Evidence map›Paper›PMID 34078502›Full record

SynthesisEpidemiology and infection2021

Risk factors for antibiotic resistance development in healthcare settings in China: a systematic review.

Qi Chen, Duguang Li, Claudia Beiersmann, Florian Neuhann, Babak Moazen, Guangyu Lu, Olaf Müller

Abstract readSystematic Review
In one paragraph

Synthesis in Epidemiology and infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

32 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  6. Antibiotic Resistance during COVID-19: A Systematic Review.International journal of environmental research and public health · 2022
    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

7 authors.

Qi ChenHeidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany.
Duguang LiDepartment of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Claudia BeiersmannHeidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany.
Florian NeuhannHeidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany.
Babak MoazenHeidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany.
Guangyu LuDepartment of Preventive Medicine, Medical College of Yangzhou University, Yangzhou, China.ORCID 0000-0003-2568-7091
Olaf MüllerHeidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antibiotic resistance (ABR) threatens the effectiveness of infectious disease treatments and contributes to increasing global morbidity and mortality. In this study, we systematically reviewed the identified risk factors for ABR among people in the healthcare system of mainland China. Five databases were systematically searched to identify relevant articles published in either English and Chinese between 1 January 2003 and 30 June 2019. A total of 176 facility-based references were reviewed for this study, ranging across 31 provinces in mainland China and reporting information from over 50 000 patients. Four major ABR risk factor domains were identified: (1) sociodemographic factors (includes migrant status, low income and urban residence), (2) patient clinical information (includes disease status and certain laboratory results), (3) admission to healthcare settings (includes length of hospitalisation and performance of invasive procedures) and (4) drug exposure (includes current or prior antibiotic therapy). ABR constitutes an ongoing major public health challenge in China. The healthcare sector-associated risk factors was the most important aspect identified in this review and need to be addressed. Primary health care system and ABR surveillance networks need to be further strengthened to prevent and control the communicable diseases, over-prescription and overuse of antibiotics.

Indexed as

Drug Resistance, BacterialAnti-Bacterial AgentsBacteriaChinaHealth FacilitiesHumansOdds RatioRisk FactorsAnti-Bacterial AgentsAntibiotic resistanceChinahealthcare settingrisk factorssystematic review

Identifiers

PMID34078502
PMCPMC8220497

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.