Evidence map›Paper›PMID 34090384›Full record

ArticleBMC infectious diseases2021

Klebsiella spp. cause severe and fatal disease in Mozambican children: antimicrobial resistance profile and molecular characterization.

Arsénia J Massinga, Marcelino Garrine, Augusto Messa, Nélio A Nobela, Nadia Boisen, Sergio Massora, Anélsio Cossa, Rosauro Varo, António Sitoe, Juan Carlos Hurtado and 8 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 32% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Descriptive Epidemiology ofBioMed research international · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Polyclonal Multidrug ESBL-ProducingAntibiotics (Basel, Switzerland) · 2023
    Article
  7. 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

18 authors at 8 institutions in 5 countries.

Arsénia J MassingaCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Marcelino GarrineCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Augusto MessaCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Nélio A NobelaCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Nadia BoisenDepartment of Bacteria, Parasites and Fungi, Statens Serum Institut, Copenhagen, Denmark.
Sergio MassoraCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Anélsio CossaCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Rosauro VaroISGlobal, Hospital Clínic-Universitat de Barcelona, Barcelona, Spain.
António SitoeCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Juan Carlos HurtadoISGlobal, Hospital Clínic-Universitat de Barcelona, Barcelona, Spain.
Jaume OrdiISGlobal, Hospital Clínic-Universitat de Barcelona, Barcelona, Spain.
Hélio MucaveleCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Tacilta NhampossaCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Robert F BreimanEmory Global Health Institute, Emory University, Atlanta, GA, USA.
Cynthia G WhitneyEmory Global Health Institute, Emory University, Atlanta, GA, USA.
Dianna M BlauCenter for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Quique BassatCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Inácio MandomandoCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique. inacio.mandomando@manhica.net.
Manhiça Health Research Centre · MZBarcelona Institute for Global Health · ESEmory University · USInstituto Nacional de Saúde · MZCenters for Disease Control and Prevention · USStatens Serum Institut · DKUniversidade Nova de Lisboa · PTUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKlebsiella spp. are important pathogens associated with bacteremia among admitted children and is among the leading cause of death in children < 5 years in postmortem studies, supporting a larger role than previously considered in childhood mortality. Herein, we compared the antimicrobial susceptibility, mechanisms of resistance, and the virulence profile of Klebsiella spp. from admitted and postmortem children.

methodsAntimicrobial susceptibility and virulence factors of Klebsiella spp. recovered from blood samples collected upon admission to the hospital (n = 88) and postmortem blood (n = 23) from children < 5 years were assessed by disk diffusion and multiplex PCR.

resultsKlebsiella isolates from postmortem blood were likely to be ceftriaxone resistant (69.6%, 16/23 vs. 48.9%, 43/88, p = 0.045) or extended-spectrum β-lactamase (ESBL) producers (60.9%, 14/23 vs. 25%, 22/88, p = 0.001) compared to those from admitted children. bla

conclusionMultidrug resistant Klebsiella spp. harboring genes associated with hypermucoviscosity phenotype has emerged in Mozambique causing invasive fatal disease in children; highlighting the urgent need for prompt diagnosis, appropriate treatment and effective preventive measures for infection control.

Indexed as

Anti-Bacterial AgentsAutopsyBacteremiabeta-LactamasesChild, PreschoolDrug Resistance, Multiple, BacterialEnterobacteriaceae InfectionsFemaleHumansInfantInfant, NewbornKlebsiellaMaleMicrobial Sensitivity TestsMozambiqueVirulence FactorsAnti-Bacterial Agentsbeta-LactamasesVirulence FactorsBacteremiaCTX-M-15ESBL genesHypermucoviscosityHypervirulenceMozambiqueSPATEs

Identifiers

PMID34090384
PMCPMC8178901
OpenAlexW3171606373

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.