Evidence map›Paper›PMID 36513989›Full record

ArticleBMC infectious diseases2022

Antibiotic resistance of uropathogens among the community-dwelling pregnant and nonpregnant female: a step towards antibiotic stewardship.

Sarita Mohapatra, Shwetha J Venugopal, Mani Kalaivani, Shashi Kant, Vibhor Tak, Rajashree Panigrahy, Sneha K Chunchanur, Deepak Kocher, Birasen Behera, Swati Pundir and 12 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

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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

22 authors at 5 institutions in 1 country.

Sarita MohapatraDepartment of Microbiology, All India Institute of Medical Sciences, New Delhi, India. drsarita2005@gmail.com.
Shwetha J VenugopalDepartment of Microbiology, Bangalore Medical College and Research Institute, Bangalore, India.
Mani KalaivaniDepartment of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.
Shashi KantCentre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Vibhor TakDepartment of Microbiology, All India Institute of Medical Sciences, Jodhpur, India.
Rajashree PanigrahyDepartment of Microbiology, Institute of Medical Sciences and Sum Hospital, Bhubaneswar, India.
Sneha K ChunchanurDepartment of Microbiology, Bangalore Medical College and Research Institute, Bangalore, India.
Deepak KocherDepartment of Microbiology, All India Institute of Medical Sciences, New Delhi, India.
Birasen BeheraDepartment of Microbiology, Institute of Medical Sciences and Sum Hospital, Bhubaneswar, India.
Swati PundirDepartment of Microbiology, All India Institute of Medical Sciences, New Delhi, India.
Susmita ChaudhuriTranslational Health Science and Technology Institute, Faridabad, India.
Hitender GautamDepartment of Microbiology, All India Institute of Medical Sciences, New Delhi, India.
Seema SoodDepartment of Microbiology, All India Institute of Medical Sciences, New Delhi, India.
Bimal Kumar DasDepartment of Microbiology, All India Institute of Medical Sciences, New Delhi, India.
Arti KapilDepartment of Microbiology, All India Institute of Medical Sciences, New Delhi, India.
Arvind KumarDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Rajesh KumariDepartment of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.
R AmbicaDepartment of Microbiology, Bangalore Medical College and Research Institute, Bangalore, India.
Pankaj HariDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Sumit MalhotraCentre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Harsal Ramesh SalveCentre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
CAUTION-ED Study (Community-acquired UTI, Emerging Drug Resistance)
All India Institute of Medical Sciences · INAll India Institute of Medical Sciences Jodhpur · INBangalore Medical College and Research Institute · INInstitute of Medical Sciences and Sum Hospital · INTranslational Health Science and Technology Institute · IN

Funding

Indian Council of Medical Research AMR/Adhoc/182/2019-ECD-II
6 · The paper itself

Abstract

backgroundIndiscriminate and widespread use of antibiotics has resulted in emergence of many antibiotic-resistant organisms. Antibiotic administration during pregnancy is mostly avoided, unless there is compelling medical condition. We hypothesized that the uropathogens isolated from pregnant women would be more susceptible to antibiotics compared to those isolated from nonpregnant women, thus will be helpful in formulating separate empiric guideline for pregnant women based on the resistance pattern.

methodsThis was a prospective cross-sectional study conducted over a period of 2 years in which females with the clinical diagnosis of either cystitis or asymptomatic bacteriuria during pregnancy were included from the community settings. Uropathogen species and their antimicrobial resistance pattern were compared between the pregnant and nonpregnant groups. After accounting for centre-to-centre variation and adjusting for age and socio-economic status, the adjusted odds ratio for antibiotic resistance was calculated and compared between pregnant and nonpregnant women using logistic regression analysis.

resultsA total of 1758 women (pregnant: 43.3%; nonpregnant: 56.6%) were screened in the study over a period of 2 years, out of which 9.3% (163/1758) were having significant bacteriuria. Escherichia coli and Klebsiella pneumoniae were the two commonest uropathogen in both the groups; their prevalence being 83.6% in pregnant women and 85.2% in nonpregnant women, respectively. Resistance against ampicillin, cefixime, cefoxitin, ceftazidime, ceftriaxone and amoxicillin-clavulanic acid were found significantly lower in the pregnant women compared to nonpregnant. After adjusting the age and socio-economic status accounting for centre-to-centre variation, the odds of resistance for cefixime, amoxicillin-clavulanic acid and co-trimoxazole were found lower and statistically significant among the pregnant women group.

conclusionsThe antimicrobial resistance was significantly higher among the community-dwelling nonpregnant women compared to pregnant women in case of few antibiotics. The study highlighted the need of building local antibiogram that could help to initiate the empirical treatment and thus prevent emergence of antimicrobial resistance.

Indexed as

Antimicrobial StewardshipBacteriuriaUrinary Tract InfectionsAmoxicillin-Potassium Clavulanate CombinationAnti-Bacterial AgentsCefiximeCross-Sectional StudiesDrug Resistance, MicrobialEscherichia coliFemaleHumansIndependent LivingMicrobial Sensitivity TestsPregnancyProspective StudiesAmoxicillin-Potassium Clavulanate CombinationAnti-Bacterial AgentsCefiximeAnti-microbial resistancePregnant womenUrinary tract infectionUropathogen

Identifiers

PMID36513989
PMCPMC9749218
OpenAlexW4311317375

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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.