity toward carbapenems but no intrinsic activity against expanded-spectrum cephalosporins. CPEs have been classified by the WHO as high-priority pathogens given their association with morbidity and mortality and the scarce number of effective antibiotic treatments. In Spain, the frequency of OXA-48 CPE outbreaks is higher than in other European countries, representing the major resistance mechanism of CPEs. Horizontal transfer of plasmids and poor effective antibiotic treatment are additional threats to the correct prevention and control of these hospital outbreaks. One of the most important risk factors is antibiotic pressure, specifically carbapenem overuse. We explored the use of these antibiotics in Spain and analyzed the frequency, characteristics and prevention of CPE outbreaks. Future antibiotic stewardship programs along with specific preventive measures in hospitalized patients must be reinforced and updated in Spain.

Indexed as

antibiotic stewardshipcarbapenemcarbapenemaseenterobacteriamultiresistantoutbreakOXA-48Spain

Identifiers

PMID33477731
PMCPMC7832331
OpenAlexW3125641527

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.