Evidence map›Paper›PMID 39957800›Full record

ArticleLancet regional health. Americas2025

World Health Organization priority antimicrobial resistance in

Laura C Antochevis, Camila M Wilhelm, Beatriz Arns, Daniel Sganzerla, Letícia O Sudbrack, Thais C R L Nogueira, Ricardo D Guzman, Amanda S Martins, Daniela S Cappa, Ândrea C Dos Santos and 33 more

Abstract read
In one paragraph

Article in Lancet regional health. Americas, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline for antimicrobial treatment of multidrug-resistant Gram-negative infections: practice recommendations of the Brazilian Society of Infectious Diseases.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Guideline
  3. Virulence · 2026
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. In vitro activity of aztreonam-avibactam against carbapenem-resistant Pseudomonas aeruginosa from Southern Brazil.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  9. Lineage-specific loss of the type VI secretion system inAntimicrobial agents and chemotherapy · 2026
    Article
  10. Article
  11. Article
  12. ConsistentAntimicrobial agents and chemotherapy · 2026
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

43 authors.

Laura C AntochevisLaboratório de Pesquisa em Resistência Bacteriana (LABRESIS), Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Camila M WilhelmLaboratório de Pesquisa em Resistência Bacteriana (LABRESIS), Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Beatriz ArnsLaboratório de Pesquisa em Resistência Bacteriana (LABRESIS), Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Daniel SganzerlaInova Medical Research, Porto Alegre, Brazil.
Letícia O SudbrackNúcleo de Controle de Infecção Hospitalar, Hospital de Base do Distrito Federal, Brasília, Brazil.
Thais C R L NogueiraNúcleo de Controle de Infecção Hospitalar, Hospital de Base do Distrito Federal, Brasília, Brazil.
Ricardo D GuzmanHospital de Base do Distrito Federal, Brasília, Brazil.
Amanda S MartinsHospital São Lucas, Porto Alegre, Brazil.
Daniela S CappaHospital São Lucas, Porto Alegre, Brazil.
Ândrea C Dos SantosHospital São Lucas, Porto Alegre, Brazil.
Joseani C PascualHospital Universitário, Universidade Estadual de Londrina, Londrina, Brazil.
Vitor Hugo PeruginiHospital Universitário, Universidade Estadual de Londrina, Londrina, Brazil.
Eliana C VesperoHospital Universitário, Universidade Estadual de Londrina, Londrina, Brazil.
Maria Helena P RigattoInfectious Diseases Service, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Dariane C PereiraLaboratório de Pesquisa em Resistência Bacteriana (LABRESIS), Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Larissa LutzServiço de Diagnóstico Laboratorial, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Robson S LeãoHospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
Elizabeth A MarquesHospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
Danielle M HenriqueHospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
André A M CoelhoHospital Universitário de Brasília, Brasília, Brazil.
Lígia L FrutuosoHospital Universitário de Brasília, Brasília, Brazil.
Erika E de A SousaHospital Universitário de Brasília, Brasília, Brazil.
Luiz F Abreu GuimarãesHospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Adriana L P FerreiraHospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Anna Carla CastiñeirasHospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Marcelle D AlvesInfectious Diseases Service, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
João Paulo TellesHospital Universitário Evangélico Mackenzie, Curitiba, Brazil.
Carolina H YamadaHospital Universitário Evangélico Mackenzie, Curitiba, Brazil.
Francieli P de AlmeidaHospital Universitário Evangélico Mackenzie, Curitiba, Brazil.
Evelyne S GirãoHospital Universitário Walter Cantídio, Universidade Federal do Ceará, Fortaleza, Brazil.
Paulo C P de SousaHospital Universitário Walter Cantídio, Universidade Federal do Ceará, Fortaleza, Brazil.
Antonio G N D de MeloFaculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Brazil.
Elisa T MendesHospital PUC-Campinas, Campinas, Brazil.
Verônica de F D RochaInstituto Couto Maia, Salvador, Brazil.
Euclimeire da S NevesInstituto Couto Maia, Salvador, Brazil.
Marcello T RibeiroInstituto Couto Maia, Salvador, Brazil.
Carlos Ernesto Ferreira StarlingHospital Lifecenter, Belo Horizonte, Brazil.
Maura S OliveiraHospital Sírio Libanês, São Paulo, Brazil.
Jorge L M SampaioFaculdade de Ciências Farmacêuticas, Universidade de São Paulo, São Paulo, Brazil.
Andreza F MartinsLaboratório de Pesquisa em Resistência Bacteriana (LABRESIS), Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Afonso L BarthLaboratório de Pesquisa em Resistência Bacteriana (LABRESIS), Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Alexandre P ZavasckiLaboratório de Pesquisa em Resistência Bacteriana (LABRESIS), Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
ASCENSION Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Carbapenem-resistant Methods: ASCENSION was a prospective, multicentre, observational study conducted in 14 hospitals from four of five Brazilian regions. Findings: Between August 15, 2022, and August 14, 2023, 1350 isolates (1220 BSI episodes) were included. WPAP accounted for 38.8% (n = 524; 95% Confidence Interval 32.0-46.1) of all isolates, with CRE (19.3%) as the most frequent, followed by CRAB (9.6%), MRSA (4.9%), VRE (2.7%), and CRPA (2.4%). Incidence-density of all and WPAP isolates were 1.91 and 0.77/1000 patients-day, respectively. Carbapenem-resistant Interpretation: A high frequency of WPAP bacteria, particularly CRKP and CRAB, were found in healthcare-associated BSIs in Brazil, posing them as a major public health problem in this country. Funding: National Council for Scientific and Technological Development, Brazil.

Indexed as

Acinetobacter baumanniiAntimicrobial resistanceBloodstream infectionsCarbapenem resistanceEnterobacteralesEnterococcus faeciumEpidemiologyHealthcare-associated infectionsKlebsiella pneumoniaeMethicillin resistancePseudomonas aeruginosaStaphylococcus aureusVancomycin resistance

Identifiers

PMID39957800
PMCPMC11830303

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.