Evidence map›Paper›PMID 39850254›Full record

ArticleThe Lancet regional health. Europe2025

Dynamic association of antimicrobial resistance in urinary isolates of

Evelyn Pamela Martínez, Annelies Verbon, Annelot F Schoffelen, Wieke Altorf-van der Kuil, Joost van Rosmalen, ISIS-AR study group

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Lancet regional health. Europe, 2025. 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
–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

2 citing papers in PubMed.

  1. Observational
  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

6 authors.

Evelyn Pamela MartínezFacultad de Medicina Veterinaria y Zootecnia, Universidad Central del Ecuador, Quito, Ecuador.
Annelies VerbonDepartment of Medical Microbiology and Infectious Diseases, Erasmus MC, University Medical Centre, Rotterdam, the Netherlands.
Annelot F SchoffelenCentre for Infectious Diseases, Epidemiology and Surveillance, Dutch National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.
Wieke Altorf-van der KuilCentre for Infectious Diseases, Epidemiology and Surveillance, Dutch National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.
Joost van RosmalenDepartment of Biostatistics, Erasmus MC, University Medical Centre, Rotterdam, the Netherlands.
ISIS-AR study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: It is unclear whether changes in antimicrobial resistance (AMR) in primary care influence AMR in hospital settings. Therefore, we investigated the dynamic association of AMR between primary care and hospitals. Methods: We studied resistance percentages of Findings: The main AMR association was unidirectional from primary care to hospital settings with Granger-causality p-values between <0.0001 and 0.029. Depending on the bacterium-antibiotic combination, a 1% increase of AMR in Interpretation: For the majority of bacterium-antibiotic combinations, the main AMR association was from primary care to hospital settings. These results underscore the importance of antibiotic stewardship at the community level. Funding: ISIS-AR is supported by the Ministry of Health, Welfare and Sport of the Netherlands and the first author by the Central University of Ecuador to follow a PhD program in Erasmus MC.

Indexed as

Antimicrobial resistanceGeneral practitionersGranger causalityHealth care settingsMultiple time series

Identifiers

PMID39850254
PMCPMC11755011

What OpenQuestion holds

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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.