Evidence map›Paper›PMID 33914829›Full record

ArticlePloS one2021

Multidrug resistance pattern of Acinetobacter species isolated from clinical specimens referred to the Ethiopian Public Health Institute: 2014 to 2018 trend anaylsis.

Zeleke Ayenew, Eyasu Tigabu, Elias Syoum, Semira Ebrahim, Dawit Assefa, Estifanos Tsige

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
  6. Article
  7. Prevalence and antimicrobial susceptibility ofAnnals of medicine and surgery (2012) · 2023
    Article
  8. Epidemiology and Multidrug Resistance ofInfection and drug resistance · 2023
    Article
  9. Prevalence and Trends of Carbapenem-ResistantInfection and drug resistance · 2023
    Article
  10. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Zeleke AyenewNational clinical bacteriology and mycology reference laboratory, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.ORCID 0000-0003-4216-6634
Eyasu TigabuNational clinical bacteriology and mycology reference laboratory, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
Elias SyoumNational clinical bacteriology and mycology reference laboratory, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
Semira EbrahimNational clinical bacteriology and mycology reference laboratory, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
Dawit AssefaNational clinical bacteriology and mycology reference laboratory, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
Estifanos TsigeNational clinical bacteriology and mycology reference laboratory, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
Ethiopian Public Health Institute · ETOhio Department of Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcinetobacter species have been a leading cause of nosocomial infections, causing significant morbidity and mortality over the entire world including Ethiopia. The most important features of A. baumannii are its ability to persist in the hospital environment and rapidly develop resistance to a wide variety of antibiotics. This study aimed to determine trend of antimicrobial resistance in Acinetobacter species over a five years period.

methodA retrospective data regarding occurrence and antimicrobial resistance of Acinetobacter species recovered from clinical specimens referred to the national reference laboratory was extracted from microbiology laboratory data source covering a time range from 2014 to 2018. Socio-demographic characteristics and laboratory record data was analyzed using SPSS 20.

resultsA total of 102 strains of Acinetobacter species were analyzed from various clinical specimens. Majority of them were from pus (33.3%) followed by blood (23.5%), urine (15.6%) and body fluid (11.7%). Significant ascending trends of antimicrobial resistance was shown for meropenem (12.5% to 60.7%), ceftazidime (82.1% to 100%), ciprofloxacin (59.4% to 74.4%), ceftriaxone (87.1% to 98.6%), cefepime (80.0% to 93.3%) and pipracillin- tazobactam (67.8% to 96.3%). However, there was descending trend of antimicrobial resistance for tobramycin (56.5% to 42.8%), amikacin (42.1% to 31.4%) and trimethoprim-sulfamethoxazole (79.0 to 68.2%). The overall rate of carbapenem non-susceptible and multidrug resistance rates in Acinetobacter species were 56.7% and 71.6%.respectively.

conclusionA five year antimicrobial resistance trend analysis of Acinetobacter species showed increasing MDR and resistance to high potent antimicrobial agents posing therapeutic challenge in our Hospitals and health care settings. Continuous surveillance and appropriate infection prevention and control strategies need to be strengthened to circumvent the spread of multidrug resistant pathogens in health care facilities.

Indexed as

Drug Resistance, Multiple, BacterialAcinetobacterAcinetobacter InfectionsAdolescentAdultAnti-Bacterial AgentsBloodBody FluidsChildEthiopiaFemaleHospitals, PublicHumansMaleMiddle AgedPublic HealthAnti-Bacterial Agents

Identifiers

PMID33914829
PMCPMC8084144
OpenAlexW3157209193

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.