Evidence map›Paper›PMID 39953421›Full record

ArticleBMC infectious diseases2025

Molecular identification of plasmid-mediated quinolone resistance genes among klebsiella pneumoniae clinical isolates from southwest Iran.

Azar Dokht Khosravi, Hossein Meghdadi, Morteza Saki, Pejman Bakhtiyariniya, Reza Heidari, Sousan Akrami, Zahra Dargahi, Ameneh Alami, Saeed Khoshnood, Melika Moradi and 2 more

Abstract read
In one paragraph

Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Widespread Distribution of Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2025
    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

12 authors.

Azar Dokht KhosraviInfectious and Tropical Diseases Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Hossein MeghdadiDepartment of Microbiology, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Morteza SakiDepartment of Microbiology, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Pejman BakhtiyariniyaInfectious and Tropical Diseases Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Reza HeidariInfectious and Tropical Diseases Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. reza_hey@yahoo.com.
Sousan AkramiDepartment of Microbiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. s.akrami1992@gmail.com.
Zahra DargahiDepartment of Microbiology, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Ameneh AlamiDepartment of Microbiology, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Saeed KhoshnoodClinical Microbiology Research Center, Ilam University of Medical Sciences, Ilam, Iran.
Melika MoradiDepartment of Microbiology, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Nazanin AhmadkhosraviDepartment of Microbiology, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Moloudsadat MotaharDepartment of Microbiology, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Funding

Ahvaz Jundishapur University of Medical Sciences OG-9932
6 · The paper itself

Abstract

In recent years, the resistance rate to quinolone antibiotics has been increasing in Klebsiella pneumoniae. Plasmid-mediated quinolone resistance (PMQR) genes are one of the factors causing resistance to quinolones. Hence, this study aimed to determine the incidence of PMQR genes in clinical K. pneumoniae isolates from southwest Iran. In total, 96 K. pneumoniae isolates were identified during the study period. Sixty-seven (69.8%) isolates were resistant to at least one quinolone antibiotic. Resistance rates to levofloxacin, norfloxacin, nalidixic acid, ofloxacin, and ciprofloxacin were 50% (48/96), 56.3% (54/96), 60.4% (58/96), 62.5% (60/96), and 68.8% (66/96), respectively. The highest frequencies of PMQR genes were related to qnrS, aac (6')-Ib-cr, and qnrB genes with 85.1% (57/67), 83.6% (56/67) and 65.7% (44/67), respectively. The qnrD, qnrC, qepA, and qnrA were detected in 23.9% (16/67), 19.4% (13/67), 13.4% (9/67), and 6.0% (4/67) of isolates, respectively. This study was the first to report a high-frequency rate of PMQR genes in K. pneumoniae isolates from the clinical setting of Ahvaz, southwest Iran. As a result, antibiotic prescribing policies should be amended to hinder the further spread of PMQR genes in the studied region.

Indexed as

Anti-Bacterial AgentsDrug Resistance, BacterialKlebsiella InfectionsKlebsiella pneumoniaePlasmidsQuinolonesFemaleGenes, BacterialHumansIranMaleMicrobial Sensitivity TestsMiddle AgedAnti-Bacterial AgentsQuinolonesIranKlebsiella pneumoniaePMQRQuinolone resistance

Identifiers

PMID39953421
PMCPMC11829574

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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.