Evidence map›Paper›PMID 33531042›Full record

ArticleAnnals of clinical microbiology and antimicrobials2021

Evaluation of efflux pump activity and biofilm formation in multidrug resistant clinical isolates of Pseudomonas aeruginosa isolated from a Federal Medical Center in Nigeria.

Florence Chijindu Ugwuanyi, Abraham Ajayi, David Ajiboye Ojo, Adeyemi Isaac Adeleye, Stella Ifeanyi Smith

Registry-linked trialAbstract read
In one paragraph

Article in Annals of clinical microbiology and antimicrobials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07469436 (Relationship Between mexB Efflux Pump Gene Expression, Efflux Pump Activity and Biofilm Formation in Multidrug Resistant Clinical Isolates of Pseudomonas Aeruginosa), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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.

NCT07469436 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Relationship Between mexB Efflux Pump Gene Expression, Efflux Pump Activity and Biofilm Formation in Multidrug Resistant Clinical Isolates of Pseudomonas Aeruginosa

TypeobservationalSponsorAssiut UniversityRan2026 to 2028Enrolled80ConditionsPseudomonas AeroginosaArmsReal time PCR
3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Impact ofCurrent research in microbial sciences · 2025
    Article
  8. Article
  9. Article
  10. Metabolic Changes inMetabolites · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Study of Antibiotic Resistant Genes inArchives of Razi Institute · 2022
    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.

Florence Chijindu UgwuanyiDepartment of Microbiology, University of Lagos Akoka, Lagos, Lagos State, Nigeria.
Abraham AjayiMolecular Biology and Biotechnology Department, Nigerian Institute of Medical Research (NIMR) Yaba, Lagos, Lagos State, Nigeria.
David Ajiboye OjoFederal University of Agriculture Abeokuta (FUNAAB), Abeokuta, Ogun State, Nigeria.
Adeyemi Isaac AdeleyeDepartment of Microbiology, University of Lagos Akoka, Lagos, Lagos State, Nigeria.
Stella Ifeanyi SmithMolecular Biology and Biotechnology Department, Nigerian Institute of Medical Research (NIMR) Yaba, Lagos, Lagos State, Nigeria. stellaismith@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPseudomonas aeruginosa an opportunistic pathogen, is widely associated with nosocomial infections and exhibits resistance to multiple classes of antibiotics. The aim of this study was to determine the antibiotic resistance profile, biofilm formation and efflux pump activity of Pseudomonas strains isolated from clinical samples in Abeokuta Ogun state Nigeria.

methodsFifty suspected Pseudomonas isolates were characterized by standard biochemical tests and PCR using Pseudomonas species -specific primers. Antibiotic susceptibility testing was done by the disc diffusion method. Efflux pump activity screening was done by the ethidium bromide method and biofilm formation assay by the tissue plate method. Genes encoding biofilm formation (pslA & plsD) and efflux pump activity (mexA, mexB and oprM) were assayed by PCR.

resultsThirty-nine Pseudomonas spp. were identified of which 35 were Pseudomonas aeruginosa and 4 Pseudomonas spp. All 39 (100%) Pseudomonas isolates were resistant to ceftazidime, cefuroxime and amoxicillin-clavulanate. Thirty-six (92%), 10(25.6%), 20 (51.2%), 11(28%) and 9(23%) of the isolates were resistant to nitrofurantoin, imipenem, gentamicin, cefepime and aztreonam respectively. All the isolates had the ability to form biofilm and 11 (28%) of them were strong biofilm formers. They all (100%) harboured the pslA and pslD biofilm encoding genes. Varied relationships between biofilm formation and resistance to ciprofloxacin, ofloxacin, cefixime, gentamicin, imipenem, and aztreonam were observed. Only 23(59%) of the Pseudomonas isolates phenotypically exhibited efflux pump activity but mexA gene was detected in all 39 (100%) isolates while mexB and oprM genes were detected in 91%, 92%, and 88% of strong, moderate and weak biofilm formers respectively.

conclusionMultidrug resistance, biofilm and efflux pump capabilities in Pseudomonas aeruginosa have serious public health implications in the management of infections caused by this organism.

Indexed as

BiofilmsBacterial Outer Membrane ProteinsDrug Resistance, Multiple, BacterialHumansMembrane Transport ProteinsPhenotypePseudomonas aeruginosaBacterial Outer Membrane ProteinsMembrane Transport ProteinsMexA protein, Pseudomonas aeruginosaMexB protein, Pseudomonas aeruginosaAntibiotic resistanceBiofilmEfflux pumpPseudomonas aeruginosa

Identifiers

PMID33531042
PMCPMC7852189

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.