Evidence map›Paper›PMID 33947325›Full record

ArticleBMC microbiology2021

Detection and characterization of carbapenem resistant Gram-negative bacilli isolates recovered from hospitalized patients at Soba University Hospital, Sudan.

Hana S Elbadawi, Kamal M Elhag, Elsheikh Mahgoub, Hisham N Altayb, Francine Ntoumi, Linzy Elton, Timothy D McHugh, John Tembo, Giuseppe Ippolito, Abdinasir Yusuf Osman and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
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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

12 authors at 9 institutions in 6 countries.

Hana S Elbadawi *Institute of Endemic Diseases, University of Khartoum, Khartoum, Sudan. Hanasalah200@gmail.com.
Kamal M ElhagSoba University Hospital, University of Khartoum, Khartoum, Sudan.
Elsheikh MahgoubDepartment of Microbiology, Faculty of Medicine, University of Khartoum, Khartoum, Sudan.
Hisham N AltaybDepartment of Biochemistry, College of Sciences, King Abdul-Aziz University, Jeddah, Kingdom of Saudi Arabia.
Francine NtoumiUniversité Marien NGouabi, Fondation Congolaise pour la Recherche Médicale (FCRM), Brazzaville, Congo.
Linzy EltonCenter for Clinical Microbiology, University College London, Royal Free Campus, Rowland Hill Street, NW3 2PF, London, United Kingdom.
Timothy D McHughCenter for Clinical Microbiology, University College London, Royal Free Campus, Rowland Hill Street, NW3 2PF, London, United Kingdom.
John TemboUNZA-UCLMS and HERPEZ Research and training programs, University teaching Hospital, Lusaka, Zambia.
Giuseppe IppolitoNational Institute for Infectious Diseases, IRCCS, Via Portuense 292, 00149, Lazzaro Spallanzani, Rome, Italy.
Abdinasir Yusuf OsmanThe Royal Veterinary College, University of London, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire, UK.
Alimuddin ZumlaCenter for Clinical Microbiology, University College London, Royal Free Campus, Rowland Hill Street, NW3 2PF, London, United Kingdom.
Muzamil M Abdel Hamid *Institute of Endemic Diseases, University of Khartoum, Khartoum, Sudan. mahdi@iend.org.
University of Khartoum · SDAhfad University for Women · SDIstituti di Ricovero e Cura a Carattere Scientifico · ITRoland Hill (United Kingdom) · GBRoyal Veterinary College · GBThe Royal Free Hospital · GBUCL Biomedical Research Centre · GBUniversity of Tübingen · DEUniversity of Zambia · ZM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntimicrobial resistance (AMR) poses a complex threat to global health security and universal health coverage. Recently, nosocomial infections with carbapenemase-producing Gram-negative bacilli (GNB) is increasing worldwide. We report the molecular characterization and detection of genes associated with carbapenemase producing Gram negative bacteria isolated from hospitalized patients at Soba University Hospital (SUH) in Khartoum State, Sudan.

resultsBetween October 2016 and February 2017, a total of 206 GNB clinical specimens were collected from hospitalized patients in SUH. Of 206 carbapenem resistance isolates, 171 (83 %) were confirmed as phenotypically resistant and 121 (58.7 %) isolates harboured one or more carbapenemase genes. New Delhi metallo-β-lactamase (NDM) types were the most predominant genes, blaNDM 107(52 %), followed by blaIMP 7 (3.4 %), blaOXA-48 5(2.4 %) and blaVIM 2 (0.9 %). Co-resistance genes with NDM producing GNB were detected in 87 (81.3 %) of all blaNDM producing isolates. NDM-1 was the most frequent subtype observed in 75 (70 %) blaNDM producing isolates. The highest percentage of resistance was recorded in ampicillin (98 %), cephalexin (93.5 %) amoxicillin clavulanic acid (90 %), cefotaxime (89.7 %), ceftriaxone (88.4 %), ceftazidime (84.2 %), sulfamethoxazole-trimethoprim (78.4 %) and nitrofurantoin (75.2 %), aztreonam (66 %) and temocillin (64 %). A close correlation between phenotypic and carbapenemase genes detection in all GNB was observed.

conclusionsThe frequency of carbapenemase producing bacilli was found to be high in SUH. NDM was found to be the most prevalent carbapenemase gene among clinical isolates. Close surveillance across all hospitals in Sudan is required. The relative distribution of carbapenemase genes among GNB in nosocomial infections in Africa needs to be defined.

Indexed as

Bacterial Proteinsbeta-LactamasesCarbapenemsDrug Resistance, BacterialGenes, BacterialGram-Negative BacteriaGram-Negative Bacterial InfectionsHospitals, UniversityHumansSudanBacterial Proteinsbeta-LactamasescarbapenemaseCarbapenemsCarbapenemase resistant genesGram negative bacteriaHospitalized patientsMultidrug‐resistantSudan

Identifiers

PMID33947325
PMCPMC8094518
OpenAlexW3137185875

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.