Evidence map›Paper›PMID 39958983›Full record

ArticleInfection and drug resistance2025

Antimicrobial Resistance Surveillance of Skin and Soft Tissue Infections: Hospital-Wide Bacterial Species and Antibiograms to Inform Management at a Zonal Tertiary Hospital in Mwanza, Tanzania.

Baraka N Justine, Martha F Mushi, Vitus Silago, Zechariah Igembe, John Muyombe, Peter Peter Kishengena, Nyanda Shango Michael, Mathew Gabriel Maganga, Alicia Massenga, Francis Tegete and 2 more

Abstract read
In one paragraph

Article in Infection and drug resistance, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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.

Baraka N JustineDepartment of Microbiology and Immunology, Weill-Bugando School of Medicine, Catholic University of Health and Allied Sciences, Bugando, Mwanza, Tanzania.
Martha F MushiDepartment of Microbiology and Immunology, Weill-Bugando School of Medicine, Catholic University of Health and Allied Sciences, Bugando, Mwanza, Tanzania.
Vitus SilagoDepartment of Microbiology and Immunology, Weill-Bugando School of Medicine, Catholic University of Health and Allied Sciences, Bugando, Mwanza, Tanzania.
Zechariah IgembeClinical Microbiology Unit, Central Pathology Laboratory, Bugando Medical Center, Mwanza, Tanzania.
John MuyombeClinical Microbiology Unit, Central Pathology Laboratory, Bugando Medical Center, Mwanza, Tanzania.
Peter Peter KishengenaClinical Microbiology Unit, Central Pathology Laboratory, Bugando Medical Center, Mwanza, Tanzania.ORCID 0009-0001-0727-5870
Nyanda Shango MichaelClinical Microbiology Unit, Central Pathology Laboratory, Bugando Medical Center, Mwanza, Tanzania.
Mathew Gabriel MagangaDepartment of Pharmacy and Quality Assurance Unit, Bugando Medical Center, Mwanza, Tanzania.
Alicia MassengaDepartment of Pediatric Surgery, Bugando Medical Center, Mwanza, Tanzania.
Francis TegeteDepartment of Plastic and Reconstructive Surgery, Bugando Medical Center, Mwanza, Tanzania.
Fabian A MassagaDepartment of General Surgery, Catholic University of Health and Allied Sciences, Bugando, Mwanza, Tanzania.
Jeremiah SeniDepartment of Microbiology and Immunology, Weill-Bugando School of Medicine, Catholic University of Health and Allied Sciences, Bugando, Mwanza, Tanzania.ORCID 0000-0003-2420-5329

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The National Action Plan on antimicrobial resistance (NAP-AMR) in Tanzania is focused on blood stream infections and urinary tract infections despite skin and soft tissue infections (SSTIs) being common. This study assessed the proportion of laboratory-confirmed SSTIs, identify bacterial species involved, analyze AMR phenotypes, and investigate the risk factors associated with multidrug-resistant (MDR) SSTIs. Patients and Methods: Analytical cross-sectional study was conducted between January and June 2023, involving 614 patients with SSTIs. Patients' information was collected using standard AMR surveillance tools, and either pus swabs or pus aspirate or necrotic tissues were collected and analyzed using standard microbiological procedures, WHONET and STATA software programs. Results: The median age (interquartile range) of patients was 34 (14-54) years with males accounting for 54.4%. Laboratory-confirmed SSTIs was 72.5% (445/614), yielding 586 bacterial isolates. The most frequent SSTIs types were surgical site infections (30.0%), chronic wounds (27.9%), and traumatic wounds (19.7%). The commonest pathogens were Conclusion: Approximately three-quarter of patients have laboratory-confirmed SSTIs caused predominantly by MDR pathogens. Revisiting SSTIs treatment guidelines at BMC and inclusion of SSTIs in the on-going AMR surveillance in Tanzania are recommended.

Indexed as

antimicrobial resistanceskin and soft tissue infectionssurveillanceTanzania

Identifiers

PMID39958983
PMCPMC11827501

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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.