Evidence map›Paper›PMID 40474248›Full record

SynthesisSystematic reviews2025

Prevalence and molecular epidemiology of carbapenem resistance in Asia: a systematic review and meta-analysis.

Nishadi Jayathilaka, Sashini Shehana, Dilini Nakkawita, Thamarasi Senaratne

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Systematic reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Role of Mobilome in Carbapenem Resistance.Antibiotics (Basel, Switzerland) · 2026
    Review
  6. Review
  7. Case report: rapid in vivo resistance mechanism shifts in multiple carbapenem-resistant Pseudomonas aeruginosa strains after esophagectomy in an immunocompromised patient: a case report.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. 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

4 authors.

Nishadi JayathilakaFaculty of Graduate Studies, General Sir John Kotelawala Defence University, Ratmalana, Colombo, 10390, Sri Lanka.
Sashini ShehanaSchool of Life Sciences, Edinburgh Napier University, Scotland, UK.
Dilini NakkawitaDepartment of Para Clinical Sciences, Faculty of Medicine, General Sir John Kotelawala Defence University, Ratmalana, Colombo, 10390, Sri Lanka.
Thamarasi SenaratneDepartment of Medical Laboratory Sciences, Faculty of Allied Health Sciences, General Sir John Kotelawala Defence University, Ratmalana, Colombo, 10390, Sri Lanka. thamarasis@kdu.ac.lk.ORCID 0000-0003-3767-0975

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarbapenems are a group of last-resort antibiotics used to treat serious life-threatening infections. The emergence of resistance to carbapenems is a major public health threat. However, comprehensive information on the prevalence and molecular epidemiology of carbapenem resistance (CR) among Asian countries is lacking. Therefore, we aimed to determine the prevalence of CR and associated molecular determinants quantitatively among Asian countries.

methodsIn this systematic review and meta-analysis, we searched published reports in electronic databases such as PubMed, ScienceDirect, the Cochrane Library, and Web of Science from 1

resultsWe identified 2518 eligible studies, of which 37 assessed the CR prevalence data of 10,433 patients. The pooled prevalence (PPr) of CR was 31.3% (95% CI: 0.22 to 0.40; I

conclusionThe results suggest that surveillance of CR among Asian countries is essential to reduce the burden of antibiotic resistance. Mitigating the impact of CR infections will safeguard the efficacy of carbapenems for future generations and reduce further dissemination of CR genes. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42024515806.

Indexed as

Anti-Bacterial Agentsbeta-Lactam ResistanceCarbapenemsAsiaHumansMolecular EpidemiologyPrevalenceAnti-Bacterial AgentsCarbapenemsAsiaCarbapenemaseCarbapenem resistanceMolecular determinationPrevalenceSystematic review and meta-analysis

Identifiers

PMID40474248
PMCPMC12139192

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.