Evidence map›Paper›PMID 34787450›Full record

ArticlemSphere2021

Deciphering Multidrug-Resistant Acinetobacter baumannii from a Pediatric Cancer Hospital in Egypt.

Deena Jalal, Mariam G Elzayat, Aya A Diab, Hend E El-Shqanqery, Omar Samir, Usama Bakry, Reem Hassan, Mervat Elanany, Lobna Shalaby, Ahmed A Sayed

Open access · goldAbstract read
In one paragraph

Article in mSphere, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 28% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Virulence · 2026
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  4. Convergent evolution of ST2 and ST164 mediates dissemination of the blaAnnals of clinical microbiology and antimicrobials · 2026
    Article
  5. Article
  6. Colistin-resistance amongJAC-antimicrobial resistance · 2026
    Review
  7. Article
  8. Molecular analysis of carbapenem-resistantFrontiers in cellular and infection microbiology · 2026
    Article
  9. Review
  10. Clinical Analysis ofJournal of clinical medicine · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Antibiotics (Basel, Switzerland) · 2023
    Article
  18. CRISPR-Based Gene Editing inPharmaceuticals (Basel, Switzerland) · 2023
    Review
  19. Article
  20. Epidemiology and antimicrobial resistance trends ofFrontiers in public health · 2023
    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

10 authors at 3 institutions in 1 country.

Deena JalalGenomics Program, Children's Cancer Hospital Egypt 57357, Cairo, Egypt.ORCID 0000-0001-7778-5166
Mariam G ElzayatGenomics Program, Children's Cancer Hospital Egypt 57357, Cairo, Egypt.
Aya A DiabGenomics Program, Children's Cancer Hospital Egypt 57357, Cairo, Egypt.
Hend E El-ShqanqeryGenomics Program, Children's Cancer Hospital Egypt 57357, Cairo, Egypt.
Omar SamirGenomics Program, Children's Cancer Hospital Egypt 57357, Cairo, Egypt.
Usama BakryGenomics Program, Children's Cancer Hospital Egypt 57357, Cairo, Egypt.
Reem HassanDepartment of Clinical Pathology, Faculty of Medicine, Cairo University, Cairo, Egypt.
Mervat ElananyDepartment of Clinical Pathology, Faculty of Medicine, Cairo University, Cairo, Egypt.
Lobna ShalabyInfectious Disease Unit, Children's Cancer Hospital Egypt 57357, Cairo, Egypt.
Ahmed A SayedGenomics Program, Children's Cancer Hospital Egypt 57357, Cairo, Egypt.ORCID 0000-0003-4044-4709
Children Cancer Hospital · EGCairo University · EGAin Shams University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infection by multidrug-resistant (MDR) Acinetobacter baumannii is one of the major causes of hospital-acquired infections worldwide. The ability of A. baumannii to survive in adverse conditions as well as its extensive antimicrobial resistance make it one of the most difficult to treat pathogens associated with high mortality rates. The aim of this study was to investigate MDR A. baumannii that has spread among pediatric cancer patients in the Children's Cancer Hospital Egypt 57357. Whole-genome sequencing was used to characterize 31 MDR A. baumannii clinical isolates. Phenotypically, the isolates were MDR, with four isolates showing resistance to the last-resort antibiotic colistin. Multilocus sequence typing showed the presence of eight clonal groups, two of which were previously reported to cause outbreaks in Egypt, and one novel sequence type (ST), Oxf-ST2246. Identification of the circulating plasmids showed the presence of two plasmid lineages in the isolates, strongly governed by sequence type. A large number of antimicrobial genes with a range of resistance mechanisms were detected in the isolates, including β-lactamases and antibiotic efflux pumps. Analysis of insertion sequences (ISs) revealed the presence of IS

Indexed as

Multilocus Sequence TypingAcinetobacter baumanniiAcinetobacter InfectionsAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesCancer Care FacilitiesCarbapenemsColistinCross InfectionDrug Resistance, Multiple, BacterialEgyptHospitals, PediatricHumansMicrobial Sensitivity TestsWhole Genome SequencingAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesCarbapenemsColistinAcinetobacter baumanniiantimicrobial resistance geneswhole-genome sequencing

Identifiers

PMID34787450
PMCPMC8597740
OpenAlexW3212991598

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.