Evidence map›Paper›PMID 33480117›Full record

ArticleInternational wound journal2021

Virulent and multidrug-resistant Klebsiella pneumoniae from clinical samples in Balochistan.

Sareeen Fatima, Faiza Liaqat, Ali Akbar, Muhammad Sahfee, Abdul Samad, Muhammad Anwar, Shazia Iqbal, Shabir Ahmad Khan, Haleema Sadia, Gul Makai and 3 more

Open access · goldAbstract read
In one paragraph

Article in International wound journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

27 citing papers in PubMed, 34 citations in OpenAlex.

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  16. A 24-year longitudinal study ofEpidemiology and infection · 2023
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  17. Antimicrobial resistance and molecular characterization ofJournal of advanced veterinary and animal research · 2023
    Article
  18. Article
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  20. 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

13 authors at 4 institutions in 1 country.

Sareeen FatimaDepartment of Microbiology, Faculty of Life Sciences, University of Balochistan, Quetta, Pakistan.
Faiza LiaqatDepartment of Microbiology, Faculty of Life Sciences, University of Balochistan, Quetta, Pakistan.
Ali AkbarDepartment of Microbiology, Faculty of Life Sciences, University of Balochistan, Quetta, Pakistan.ORCID https://orcid.org/0000-0002-0376-1425
Muhammad SahfeeCASVAB, Faculty of Life Sciences, University of Balochistan, Quetta, Pakistan.
Abdul SamadCASVAB, Faculty of Life Sciences, University of Balochistan, Quetta, Pakistan.
Muhammad AnwarInstitute of Biochemistry, Faculty of Life Sciences, University of Balochistan, Quetta, Pakistan.
Shazia IqbalDepartment of Chemistry, Balochistan University of Information Technology Engineering and Management Sciences, Quetta, Pakistan.
Shabir Ahmad KhanDepartment of Microbiology, Faculty of Life Sciences, University of Balochistan, Quetta, Pakistan.
Haleema SadiaDepartment of Microbiology, Balochistan University of Information Technology Engineering and Management Sciences, Quetta, Pakistan.
Gul MakaiDepartment of Microbiology, Faculty of Life Sciences, University of Balochistan, Quetta, Pakistan.
Anila BahadurDepartment of Environmental Science, Sardar Bahadur Khan Women University, Quetta, Pakistan.
Wajeeha NaeemDepartment of Microbiology, Faculty of Life Sciences, University of Balochistan, Quetta, Pakistan.
Adnan KhanDepartment of Microbiology, University of Karachi, Sindh, Pakistan.
University of Balochistan · PKBalochistan University of Information Technology, Engineering and Management Sciences · PKSardar Bahadur Khan Women's University · PKUniversity of Karachi · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Klebsiella pneumoniae is an important pathogen causing hospital-acquired infections in human beings. Samples from suspected patients of K pneumoniae associated with respiratory and urinary tract infections were collected at Bolan Medical Complex, Quetta, Balochistan. Clinical samples (n = 107) of urine and sputum were collected and processed for K pneumoniae isolation using selective culture media. Initially, 30 of 107 isolates resembling Klebsiella spp. were processed for biochemical profiling and molecular detection using gyrase A (gyrA) gene for conformation. The K pneumoniae isolates were analysed for the presence of drug resistance and virulence genes in their genomes. The 21 of 107 (19.6%) isolates were finally confirmed as K pneumoniae pathogens. An antibiogram study conducted against 17 different antibiotics showed that a majority of the isolates are multidrug resistant. All the isolates (100%) were resistant to amoxicillin, cefixime, amoxicillin-clavulanic acid, cefotaxime, and ceftriaxone followed by tetracycline (95.2%), ciprofloxacin and gentamicin (76.2%), sulphamethoxazol (66.7%), nalidixic acid (61.9%), norfloxacine (42.9%), piperacillin-tazobactam (23.8%), cefoperazone-sulbactam (19%), and cefotaxime-clavulanic acid (33.3%), whereas all the isolates showed sensitivity to amikacin, chloramphenicol, and imipenem. The presence of tetracycline, sulphamethoxazol-resistant genes, and extended-spectrum beta-lactamase was reconfirmed using different specific genes. The presence of virulence genes fimH1 and EntB responsible for adherence and enterobactin production was confirmed in the isolates. The high virulence and drug resistance potential of these Klebsiella isolates are of high public health concern. Multidrug resistance and virulence potential in K. pneumoniae are converting these nosocomial pathogens into superbugs and making its management harder.

Indexed as

Cross InfectionKlebsiella pneumoniaeAnti-Bacterial Agentsbeta-LactamasesHumansMicrobial Sensitivity TestsAnti-Bacterial Agentsbeta-Lactamasesantibioticsantimicrobialnosocomial infectionsopportunistic pathogenspathogenicity

Identifiers

PMID33480117
PMCPMC8273605
OpenAlexW3122195601

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.