Evidence map›Paper›PMID 38523732›Full record

ArticleJAC-antimicrobial resistance2024

Carbapenem-resistant Enterobacterales among hospitalized patients in Cape Town, South Africa: clinical and microbiological epidemiology.

Hafsah Deepa Tootla, Elizabeth Prentice, Clinton Moodley, Gert Marais, Nyasha Nyakutira, Kessendri Reddy, Colleen Bamford, Abraham Niehaus, Andrew Whitelaw, Adrian Brink and 1 more

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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 24% 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

9 citing papers in PubMed, 7 citations in OpenAlex.

  1. Determinants of Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2026
    Article
  2. Article
  3. Clinical and microbiological epidemiology ofJAC-antimicrobial resistance · 2026
    Article
  4. Review
  5. Article
  6. Molecular epidemiology of global carbapenemase-producing Serratia spp. (2015-2017).European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 3 countries.

Hafsah Deepa TootlaDivision of Medical Microbiology, National Health Laboratory Service, Red Cross War Memorial Children's Hospital, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-7322-8060
Elizabeth PrenticeDivision of Medical Microbiology, National Health Laboratory Service, Groote Schuur Hospital, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-0468-5401
Clinton MoodleyDivision of Medical Microbiology, National Health Laboratory Service, Groote Schuur Hospital, Cape Town, South Africa.ORCID https://orcid.org/0000-0001-7547-9026
Gert MaraisDivision of Medical Microbiology, National Health Laboratory Service, Groote Schuur Hospital, Cape Town, South Africa.ORCID https://orcid.org/0000-0003-1477-6101
Nyasha NyakutiraDivision of Medical Microbiology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Kessendri ReddyDivision of Medical Microbiology, National Health Laboratory Service, Tygerberg Hospital, Cape Town, South Africa.
Colleen BamfordDivision of Medical Microbiology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Abraham NiehausDivision of Medical Microbiology, Ampath, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-2793-1855
Andrew WhitelawDivision of Medical Microbiology, National Health Laboratory Service, Tygerberg Hospital, Cape Town, South Africa.
Adrian BrinkDivision of Medical Microbiology, National Health Laboratory Service, Groote Schuur Hospital, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-5350-9690
Members (collaborators) of the Cape Town Antimicrobial Stewardship Study Alliance (CT-ASSA)
University of Cape Town · ZANational Health Laboratory Service · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Carbapenem-resistant Enterobacterales (CRE) are a substantial problem in Cape Town. CRE epidemiology is largely unknown and mortality remains high. Objectives: To describe and characterize the clinical and microbiological epidemiology of CRE within Cape Town hospitals to better inform therapy with regard to current and novel antibiotics, as well as improve antimicrobial stewardship (AMS), and infection prevention and control (IPC). Methods: This prospective, multicentre study performed between 1 November 2020 and 30 November 2022, across three public and three private hospitals included hospitalized participants with CRE from clinical cultures. Participant demographics, clinical information and microbiology results were collected and analysed. Results: Ninety percent of participants were from public hospitals. The age distribution ranged from 7 days to 88 years. Notable risk factors for CRE infection included recent exposure to antibiotics, medical devices and surgery. The most prevalent species was Conclusions: This study identified common risk factors for CRE infection and generated a description of carbapenemase enzymes, species distribution and antibiograms, enabling a better understanding of CRE epidemiology. This provides insights into transmission patterns and resistance determinants of CREs, beneficial to informing data-driven regional patient management, AMS and IPC strategies.

Identifiers

PMID38523732
PMCPMC10959510
OpenAlexW4393097668

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.