Evidence map›Paper›PMID 34961568›Full record

ArticleTropical medicine and health2021

Staphylococcus aureus with inducible clindamycin resistance and methicillin resistance in a tertiary hospital in Nepal.

Devi Thapa, Susil Pyakurel, Sabita Thapa, Suresh Lamsal, Mahesh Chaudhari, Nabaraj Adhikari, Dhiraj Shrestha

Open access · goldAbstract read
In one paragraph

Article in Tropical medicine and health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.2field-weighted citation impact, top 17% 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

17 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
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  6. Nasal Carriage of Methicillin-ResistantInterdisciplinary perspectives on infectious diseases · 2025
    Article
  7. GENETIC DETERMINANTS OF ANTIBIOTIC RESISTANCE AND VIRULENCE INAfrican journal of infectious diseases · 2025
    Article
  8. Review
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  13. Article
  14. Article
  15. Article
  16. Heterogeneous Vancomycin IntermediateInfection and drug resistance · 2023
    Article
  17. 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

7 authors at 3 institutions in 1 country.

Devi ThapaDepartment of Microbiology, Kantipur College of Medical Science, Kathmandu, Nepal.
Susil PyakurelDepartment of Microbiology, Shi-Gan International College of Science and Technology, Kathmandu, Nepal. suseel51@gmail.com.ORCID http://orcid.org/0000-0003-1375-2538
Sabita ThapaDepartment of Microbiology, Kantipur College of Medical Science, Kathmandu, Nepal.
Suresh LamsalDepartment of Microbiology, Kantipur College of Medical Science, Kathmandu, Nepal.
Mahesh ChaudhariDepartment of Microbiology, KIST Medical College, Kathmandu, Nepal.
Nabaraj AdhikariCentral Department of Microbiology, Tribhuvan University, Kirtipur, Nepal.
Dhiraj ShresthaDepartment of Microbiology, Shi-Gan International College of Science and Technology, Kathmandu, Nepal.ORCID https://orcid.org/0000-0002-3221-5642
Grande International Hospital · NPKIST Medical College · NPTribhuvan University · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStaphylococcus aureus is a global public health issue in both community and hospital settings. Management of methicillin-resistant S. aureus (MRSA) infections are tough owing to its resistance to many antibiotics. Macrolide-lincosamide-streptogramin B (MLSB) antibiotics are commonly used for the management of MRSA. This study was aimed to determine the occurrence of inducible clindamycin- and methicillin-resistant S. aureus at a tertiary care hospital in Kathmandu, Nepal.

methodsA total of 1027 clinical samples were processed following standard laboratory procedures and antibiotic susceptibility testing of S. aureus was performed by disc diffusion method. MRSA isolates were detected phenotypically using cefoxitin disc, and inducible clindamycin resistance was detected phenotypically using the D-zone test.

resultsOf 1027 samples, 321 (31.2%) were culture positive, of which 38 (11.8%) were S. aureus. All S. aureus isolates were susceptible to vancomycin, and 25 (67%) of S. aureus isolates were multidrug-resistant. Similarly, 15 (39.5%) of S. aureus were MRSA and 14 (36.5%) were inducible clindamycin-resistant phenotypes.

conclusionInducible clindamycin and methicillin resistance were common in S. aureus. This emphasizes that the methicillin resistance test and the D-zone test should be incorporated into the routine antibiotic susceptibility testing in hospital settings.

Indexed as

Inducible clindamycin resistanceMRSANepalS. aureus

Identifiers

PMID34961568
PMCPMC8711148
OpenAlexW4200395880

What OpenQuestion holds

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LicenceCC BY
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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.