Evidence map›Paper›PMID 35296353›Full record

ArticleAntimicrobial resistance and infection control2022

Environmental surveillance of ESBL and carbapenemase-producing gram-negative bacteria in a Ghanaian Tertiary Hospital.

Joseph Elikem Efui Acolatse, Edward A R Portal, Ian Boostrom, George Akafity, Mavis Puopelle Dakroah, Victoria J Chalker, Kirsty Sands, Owen B Spiller

Open access · goldAbstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 10% 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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  12. Global emergence ofMicrobial genomics · 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

8 authors at 5 institutions in 2 countries.

Joseph Elikem Efui AcolatseCape Coast Teaching Hospital, Cape Coast, Ghana.
Edward A R PortalMedical Microbiology, Department of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
Ian BoostromMedical Microbiology, Department of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
George AkafityCape Coast Teaching Hospital, Cape Coast, Ghana.
Mavis Puopelle DakroahCape Coast Teaching Hospital, Cape Coast, Ghana.
Victoria J ChalkerBacteriology Reference Department, UK Health Security Agency, London, UK.
Kirsty Sands *Medical Microbiology, Department of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK. sandsk1@cardiff.ac.uk.ORCID 0000-0001-5049-4481
Owen B Spiller *Medical Microbiology, Department of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK. SpillerB@cardiff.ac.uk.
University of Cape Coast · GHUK Health Security Agency · GBCardiff University · GBEnvironment Agency · GBUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe burden of antibiotic resistant infection is mainly felt in low-to-middle income countries, where the rate of antimicrobial resistance is largely under-surveyed and under huge pressure from unregulated, disparate and often self-guided access to antimicrobials. Nosocomial infections from hospital environments have been shown to be a particularly prevalent source of multi-drug resistant strains, yet surveillance of hospital environmental contamination is often not investigated.

methodsThe study was prospective, observational and cross-sectional, sampling 231 high and low touch surfaces from 15th March to 13th April 2021, from five wards in the Cape Coast Teaching Hospital, Ghana. Microbial growth in the presence of vancomycin and either meropenem or cefotaxime was examined and bacterial species were identified by MALDI-TOF. The presence of common extended-spectrum β-lactamases (ESBL) and carbapenemase antimicrobial resistance genes (ARG) were identified through PCR screening, which were confirmed by phenotypic antimicrobial susceptibility determination. Isolates positive for carbapenem resistance genes were sequenced using a multi-platform approach.

resultsWe recovered microbial growth from 99% of swabs (n = 229/231) plated on agar in the absence of antimicrobials. Multiple sites were found to be colonised with resistant bacteria throughout the hospital setting. Bacteria with multi-drug resistance and ARG of concern were isolated from high and low touch points with evidence of strain dissemination throughout the environment. A total of 21 differing species of bacteria carrying ARG were isolated. The high prevalence of Acinetobacter baumannii carrying bla

conclusionEvidence of multiple clonal incursions of MDR bacteria of high sepsis risk were found in two separate wards for a regional hospital in Ghana. The prevalence of multiple bla

Indexed as

Anti-Bacterial AgentsGram-Negative BacteriaBacterial Proteinsbeta-LactamasesCross-Sectional StudiesEnvironmental MonitoringGhanaHumansMicrobial Sensitivity TestsPhylogenyProspective StudiesTertiary Care CentersAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasescarbapenemaseAcinetobacterAFRICAAMRCarbapenemaseCRABESBLGhanaHospital environmentInfection prevention and controlNDM

Identifiers

PMID35296353
PMCPMC8925048
OpenAlexW4221054402

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.