Evidence map›Paper›PMID 39060955›Full record

ArticleBMC microbiology2024

Silver nanoparticle with potential antimicrobial and antibiofilm efficiency against multiple drug resistant, extensive drug resistant Pseudomonas aeruginosa clinical isolates.

Amal M Abo Kamer, Gamal M El Maghraby, Maha Mohamed Shafik, Lamiaa A Al-Madboly

Abstract read
In one paragraph

Article in BMC microbiology, 2024. 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. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Eco-friendly nanoparticles fromNanoscale advances · 2026
    Article
  7. UnderstandingMicroorganisms · 2026
    Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Multidrug-resistantTherapeutic advances in infectious disease
    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

4 authors.

Amal M Abo KamerDepartment of Pharmaceutical Microbiology, Faculty of Pharmacy, Tanta University, Gharbia government, El Geish street, Tanta, Egypt.
Gamal M El MaghrabyDepartment of Pharmaceutical Technology, Faculty of Pharmacy, Tanta University, Tanta, Egypt.
Maha Mohamed ShafikDepartment of Pharmaceutical Microbiology, Faculty of Pharmacy, Tanta University, Gharbia government, El Geish street, Tanta, Egypt. PG_123985@pharm.tanta.edu.eg.
Lamiaa A Al-MadbolyDepartment of Pharmaceutical Microbiology, Faculty of Pharmacy, Tanta University, Gharbia government, El Geish street, Tanta, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe study aims to investigate the effect of combining silver nanoparticles (AGNPs) with different antibiotics on multi-drug resistant (MDR) and extensively drug resistant (XDR) isolates of Pseudomonas aeruginosa (P. aeruginosa) and to investigate the mechanism of action of AGNPs.

methodsAGNPs were prepared by reduction of silver nitrate using trisodium citrate and were characterized by transmission electron microscope (TEM) in addition to an assessment of cytotoxicity. Clinical isolates of P. aeruginosa were collected, and antimicrobial susceptibility was conducted. Multiple Antibiotic Resistance (MAR) index was calculated, and bacteria were categorized as MDR or XDR. Minimum inhibitory concentration (MIC) of gentamicin, ciprofloxacin, ceftazidime, and AGNPs were determined. The mechanism of action of AGNPs was researched by evaluating their effect on biofilm formation, swarming motility, protease, gelatinase, and pyocyanin production. Real-time PCR was performed to investigate the effect on the expression of genes encoding various virulence factors.

resultsTEM revealed the spherical shape of AGNPs with an average particle size of 10.84 ± 4.64 nm. AGNPS were safe, as indicated by IC50 (42.5 µg /ml). The greatest incidence of resistance was shown against ciprofloxacin which accounted for 43% of the bacterial isolates. Heterogonous resistance patterns were shown in 63 isolates out of the tested 107. The MAR indices ranged from 0.077 to 0.84. Out of 63 P. aeruginosa isolates, 12 and 13 were MDR and XDR, respectively. The MIC values of AGNPs ranged from 2.65 to 21.25 µg /ml. Combination of AGNPs with antibiotics reduced their MIC by 5-9, 2-9, and 3-10Fold in the case of gentamicin, ceftazidime, and ciprofloxacin, respectively, with synergism being evident. AGNPs produced significant inhibition of biofilm formation and decreased swarming motility, protease, gelatinase and pyocyanin production. PCR confirmed the finding, as shown by decreased expression of genes encoding various virulence factors.

conclusionAGNPs augment gentamicin, ceftazidime, and ciprofloxacin against MDR and XDR Pseudomonas isolates. The efficacy of AGNPs can be attributed to their effect on the virulence factors of P. aeruginosa. The combination of AGNPs with antibiotics is a promising strategy to attack resistant isolates of P. aeruginosa.

Indexed as

Anti-Bacterial AgentsBiofilmsDrug Resistance, Multiple, BacterialMetal NanoparticlesMicrobial Sensitivity TestsPseudomonas aeruginosaPseudomonas InfectionsSilverCeftazidimeCiprofloxacinGentamicinsHumansMicroscopy, Electron, TransmissionVirulence FactorsAnti-Bacterial AgentsCeftazidimeCiprofloxacinGentamicinsSilverVirulence FactorsAminoglycosidesBiofilm formationCephalosporinsFluoroquinolonesMicrobial resistanceNanoparticlesSilver nitrate

Identifiers

PMID39060955
PMCPMC11282727

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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.