Evidence map›Paper›PMID 33892721›Full record

ArticleAnnals of clinical microbiology and antimicrobials2021

Antibiotic resistance pattern of Bacteroides fragilis isolated from clinical and colorectal specimens.

Seyedesomaye Jasemi, Mohammad Emaneini, Zahra Ahmadinejad, Mohammad Sadegh Fazeli, Leonardo A Sechi, Fatemah Sadeghpour Heravi, Mohammad Mehdi Feizabadi

Open access · goldAbstract 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. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. NontoxigenicMicroorganisms · 2026
    Review
  3. Review
  4. Article
  5. Clinical Significance ofMicroorganisms · 2026
    Article
  6. Article
  7. Review
  8. Epidemiology and Clinical Profiles ofThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2026
    Article
  9. Article
  10. Phylogenomics and Antimicrobial Resistance of ClinicalAntibiotics (Basel, Switzerland) · 2025
    Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. A not too Fragile Bacteroides.Journal of community hospital internal medicine perspectives · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. 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

7 authors at 4 institutions in 3 countries.

Seyedesomaye JasemiDepartment of Microbiology, School of Medicine, Tehran University of Medical Sciences, Poursina Street, Engelab-e-Eslami Avenue, Tehran, Iran.
Mohammad EmaneiniDepartment of Microbiology, School of Medicine, Tehran University of Medical Sciences, Poursina Street, Engelab-e-Eslami Avenue, Tehran, Iran.
Zahra AhmadinejadDepartment of Infectious Diseases, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad Sadegh FazeliDepartment of Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Leonardo A SechiDepartment of Biomedical Sciences, University of Sassari, Sassari, Italy.
Fatemah Sadeghpour HeraviSurgical Infection Research Group, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia.
Mohammad Mehdi FeizabadiDepartment of Microbiology, School of Medicine, Tehran University of Medical Sciences, Poursina Street, Engelab-e-Eslami Avenue, Tehran, Iran. mfeizabadi@tums.ac.ir.
Tehran University of Medical Sciences · IRUniversity of Sassari · ITImam Khomeini Hospital · IRMacquarie University · AU

Funding

National Institute for Medical Research Development (NO. 971329).
6 · The paper itself

Abstract

backgroundBacteroides fragilis is a part of the normal gastrointestinal flora, but it is also the most common anaerobic bacteria causing the infection. It is highly resistant to antibiotics and contains abundant antibiotic resistance mechanisms.

methodsThe antibiotic resistance pattern of 78 isolates of B. fragilis (22 strains from clinical samples and 56 strains from the colorectal tissue) was investigated using agar dilution method. The gene encoding Bacteroides fargilis toxin bft, and antibiotic resistance genes were targeted by PCR assay.

resultsThe highest rate of resistance was observed for penicillin G (100%) followed by tetracycline (74.4%), clindamycin (41%) and cefoxitin (38.5%). Only a single isolate showed resistance to imipenem which contained cfiA and IS1186 genes. All isolates were susceptible to metronidazole. Accordingly, tetQ (87.2%), cepA (73.1%) and ermF (64.1%) were the most abundant antibiotic-resistant genes identified in this study. MIC values for penicillin, cefoxitin and clindamycin were significantly different among isolates with the cepA, cfxA and ermF in compare with those lacking such genes. In addition, 22.7 and 17.8% of clinical and GIT isolates had the bft gene, respectively.

conclusionsThe finding of this study shows that metronidazole is highly in vitro active agent against all of B. fragilis isolates and remain the first-line antimicrobial for empirical therapy.

Indexed as

Drug Resistance, BacterialAnti-Bacterial AgentsBacterial ToxinsBacteroides fragilisBacteroides InfectionsCefoxitinClindamycinCross-Sectional StudiesDNA, BacterialGastrointestinal TractGenes, BacterialHumansImipenemInpatientsMetalloendopeptidasesMetronidazoleAnti-Bacterial AgentsBacterial ToxinsBacteroides fragilis toxinCefoxitinClindamycinDNA, BacterialImipenemMetalloendopeptidasesMetronidazolePenicillin GRNA, Ribosomal, 16STetracyclineAntibiotic resistanceBacteroides fragilisbft geneResistance gene

Identifiers

PMID33892721
PMCPMC8066845
OpenAlexW3154687786

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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.