Evidence map›Paper›PMID 36678492›Full record

ReviewPathogens (Basel, Switzerland)2023

Limiting the Spread of Multidrug-Resistant Bacteria in Low-to-Middle-Income Countries: One Size Does Not Fit All.

Rindala Saliba, Jean-Ralph Zahar, Georges Dabar, Moussa Riachy, Dolla Karam-Sarkis, Rola Husni

Abstract readReview
In one paragraph

Review in Pathogens (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Pan-ResistantClinical medicine insights. Case reports · 2026
    Article
  5. Article
  6. Prevalence and Antibiogram Pattern ofAntibiotics (Basel, Switzerland) · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. SynthesizedNanomaterials (Basel, Switzerland) · 2024
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Occurrence of Multidrug-Resistant Strains ofTropical medicine and infectious disease · 2023
    Article
  17. Article
  18. 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

6 authors.

Rindala SalibaClinical Microbiology Department, Hotel-Dieu de France University Hospital, Beirut 1100, Lebanon.ORCID 0000-0002-5635-0945
Jean-Ralph ZaharInfection Prevention and Control Department, Avicenne University Hospital, 93000 Bobigny, France.
Georges DabarFaculty of Medicine, Saint-Joseph University of Beirut, Beirut 1100, Lebanon.
Moussa RiachyFaculty of Medicine, Saint-Joseph University of Beirut, Beirut 1100, Lebanon.
Dolla Karam-SarkisLaboratoire des Agents Pathogènes, Saint-Joseph University of Beirut, Beirut 1100, Lebanon.
Rola HusniSchool of Medicine, Lebanese American University, Beirut 1100, Lebanon.ORCID 0000-0002-6893-5027

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The spread of multidrug-resistant organisms (MDRO) is associated with additional costs as well as higher morbidity and mortality rates. Risk factors related to the spread of MDRO can be classified into four categories: bacterial, host-related, organizational, and epidemiological. Faced with the severity of the MDRO predicament and its individual and collective consequences, many scientific societies have developed recommendations to help healthcare teams control the spread of MDROs. These international recommendations include a series of control measures based on surveillance cultures and the application of barrier measures, ranging from patients' being isolated in single rooms, to the reinforcement of hand hygiene and implementation of additional contact precautions, to the cohorting of colonized patients in a dedicated unit with or without a dedicated staff. In addition, most policies include the application of an antimicrobial stewardship program. Applying international policies to control the spread of MDROs presents several challenges, particularly in low-to-middle-income countries (LMICs). Through a review of the literature, this work evaluates the real risks of dissemination linked to MDROs and proposes an alternative policy that caters to the means of LMICs. Indeed, sufficient evidence exists to support the theory that high compliance with hand hygiene and antimicrobial stewardship reduces the risk of MDRO transmission. LMICs would therefore be better off adopting such low-cost policies without necessarily having to implement costly isolation protocols or impose additional contact precautions.

Indexed as

antimicrobial resistance and low-to-middle income countriesinfection controlmultidrug-resistant organisms

Identifiers

PMID36678492
PMCPMC9866331

What OpenQuestion holds

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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.