Evidence map›Paper›PMID 36882242›Full record

ArticleBMJ open2023

Antimicrobial resistance in topical treatments for microbial keratitis: protocol for a systematic review and meta-analysis.

Stephen Tuft, Jennifer Evans, Iris Gordon, Astrid Leck, Neil Stone, Timothy Neal, David Macleod, Stephen Kaye, Matthew J Burton

Open access · goldFull text read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
2.0field-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

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

  1. Pooled it
  2. Review
  3. 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

9 authors at 4 institutions in 1 country.

Stephen TuftCornea and External Disease Department, Moorfields Eye Hospital NHS Foundation Trust, London, UK s.tuft@ucl.ac.uk.ORCID 0000-0001-8192-5192
Jennifer EvansFaculty of Infectious and Tropical Diseases, LSHTM, London, UK.
Iris GordonDepartment of Infectious and Tropical Diseases, LSHTM, London, UK.
Astrid LeckDepartment of Infectious and Tropical Diseases, LSHTM, London, UK.
Neil StoneDepartment of Clinical Microbiology, University College London Hospitals NHS Foundation Trust, London, UK.
Timothy NealDepartment of Microbiology, Royal Liverpool University Hospital, Liverpool, UK.
David MacleodDepartment of Medical Statistics, LSHTM, London, London, UK.
Stephen KayeDepartment of Eye and Vision Science, University of Liverpool, Liverpool, Merseyside, UK.
Matthew J BurtonFaculty of Infectious and Tropical Diseases, LSHTM, London, UK.
London School of Hygiene & Tropical Medicine · GBUniversity of Liverpool · GBMoorfields Eye Hospital NHS Foundation Trust · GBUniversity College London Hospitals NHS Foundation Trust · GB

Funding

Medical Research Council MR/R010161/1Wellcome Trust 207472/Z/17/ZWellcome Trust 207472/Z17/Z
6 · The paper itself

Abstract

introductionThere is evidence for increased resistance against the antimicrobials used to treat keratitis. This review aims to provide global and regional prevalence estimates of antimicrobial resistance in corneal isolates and the range of minimum inhibitory concentrations (MIC) with their associated resistance breakpoints. METHODS AND ANALYSIS: We report this protocol following Preferred Reporting Items for Systematic Review and Meta-Analyses Protocols guidelines. We will conduct an electronic bibliographic search in MEDLINE, EMBASE, Web of Science and the Cochrane Library. Eligible studies will report in any language data for the resistance or MIC for antimicrobials against bacterial, fungal or amoebic organisms isolated from suspected microbial keratitis. Studies that only report on viral keratitis will not be included. There will be no time restrictions on the date of publication. Screening for eligible studies, assessment of risk of bias and data extraction will be conducted by two reviewers independently, using predefined inclusion criteria and prepiloted data extraction forms. We will resolve disagreements between the reviewers by discussion and, if required, a third (senior) reviewer will arbitrate. We will assess the risk of bias using a tool validated in prevalence studies. The certainty of the evidence will be assessed using the Grades of Recommendation, Assessment, Development and Evaluation approach. Pooled proportion estimates will be calculated using a random-effects model. Heterogeneity will be assessed using the I ETHICS APPROVAL AND DISSEMINATION: Ethics approval is not required as this is a protocol for a systematic review of published data. The findings of this review will be published in an open-access, peer-reviewed journal. PROSPERO REGISTRATION NUMBER: CRD42023331126.

Indexed as

Anti-Bacterial AgentsKeratitisDrug Resistance, BacterialHumansMeta-Analysis as TopicReview Literature as TopicSystematic Reviews as TopicAnti-Bacterial AgentsCorneal and external diseasesEPIDEMIOLOGYMICROBIOLOGYPublic health

Identifiers

PMID36882242
PMCPMC10008341
OpenAlexW4323356551

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read31
identifiers read2
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.