Evidence map›Paper›PMID 38400950›Full record

ArticleMolecular biology reports2024

Colistin resistance in carbapenem non-susceptible Acinetobacter baumanii in a tertiary care hospital in India: clinical characteristics, antibiotic susceptibility and molecular characterization.

Bidyut Prava Rout, Sumesh Kumar Dash, Sarita Otta, Birasen Behera, Ira Praharaj, Kundan Kumar Sahu

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Article in Molecular biology reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

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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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Treating Extensively Drug-ResistantPathogens (Basel, Switzerland) · 2026
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  2. Article
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  4. The Clinical Impression of NDM-producingIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  5. Article
  6. Microorganisms · 2024
    Review
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 at 2 institutions in 1 country.

Bidyut Prava RoutDepartment of Microbiology, IMS & SUM Hospital, Bhubaneswar, Odisha, India.
Sumesh Kumar DashDepartment of Microbiology, IMS & SUM Hospital, Bhubaneswar, Odisha, India.
Sarita OttaDepartment of Microbiology, IMS & SUM Hospital, Bhubaneswar, Odisha, India. saritaotta@gmail.com.
Birasen BeheraDepartment of Microbiology, IMS & SUM Hospital, Bhubaneswar, Odisha, India.
Ira PraharajDepartment of Virology, RMRC (ICMR), Bhubaneswar, Odisha, India.
Kundan Kumar SahuDepartment of Microbiology, IMS & SUM Hospital, Bhubaneswar, Odisha, India. kundansahu@soa.ac.in.
Institute of Medical Sciences and Sum Hospital · INRegional Medical Research Center · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAcinetobacter baumanii (AB) is a bacterium of concern in the hospital setup due to its ability to thrive in unfavorable conditions and the rapid emergence of antibiotic resistance. Carbapenem resistance in this organism is disheartening, further clouded by the emergence of colistin resistance.

aimThe present prospective study aims to note the epidemiology, molecular profile, and clinical outcome of patients with colistin resistance AB infections in a multispecialty tertiary care setup in Odisha, Eastern India.

methodsAll AB strains received from March 2021 to February 2022, identified by Vitek2 (Biomerieux) and confirmed by oxa-51 genes, were included. Carbapenem and colistin resistance were identified as per CLSI guidelines. Known mutations for blaOXA-23-like, blaIMP, blaVIM, blaKP, lpxA, lpxC, pmrA, pmrB, and plasmid mediated mcr (mcr1-5) were screened by conventional PCR techniques. The clinical outcome was noted retrospectively from case sheets. Data was entered in MS Excel and tabulated using SPSS software.

resultsIn the study period, 350 AB were obtained, of which 317(90.5%) were carbapenem resistant (CRAB). Among the CRAB isolates, 19 (5.9%) were colistin resistant (ABCoR). The most valuable antibiotics in the study were tigecycline (65.4% in ABCoI; 31.6% in ABCoR) and minocycline (44.3% in CI; 36.8% in CR). There was a significant difference in mortality among ABCoI and ABCoR infections. bla OXA was the predominant carbapenem resistance genotype, while pmrA was the predominant colistin resistant genotype. There were no plasmid mediated mcr genes detected in the present study.

Indexed as

AcinetobacterColistinAnti-Bacterial Agentsbeta-LactamasesCarbapenemsHumansMicrobial Sensitivity TestsProspective StudiesRetrospective StudiesTertiary Care CentersAnti-Bacterial Agentsbeta-LactamasesCarbapenemsColistinbla OXACarbapenem resistant Acinetobacter baumanii (CRAB)Colistin resistant Acinetobacter baumanii (ABCoR)mcr genepmrA

Identifiers

PMID38400950
OpenAlexW4392138122

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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.