Evidence map›Paper›PMID 34572699›Full record

ReviewAntibiotics (Basel, Switzerland)2021

Clinical Status of Efflux Resistance Mechanisms in Gram-Negative Bacteria.

Anne Davin-Regli, Jean-Marie Pages, Aurélie Ferrand

Open access · goldAbstract readReview
In one paragraph

Review in Antibiotics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

21 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Article
  3. Effect of sub-inhibitory tigecycline (½-MIC) on AcrAB-TolC andFrontiers in cellular and infection microbiology · 2026
    Article
  4. Antibiotic resistance inFrontiers in microbiology · 2026
    Review
  5. Review
  6. The occurrences ofIranian journal of microbiology · 2025
    Article
  7. Efflux-Mediated Resistance inAntibiotics (Basel, Switzerland) · 2025
    Review
  8. Article
  9. Public Health Risk ofPathogens (Basel, Switzerland) · 2025
    Article
  10. Review
  11. Article
  12. Antimicrobial resistance genes harbored in invasiveFrontiers in cellular and infection microbiology · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Di-berberine conjugates as chemical probes ofbioRxiv : the preprint server for biology · 2023
    Article
  17. Review
  18. Review
  19. Evasion of Antimicrobial Activity inInternational journal of molecular sciences · 2022
    Review
  20. 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

3 authors at 1 institution in 1 country.

Anne Davin-RegliMembranes et Cibles Thérapeutiques-Faculté de Pharmacie, UMR_MD1, U-1261, Aix-Marseille Université, 27 Boulevard Jean Moulin, 13385 Marseille, France.ORCID 0000-0001-5040-8379
Jean-Marie PagesMembranes et Cibles Thérapeutiques-Faculté de Pharmacie, UMR_MD1, U-1261, Aix-Marseille Université, 27 Boulevard Jean Moulin, 13385 Marseille, France.ORCID 0000-0001-7092-7977
Aurélie FerrandMembranes et Cibles Thérapeutiques-Faculté de Pharmacie, UMR_MD1, U-1261, Aix-Marseille Université, 27 Boulevard Jean Moulin, 13385 Marseille, France.
Aix-Marseille Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antibiotic efflux is a mechanism that is well-documented in the phenotype of multidrug resistance in bacteria. Efflux is considered as an early facilitating mechanism in the bacterial adaptation face to the concentration of antibiotics at the infectious site, which is involved in the acquirement of complementary efficient mechanisms, such as enzymatic resistance or target mutation. Various efflux pumps have been described in the Gram-negative bacteria most often encountered in infectious diseases and, in healthcare-associated infections. Some are more often involved than others and expel virtually all families of antibiotics and antibacterials. Numerous studies report the contribution of these pumps in resistant strains previously identified from their phenotypes. The authors characterize the pumps involved, the facilitating antibiotics and those mainly concerned by the efflux. However, today no study describes a process for the real-time quantification of efflux in resistant clinical strains. It is currently necessary to have at hospital level a reliable and easy method to quantify the efflux in routine and contribute to a rational choice of antibiotics. This review provides a recent overview of the prevalence of the main efflux pumps observed in clinical practice and provides an idea of the prevalence of this mechanism in the multidrug resistant Gram-negative bacteria. The development of a routine diagnostic tool is now an emergency need for the proper application of current recommendations regarding a rational use of antibiotics.

Indexed as

hospital acquired infectionsprevalence of efflux resistance mechanismsRND efflux pumps

Identifiers

PMID34572699
PMCPMC8467137
OpenAlexW3199591774

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.