Evidence map›Paper›PMID 38476771›Full record

ArticleJAC-antimicrobial resistance2024

The causes of bacterial bloodstream infections and antimicrobial resistance patterns in children attending a secondary care hospital in Bhaktapur, Nepal, 2017-2022: a retrospective study.

Raj Kumar Shrestha, Dhruba Shrestha, Ashok Kumar Sah, Ashmita Thapa, Nipun Shrestha, Ganendra Bhakta Raya, Kenshi Furushima, Bhim Gopal Dhoubhadel, Christopher M Parry

Open access · goldAbstract read
In one paragraph

Article in JAC-antimicrobial resistance, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 52% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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 3 institutions in 3 countries.

Raj Kumar ShresthaDepartment of Research, Siddhi Memorial Hospital, Bhaktapur, Nepal.ORCID https://orcid.org/0000-0002-7771-0110
Dhruba ShresthaDepartment of Research, Siddhi Memorial Hospital, Bhaktapur, Nepal.
Ashok Kumar SahDepartment of Research, Siddhi Memorial Hospital, Bhaktapur, Nepal.
Ashmita ThapaDepartment of Research, Siddhi Memorial Hospital, Bhaktapur, Nepal.
Nipun ShresthaDepartment of Research, Siddhi Memorial Hospital, Bhaktapur, Nepal.
Ganendra Bhakta RayaDepartment of Research, Siddhi Memorial Hospital, Bhaktapur, Nepal.
Kenshi FurushimaSchool of Tropical Medicine and Global Health (TMGH), Nagasaki University, Nagasaki, Japan.
Bhim Gopal DhoubhadelSchool of Tropical Medicine and Global Health (TMGH), Nagasaki University, Nagasaki, Japan.
Christopher M ParrySchool of Tropical Medicine and Global Health (TMGH), Nagasaki University, Nagasaki, Japan.
Bhaktapur Cancer Hospital · NPNagasaki University · JPLiverpool School of Tropical Medicine · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Data on antimicrobial resistance (AMR) among children in Nepal are limited. Here we have characterized the causes of bacterial bloodstream infections (BSIs), antimicrobial resistance patterns and the mechanisms of β-lactamase production in Enterobacterales among children attending outpatient and inpatient departments of a secondary care paediatric hospital in Nepal. Methods: We retrospectively collected demographic and clinical data of culture-proven bacterial BSIs between January 2017 and December 2022 among children <18 years attending a 50-bedded paediatric hospital. Stored isolates were subcultured for antimicrobial susceptibility testing against commonly used antimicrobials. Enterobacterales displaying non-susceptibility to β-lactams were phenotypically and genotypically investigated for ESBLs, plasmid-mediated AmpC (pAmpC) β-lactamases and carbapenemases. Results: A total of 377 significant bacteria were isolated from 27 366 blood cultures. Among 91 neonates with a BSI, Conclusions: We determined significant levels of AMR among children attending a secondary care paediatric hospital with BSI in Nepal. Nationwide surveillance and implementation of antimicrobial stewardship policies are needed to combat the challenge imposed by AMR.

Identifiers

PMID38476771
PMCPMC10928669
OpenAlexW4392708992

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.