Evidence map›Paper›PMID 33898340›Full record

ArticleGerms2021

Microbial profile, antimicrobial resistance, and molecular characterization of diabetic foot infections in a university hospital.

Azza A Ismail, Marwa A Meheissen, Talaat A Abd Elaaty, Nermine E Abd-Allatif, Heba S Kassab

Open access · greenAbstract read
In one paragraph

Article in Germs, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Diabetes-related lower limb wounds: Antibiotic susceptibility pattern and biofilm formation.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2024
    Article
  10. Article
  11. Transcriptomic fingerprint of bacterial infection in lower extremity ulcers.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2022
    Article
  12. Article
  13. Article
  14. 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

5 authors at 1 institution in 1 country.

Azza A IsmailMD, Internal Medicine Department (Unit of Diabetes & Metabolism), Faculty of Medicine, Alexandria University, 21512, Egypt.
Marwa A MeheissenMD, Medical Microbiology and Immunology Department, Faculty of Medicine, Alexandria University, 21512, Egypt.
Talaat A Abd ElaatyMD, Internal Medicine Department (Unit of Diabetes & Metabolism), Faculty of Medicine, Alexandria University, 21512, Egypt.
Nermine E Abd-AllatifInternal Medicine Department (Unit of Diabetes & Metabolism), Faculty of Medicine, Alexandria University, 21512, Egypt.
Heba S KassabMD, Internal Medicine Department (Unit of Diabetes & Metabolism), Faculty of Medicine, Alexandria University, 21512, Egypt.
Alexandria University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDiabetic foot infections (DFIs) are among the most severe complications of diabetes. The aim of this study was to determine the etiological pathogens of DFIs in different Wagner's and IDSA/IWGDF grades, and to assess their antimicrobial susceptibility pattern together with molecular characterization of antibiotic resistance genes.

methodsA prospective study was conducted on 120 DFI patients at Main Alexandria University Hospital, Egypt. The aerobic and anaerobic etiological pathogens were determined using semi-quantitative culture and PCR respectively. The antimicrobial susceptibility pattern was done according to Clinical Laboratory Standards Institute guidelines. Detection of carbapenemases and class-1 integron genes was carried out by polymerase chain reaction (PCR).

resultsA total of 178 (124 aerobic, 54 anaerobic) pathogens were identified from patients with DFI, with an average of 1.82 isolates/subject. Among aerobic pathogens, Gram-negative predominated (98/124; 79%), of which

conclusionsMultidrug and extensively drug resistant Gram-negative bacteria were the dominant pathogens among all DFI severity grades. However, the proportion of Gram-positive bacteria decreased with the severity of infection. The clinical role of our relatively high rate of anaerobes should be investigated. The results found in this study could be beneficial for designing future empiric antimicrobial protocols in relation to the severity of DFIs.

Indexed as

Diabetic foot infectiondiabetic foot ulcerextensively drug-resistantintegronmicrobiologymultidrug-resistant

Identifiers

PMID33898340
PMCPMC8057848
OpenAlexW3155510818

What OpenQuestion holds

Textmetadata
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.