Evidence map›Paper›PMID 36421258›Full record

ArticleAntibiotics (Basel, Switzerland)2022

Exploring the Antibiotic Resistance Profile of Clinical

Ricardo Oliveira, Joana Castro, Sónia Silva, Hugo Oliveira, Maria José Saavedra, Nuno Filipe Azevedo, Carina Almeida

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2022. 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
3.3field-weighted citation impact, top 5% 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, 47 citations in OpenAlex.

  1. Article
  2. Insights ofInternational journal of microbiology · 2026
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  5. Genetic diversity, drug resistance, and biofilm formation in Klebsiella pneumoniae associated with nosocomial infection in Pelotas, RS, Brazil.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2025
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  8. CombatingFrontiers in cellular and infection microbiology · 2025
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  10. HPLC-PDA Analysis of Polyacetylene Glucosides fromPharmaceuticals (Basel, Switzerland) · 2024
    Article
  11. Resistance Pattern ofMedicina (Kaunas, Lithuania) · 2024
    Article
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  15. Comprehensive Analysis of Virulence Genes, Antibiotic Resistance, Biofilm Formation, and Sequence Types in Clinical Isolates ofThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2024
    Article
  16. Article
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  19. Article
  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

7 authors at 4 institutions in 1 country.

Ricardo OliveiraINIAV-National Institute for Agrarian and Veterinarian Research, Rua dos Lagidos, 4485-655 Vila do Conde, Portugal.ORCID 0000-0001-9175-4278
Joana CastroINIAV-National Institute for Agrarian and Veterinarian Research, Rua dos Lagidos, 4485-655 Vila do Conde, Portugal.ORCID 0000-0003-3221-1681
Sónia SilvaINIAV-National Institute for Agrarian and Veterinarian Research, Rua dos Lagidos, 4485-655 Vila do Conde, Portugal.ORCID 0000-0003-0000-7387
Hugo OliveiraCenter of Biological Engineering (CEB), Campus de Gualtar, University of Minho, 4710-057 Braga, Portugal.ORCID 0000-0001-9564-5714
Maria José SaavedraDepartment of Veterinary Sciences, Laboratory Medical Microbiology, Antimicrobials, Biocides and Biofilms Unit, University of Trás-os-Montes and Alto Douro, 5000-801 Vila Real, Portugal.ORCID 0000-0002-7492-4965
Nuno Filipe AzevedoLEPABE-Laboratory for Process Engineering, Environment, Biotechnology and Energy, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal.ORCID 0000-0001-5864-3250
Carina AlmeidaINIAV-National Institute for Agrarian and Veterinarian Research, Rua dos Lagidos, 4485-655 Vila do Conde, Portugal.ORCID 0000-0002-0175-1119
Universidade do Porto · PTInstituto Nacional de Investigação Agrária e Veterinária · PTUniversity of Minho · PTUniversity of Trás-os-Montes and Alto Douro · PT

Funding

Fundação para a Ciência e Tecnologia LA/P/0029/2020Fundação para a Ciência e Tecnologia LA/P/0045/2020Fundação para a Ciência e Tecnologia SFRH/BD/138883/2018Fundação para a Ciência e Tecnologia UIDB/00511/2020Fundação para a Ciência e Tecnologia UIDB/04033/2020Fundação para a Ciência e Tecnologia UIDB/04469/2020Fundação para a Ciência e Tecnologia UIDP/00511/2020Fundação para a Ciência e Tecnologia UIDP/04033/2020Inov4Agro LA/P/0126/2020
6 · The paper itself

Abstract

While antibiotic resistance is rising to dangerously high levels, resistance mechanisms are spreading globally among diverse bacterial species. The emergence of antibiotic-resistant Klebsiella pneumoniae, mainly due to the production of antibiotic-inactivating enzymes, is currently responsible for most treatment failures, threatening the effectiveness of classes of antibiotics used for decades. This study assessed the presence of genetic determinants of β-lactam resistance in 102 multi-drug resistant (MDR) K. pneumoniae isolates from patients admitted to two central hospitals in northern Portugal from 2010 to 2020. Antimicrobial susceptibility testing revealed a high rate (>90%) of resistance to most β-lactam antibiotics, except for carbapenems and cephamycins, which showed antimicrobial susceptibility rates in the range of 23.5−34.3% and 40.2−68.6%, respectively. A diverse pool of β-lactam resistance genetic determinants, including carbapenemases- (i.e., blaKPC-like and blaOXA-48-like), extended-spectrum β-lactamases (ESBL; i.e., blaTEM-like, blaCTX-M-like and blaSHV-like), and AmpC β-lactamases-coding genes (i.e., blaCMY-2-like and blaDHA-like) were found in most K. pneumoniae isolates. blaKPC-like (72.5%) and ESBL genes (37.3−74.5%) were the most detected, with approximately 80% of K. pneumoniae isolates presenting two or more resistance genes. As the optimal treatment of β-lactamase-producing K. pneumoniae infections remains problematic, the high co-occurrence of multiple β-lactam resistance genes must be seen as a serious warning of the problem of antimicrobial resistance.

Indexed as

AmpC β-lactamasesantimicrobial susceptibilitycarbapenemasesextended-spectrum β-lactamases (ESBL)Klebsiella pneumoniaeβ-lactams

Identifiers

PMID36421258
PMCPMC9686965
OpenAlexW4309005644

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.