Evidence map›Paper›PMID 36895063›Full record

ReviewTropical medicine and health2023

Antibiotic resistance in ocular bacterial infections: an integrative review of ophthalmic chloramphenicol.

Babatunde Ismail Bale, Emmanuel Ebuka Elebesunu, Pirakalai Manikavasagar, Favour Obianuju Agwuna, Isaac Olushola Ogunkola, Alhaji Umar Sow, Don Eliseo Lucero-Prisno

Open access · goldAbstract readReview
In one paragraph

Review in Tropical medicine and health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
11.7field-weighted citation impact, top 1% 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

24 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
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  4. Cross-Sector Antimicrobial Resistance and Virulence inAntibiotics (Basel, Switzerland) · 2026
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  12. Removal of coliform pollution using a gravel-packed contact bed: reduction effect and microbial community analysis.Water science and technology : a journal of the International Association on Water Pollution Research · 2025
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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

7 authors at 5 institutions in 3 countries.

Babatunde Ismail BaleDepartment of Optometry, University of Benin, Edo, Nigeria.
Emmanuel Ebuka ElebesunuDepartment of Medical Laboratory Sciences, University of Nigeria, Enugu, Nigeria.
Pirakalai ManikavasagarPublic Health for Eye Care, London School of Hygiene and Tropical Medicine, London, UK.
Favour Obianuju AgwunaFaculty of Pharmaceutical Sciences, University of Nigeria, Enugu, Nigeria.
Isaac Olushola OgunkolaDepartment of Public Health, University of Calabar, Calabar, Nigeria.
Alhaji Umar SowCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone. pharmsow@gmail.com.ORCID http://orcid.org/0000-0001-5335-4679
Don Eliseo Lucero-PrisnoDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK.
London School of Hygiene & Tropical Medicine · GBUniversity of Nigeria · NGUniversity of Benin · NGUniversity of Calabar · NGUniversity of Sierra Leone · SL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChloramphenicol is a broad-spectrum antibiotic widely used for treating ophthalmic infections, but concerns about rising bacterial resistance to chloramphenicol have been observed due to its frequent use as an over-the-counter medication. This review assessed the common ophthalmic bacterial pathogens, their chloramphenicol resistance mechanisms, and rates of drug resistance.

methodsPubMed and Google Scholar databases were searched for relevant publications from the years 2000 to 2022, bordering on ophthalmic bacterial infections, chloramphenicol susceptibility profiles, and drug resistance mechanisms against chloramphenicol. A total of 53 journal publications met the inclusion criteria, with data on the antibiotic susceptibility profiles available in 44 of the reviewed studies, which were extracted and analyzed.

resultsThe mean resistance rates to chloramphenicol from antibiotic susceptibility profiles varied between 0% and 74.1%, with the majority of the studies (86.4%) showing chloramphenicol resistance rates below 50%, and more than half (23 out of 44) of the studies showed resistance rates lower than 20%. The majority of the publications (n = 27; 61.4%) were from developed nations, compared to developing nations (n = 14; 31.8%), while a fraction (n = 3; 6.8%) of the studies were regional cohort studies in Europe, with no country-specific drug resistance rates. No pattern of cumulative increase or decrease in ophthalmic bacterial resistance to chloramphenicol was observed.

conclusionsChloramphenicol is still active against ophthalmic bacterial infections and is suitable as a topical antibiotic for ophthalmic infections. However, concerns remain about the drug becoming unsuitable in the long run due to some proof of high drug resistance rates.

Indexed as

Antibiotic resistanceChloramphenicolDrugInfectionOphthalmicTreatment

Identifiers

PMID36895063
PMCPMC9996861
OpenAlexW4323665958

What OpenQuestion holds

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LicenceCC BY
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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.