Evidence map›Paper›PMID 38516290›Full record

ArticleThe Lancet regional health. Western Pacific2024

The changing epidemiology of antimicrobial resistance in Fiji: a descriptive analysis of antimicrobial susceptibility and trends of endemic and emerging pathogens, 2019-2022.

Aneley Getahun Strobel, Prinika Prasad, Courtney R Lane, Ravi Naidu, Sanjeshni Autar, Tracey Young-Sharma, Matthew Richards, Ana Suka, Donna Cameron, Rodney James and 4 more

Abstract read
In one paragraph

Article in The Lancet regional health. Western Pacific, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Trial
  2. Article
  3. Observational
  4. Article
  5. Therapeutic strategies for multi-resistantJAC-antimicrobial resistance · 2026
    Review
  6. Methicillin-resistantThe Lancet regional health. Western Pacific · 2025
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. 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

14 authors.

Aneley Getahun StrobelDepartment of Infectious Diseases, The University of Melbourne, at the Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Prinika PrasadMinistry of Health and Medical Services, Colonial War Memorial Hospital, Suva, Fiji.
Courtney R LaneMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology and Immunology, The University of Melbourne at Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Ravi NaiduMinistry of Health and Medical Services, Colonial War Memorial Hospital, Suva, Fiji.
Sanjeshni AutarMinistry of Health and Medical Services, Colonial War Memorial Hospital, Suva, Fiji.
Tracey Young-SharmaMinistry of Health and Medical Services, Colonial War Memorial Hospital, Suva, Fiji.
Matthew RichardsInfection Prevention and Surveillance Service, The Royal Melbourne Hospital, Melbourne, Australia.
Ana SukaMinistry of Health and Medical Services, Colonial War Memorial Hospital, Suva, Fiji.
Donna CameronMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology and Immunology, The University of Melbourne at Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Rodney JamesMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology and Immunology, The University of Melbourne at Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Ravendra PrasadMinistry of Health and Medical Services, Colonial War Memorial Hospital, Suva, Fiji.
Kirsty BuisingDepartment of Infectious Diseases, The University of Melbourne, at the Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Benjamin P HowdenMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology and Immunology, The University of Melbourne at Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Vinita PrasadMinistry of Health and Medical Services, Colonial War Memorial Hospital, Suva, Fiji.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is a paucity of data on antimicrobial resistance in Fiji. The aim of this study was to determine the antimicrobial susceptibility profile of bacterial isolates from clinical samples at Colonial War Memorial Hospital in Fiji. Methods: This retrospective study reviewed four-year of data from January 1, 2019, through December 31, 2022. Laboratory testing was carried out using locally approved protocols. Selective antimicrobial susceptibility testing was performed whereby only isolates resistant to first line antimicrobials were tested against second line antimicrobials. Only the first isolate of a given species per patient in a single year were included in the analysis. WHONET software and Microsoft Excel were used for analysis. Findings: A total of 29,222 bacterial isolates were included, 62% (n = 18,084) were Gram-negative bacteria. Interpretation: This study demonstrated a high rate of MDR amongst Gram-negative bacteria, especially ESBL producing Funding: This study was supported by the Medical Research Future Fund through the Australian government (grant number APP 1200970).

Indexed as

Antimicrobial resistanceEpidemiologyFijiGram-negative organismsMultidrug resistance

Identifiers

PMID38516290
PMCPMC10955629

What OpenQuestion holds

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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.