Evidence map›Paper›PMID 34409293›Full record

ArticleJAC-antimicrobial resistance2021

Antibiotic resistance in uropathogens across northern Australia 2007-20 and impact on treatment guidelines.

Will Cuningham, Shalinie Perera, Sonali Coulter, Graeme R Nimmo, Trent Yarwood, Steven Y C Tong, Teresa M Wozniak

Abstract read
In one paragraph

Article in JAC-antimicrobial resistance, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Review
  2. Antibiotic Therapy for Pyelonephritis in the Emergency Department.Emergency medicine Australasia : EMA · 2025
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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.

Will CuninghamMenzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.ORCID https://orcid.org/0000-0001-5404-6088
Shalinie PereraWestern Diagnostic Pathology, Western Australia, Australia.
Sonali CoulterPrevention Division, Department of Health, Medication Services Queensland, Queensland, Australia.
Graeme R NimmoCentral Laboratory, Pathology Queensland, Queensland, Australia.
Trent YarwoodAntimicrobial Use and Resistance in Australia Project, Australian Commission for Safety and Quality in Healthcare, Canberra, Australian Capital Territory, Australia.ORCID https://orcid.org/0000-0002-9783-2764
Steven Y C TongMenzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.ORCID https://orcid.org/0000-0002-1368-8356
Teresa M WozniakMenzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrinary tract infections are common and are increasingly resistant to antibiotic therapy. Northern Australia is a sparsely populated region with limited access to healthcare, a relatively high burden of disease, a substantial regional and remote population, and high rates of antibiotic resistance in skin pathogens.

objectivesTo explore trends in antibiotic resistance for common uropathogens

methodsWe used data from an antibiotic resistance surveillance system. We calculated the monthly and yearly percentage of isolates that were resistant in each antibiotic class, by bacterium. We analysed resistance proportions geographically and temporally, stratifying by healthcare setting. Using simple linear regression, we investigated longitudinal trends in monthly resistance proportions and correlation between community and hospital isolates.

resultsOur analysis included 177 223 urinary isolates from four pathology providers between 2007 and 2020. Resistance to most studied antibiotics remained <20% (for

conclusionsAntibiotic resistance in uropathogens is increasing in northern Australia, but treatment guidelines generally remain appropriate for empirical therapy of patients with suspected infection (except trimethoprim in some settings). Our findings demonstrate the importance of local surveillance data (HOTspots) to inform clinical decision making and guidelines.

Identifiers

PMID34409293
PMCPMC8364662

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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.