Evidence map›Paper›PMID 40423358›Full record

ReviewTropical medicine and infectious disease2025

Management and Prevention of Multidrug-Resistant Bacteria in War Casualties.

Diana Isabela Costescu Strachinaru, Céline Ragot, Anke Stoefs, Nicolas Donat, Pierre-Michel François, Peter Vanbrabant, Alexia Verroken, Frédéric Janvier, Patrick Soentjens

Abstract readReview
In one paragraph

Review in Tropical medicine and infectious disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

9 authors.

Diana Isabela Costescu StrachinaruCenter for Infectious Diseases, Queen Astrid Military Hospital, 1120 Brussels, Belgium.ORCID 0000-0003-2591-2623
Céline RagotDepartment of Microbiology, Percy Military Teaching Hospital, 92140 Clamart, France.
Anke StoefsDepartment of Microbiology, Queen Astrid Military Hospital, 1120 Brussels, Belgium.
Nicolas DonatBurn Center, Percy Military Teaching Hospital, 92140 Clamart, France.
Pierre-Michel FrançoisMedical Component Operational Command, Queen Astrid Military Hospital, 1120 Brussels, Belgium.
Peter VanbrabantCenter for Infectious Diseases, Queen Astrid Military Hospital, 1120 Brussels, Belgium.
Alexia VerrokenDepartment of Microbiology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, 1200 Brussels, Belgium.ORCID 0000-0001-5486-964X
Frédéric JanvierVal de Grâce Academy, 1 Pl. Alphonse Laveran, 75005 Paris, France.
Patrick SoentjensCenter for Infectious Diseases, Queen Astrid Military Hospital, 1120 Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The growing threat of antimicrobial resistance (AMR) is a critical issue for both civilians and the military. With each successive conflict, pathogens become more resistant, making the management of infections in casualties increasingly challenging. To better understand the scope and characteristics of conflict-related AMR, a comprehensive literature search was conducted in the PubMed database in April 2025, using defined search terms related to war casualties and antimicrobial resistance. We screened and included 117 relevant publications, comprising original research articles, reviews, case series, case reports, editorials, and commentaries, published in English or French, with no date restriction. This narrative review synthesizes current evidence on multidrug-resistant bacteria most commonly isolated from war casualties, their associated resistance mechanisms, and the microbiological diagnostic tools available at various levels of the military continuum of care (Roles 1-4). It also presents strategies for preventing cross-contamination and infection in resource-limited combat settings and provides practical, field-adapted recommendations for clinicians, from first responders to specialized care providers, aiming to improve infection management in armed conflict zones and mitigate the spread of AMR.

Indexed as

antimicrobial resistance (AMR)combat caremilitarymilitary medicinemultidrug-resistant organisms (MDRO)warwar casualtywar wound infection

Identifiers

PMID40423358
PMCPMC12116051

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.