Evidence map›Paper›PMID 33789292›Full record

ArticleMedical principles and practice : international journal of the Kuwait University, Health Science Centre2021

High-Level Resistance to Erythromycin and Tetracycline and Dissemination of Resistance Determinants among Clinical Enterococci in Iran.

Nikta Ahmadpoor, Roya Ahmadrajabi, Sarvenaz Esfahani, Zoya Hojabri, Mohammad Hassan Moshafi, Fereshteh Saffari

Open access · diamondAbstract read
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Article in Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Microorganisms · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Antimicrobial Resistance ofMicroorganisms · 2024
    Article
  7. Article
  8. Article
  9. Dissemination and characteristics of high-level erythromycin-resistantCanadian journal of veterinary research = Revue canadienne de recherche veterinaire · 2023
    Article
  10. Prevalence and antimicrobial resistance patterns ofJAC-antimicrobial resistance · 2022
    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

6 authors at 2 institutions in 1 country.

Nikta AhmadpoorDepartment of Pharmacology, School of Pharmacy, Kerman University of Medical Sciences, Kerman, Iran.
Roya AhmadrajabiDepartment of Microbiology, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.
Sarvenaz EsfahaniDepartment of Microbiology, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.
Zoya HojabriDepartment of Bacteriology and Virology, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
Mohammad Hassan MoshafiDepartment of Pharmacology, School of Pharmacy, Kerman University of Medical Sciences, Kerman, Iran.
Fereshteh SaffariMedical Mycology and Bacteriology Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Kerman University of Medical Sciences · IRSemnan University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe purpose of this study was to investigate the distribution pattern of genes responsible for erythromycin and tetracycline resistance and their association with resistance phenotypes in enterococcus isolates. MATERIALS AND

methodsEighty-six Enterococcus faecalis and 26 E. faecium isolates were collected from 2 hospitals in Kerman, Iran. Minimum inhibitory concentration of erythromycin and tetra-cycline was determined and then genes encoding resistance to erythromycin - erm (A-C), mef, and msr - and tetracycline - tet (M), tet (O), tet (S), tet (K), and tet (L) - were investigated.

resultsIn all resistant isolates (n = 72, 64%), high-level resistance to both tested antibiotics was found. The most prevalent erm gene was erm (B) (77.7%), followed by erm (A) (15.2%) and erm (C) (8.3%). Genes mediating erythromycin efflux were detected in 70.8% (mef) and 9.7% (msr) of resistant isolates. Regarding tetracycline, tet (M) was detected at the highest rate (50%), followed by tet (O) (31%) and tet (S) (11%). Export of tetracycline was found in 31% (tet (K)) and 12% (tet (L)) of isolates.

conclusionA high prevalence of high-level resistance to both erythromycin and tetracycline was documented. Alterations at the ribosomal level was more frequently detected in erythromycin and tetracycline resistance than efflux systems. Concurrent resistance mechanisms were more involved in resistance to erythromycin than tetracycline.

Indexed as

Anti-Bacterial AgentsDrug Resistance, MicrobialEnterococcusEnterococcus faecalisEnterococcus faeciumErythromycinGram-Positive Bacterial InfectionsHumansIranMicrobial Sensitivity TestsTetracyclinesAnti-Bacterial AgentsErythromycinTetracyclinesAntibiotic resistance determinantsEnterococcusErythromycinTetracycline

Identifiers

PMID33789292
PMCPMC8280436
OpenAlexW3148273153

What OpenQuestion holds

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Registered trials

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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.