Evidence map›Paper›PMID 36209248›Full record

ArticleCurrent microbiology2022

High Rates of Extensively Drug-Resistant Pseudomonas aeruginosa in Children with Cystic Fibrosis.

Juan C Gutiérrez-Santana, Armando Gerónimo-Gallegos, Mónica B Martínez-Corona, Marisol López-López, Julia D Toscano-Garibay, Francisco Cuevas-Schacht, Victor R Coria-Jiménez

Abstract read
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In one paragraph

Article in Current microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 44% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Phage-Based Approaches to ChronicAntibiotics (Basel, Switzerland) · 2026
    Review
  4. Article
  5. Diversification ofMicroorganisms · 2025
    Article
  6. Review
  7. 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 4 institutions in 1 country.

Juan C Gutiérrez-SantanaDoctorado en Ciencias Biológicas y de la Salud, Universidad Autónoma Metropolitana, Mexico, Mexico. biol.jcgutierrez@gmail.com.ORCID http://orcid.org/0000-0002-3975-7305
Armando Gerónimo-GallegosLaboratory of Experimental Bacteriology, Instituto Nacional de Pediatría, Insurgentes sur 3700-C, Col. Insurgentes Cuicuilco, Coyoacán, C.P. 04530, Mexico, Mexico.
Mónica B Martínez-CoronaDepartment of Man and His Environment, Universidad Autónoma Metropolitana, Xochimilco, Calzada del Hueso 1100, Col. Villa Quietud, Coyoacán, C.P. 04960, Mexico, Mexico.
Marisol López-LópezDepartment of Biological Systems, Universidad Autónoma Metropolitana, Xochimilco, Calzada del Hueso 1100, Col. Villa Quietud, Coyoacán, C.P. 04960, Mexico, Mexico.
Julia D Toscano-GaribayDirectorate for Planning, Education and Research, Hospital Regional de Alta Especialidad de Ixtapaluca, Carretera Federal México-Puebla Km. 34.5, Pueblo de Zoquiapan, C. P. 56530, Ixtapaluca, Estado de Mexico, Mexico.
Francisco Cuevas-SchachtDepartment of Pulmonology and Chest Surgery, Instituto Nacional de Pediatría, Insurgentes Sur 3700-C, Col. Insurgentes Cuicuilco, Coyoacán, C.P. 04530, Mexico, Mexico.
Victor R Coria-JiménezLaboratory of Experimental Bacteriology, Instituto Nacional de Pediatría, Insurgentes sur 3700-C, Col. Insurgentes Cuicuilco, Coyoacán, C.P. 04530, Mexico, Mexico. coria.rafael@gmail.com.
Universidad Autónoma Metropolitana · MXInstituto Nacional de Pediatria · MXHospital Regional de Alta Especialidad del Bajío · MXUniversidad Insurgentes · MX

Funding

Consejo Nacional de Ciencia y Tecnología 2018-000068-02NACF-28106Instituto Nacional de Pediatría (MX) 068/2019
6 · The paper itself

Abstract

Pseudomonas aeruginosa has a high adaptive capacity, favoring the selection of antibiotic-resistant strains, which are currently considered a global health problem. The purpose of this work was to investigate the rate and distribution of extensively drug-resistant (XDR) P. aeruginosa in pediatric patients with cystic fibrosis (CF) with recurrent infections and to distinguish the current efficacy of antibiotics commonly used in eradication therapy at a Mexican institute focused on children. A total of 118 P. aeruginosa isolates from 25 children with CF (2015-2019) underwent molecular identification, antimicrobial sensitivity tests, and Random Amplified Polymorphic DNA genotyping (RAPD-PCR). The bacterial isolates were grouped in 84 RAPD profiles, revealing a cross-infection between two sisters, whose resistance profile remained unchanged for more than 2 years. Furthermore, 77.1% (91/118) and 51.7% (61/118) of isolates showed in vitro susceptibility to ceftazidime and amikacin, respectively, antibiotics often used in eradication therapy at our institution. As well, 42.4% (50/118) were categorized as multi-drug resistant (MDR) and 12.7% (15/118) were XDR. Of these resistant isolates, 84.6% (55/65) were identified from patients with recurrent infections. The high frequency of XDR strains in children with CF should be considered a caution mark, as such resistance patterns are more commonly found in adult patients. Additionally, amikacin may soon prove ineffective. Careful use of available antibiotics is crucial before therapeutic possibilities are reduced and "antibiotic resistance crisis" worsens.

Indexed as

Cystic FibrosisPseudomonas InfectionsAdultAmikacinAnti-Bacterial AgentsCeftazidimeChildHumansMicrobial Sensitivity TestsPseudomonas aeruginosaRandom Amplified Polymorphic DNA TechniqueReinfectionAmikacinAnti-Bacterial AgentsCeftazidime

Identifiers

PMID36209248
OpenAlexW4303674030

What OpenQuestion holds

Textmetadata
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.