Evidence map›Paper›PMID 37529028›Full record

ArticleBulletin of the World Health Organization2023

National action plans for antimicrobial resistance and variations in surveillance data platforms.

Scott Jc Pallett, Esmita Charani, Lois Hawkins, Andrea Mazzella, Vanesa Anton-Vazquez, Rishi Banerjee, Terry J Evans, Benjamin Patterson, Sathyavani Subbarao, Saleh Alqahtani and 4 more

Abstract read
In one paragraph

Article in Bulletin of the World Health Organization, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Assessment of the Prioritization of Diagnostics in National Action Plans for Antimicrobial Resistance.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. The importance of antibiotic treatment duration in antimicrobial resistance.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
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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

14 authors.

Scott Jc PallettCentre of Defence Pathology, Royal Centre for Defence Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, B15 2WB, England.
Esmita CharaniCentre of Excellence in Infectious Diseases Research, University of Liverpool, Liverpool, England.
Lois HawkinsInfection and Immunity Clinical Academic Group, St George's University Hospitals NHS Foundation Trust, London, England.
Andrea MazzellaInstitute for Infection and Immunity, St George's University of London, London, England.
Vanesa Anton-VazquezInfection and Immunity Clinical Academic Group, St George's University Hospitals NHS Foundation Trust, London, England.
Rishi BanerjeeInfection and Immunity Clinical Academic Group, St George's University Hospitals NHS Foundation Trust, London, England.
Terry J EvansInfection and Immunity Clinical Academic Group, St George's University Hospitals NHS Foundation Trust, London, England.
Benjamin PattersonInfection and Immunity Clinical Academic Group, St George's University Hospitals NHS Foundation Trust, London, England.
Sathyavani SubbaraoInfection and Immunity Clinical Academic Group, St George's University Hospitals NHS Foundation Trust, London, England.
Saleh AlqahtaniMedicine at Sibley Memorial Hospital, Johns Hopkins University, Baltimore, United States of America.
Marina BasarabInfection and Immunity Clinical Academic Group, St George's University Hospitals NHS Foundation Trust, London, England.
Aodhan S BreathnachInfection and Immunity Clinical Academic Group, St George's University Hospitals NHS Foundation Trust, London, England.
Nabeela MughalClinical Infection Department, Chelsea and Westminster Hospital, London, England.
Luke Sp MooreNational Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Imperial College London, London, England.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To assess how national antimicrobial susceptibility data used to inform national action plans vary across surveillance platforms. Methods: We identified available open-access, supranational, interactive surveillance platforms and cross-checked their data in accordance with the World Health Organization's (WHO's) Data Quality Assurance: module 1. We compared platform usability and completeness of time-matched data on the antimicrobial susceptibilities of four blood isolate species: Findings: Of 71 countries actively submitting data to WHO, 28 also submit to Pfizer's database; 19 to ECDC; and 16 to all three platforms. Limits of agreement between WHO's and Pfizer's platforms for organism-country susceptibility data ranged from -26% to 35%. While mean susceptibilities of WHO's and ECDC's platforms did not differ (bias: 0%, 95% confidence interval: -2 to 2), concordance between organism-country susceptibility was low (limits of agreement -18% to 18%). Significant differences exist in isolate numbers reported between WHO-Pfizer (mean of difference: 674, Conclusion: The considerable heterogeneity of nationally submitted data to commonly used antimicrobial resistance surveillance platforms compromises their validity, thus undermining local and global antimicrobial resistance strategies. Hence, we need to understand and address surveillance platform variability and its underlying mechanisms.

Indexed as

Anti-Bacterial AgentsAnti-Infective AgentsDrug Resistance, BacterialHumansMicrobial Sensitivity TestsAnti-Bacterial AgentsAnti-Infective Agents

Identifiers

PMID37529028
PMCPMC10388141

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.