Evidence map›Paper›PMID 40559731›Full record

ArticleTropical medicine and infectious disease2025

Bacterial Pathogens and Antibiotic Resistance in Bloodstream Infections in Tunisia: A 13-Year Trend Analysis.

Lamia Kanzari, Sana Ferjani, Khaoula Meftah, Mariem Zribi, Sonda Mezghani, Asma Ferjani, Yosra Chebbi, Manel Hamdoun, Hajer Rhim, Yosr Kadri and 28 more

Abstract read
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Article 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 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. 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

38 authors.

Lamia KanzariNational Reference Laboratory on Antimicrobial Resistance Surveillance, Laboratory of Microbiology, Charles Nicolle Hospital, Tunis 1006, Tunisia.
Sana FerjaniNational Reference Laboratory on Antimicrobial Resistance Surveillance, Laboratory of Microbiology, Charles Nicolle Hospital, Tunis 1006, Tunisia.
Khaoula MeftahLaboratory of Microbiology, Bechir Hamza Children's Hospital, Tunis 1006, Tunisia.ORCID 0000-0003-3312-8265
Mariem ZribiLaboratory of Microbiology, La Rabta Hospital, Tunis 1007, Tunisia.ORCID 0000-0002-4064-2142
Sonda MezghaniLaboratory of Microbiology of Sfax University Hospital Center, Sfax 3000, Tunisia.
Asma FerjaniNational Reference Laboratory on Antimicrobial Resistance Surveillance, Laboratory of Microbiology, Charles Nicolle Hospital, Tunis 1006, Tunisia.
Yosra ChebbiLaboratory Department, Bone and Marrow Transplantation Center, Tunis 1006, Tunisia.
Manel HamdounLaboratory of Clinical Biology, Aziza Othmana Hospital, Tunis 1008, Tunisia.ORCID 0000-0001-8175-1743
Hajer RhimLaboratory of Microbiology, Fatouma Bourguiba Hospital, Monastir 5000, Tunisia.
Yosr KadriLaboratory of Microbiology, Fatouma Bourguiba Hospital, Monastir 5000, Tunisia.
Siwar FriguiLaboratory Department, Bone and Marrow Transplantation Center, Tunis 1006, Tunisia.ORCID 0009-0003-5675-7969
Emna MhiriLaboratory of Microbiology, Abderrahmen Mami Hospital, Ariana 2080, Tunisia.
Asma GharianiLaboratory of Microbiology, Abderrahmen Mami Hospital, Ariana 2080, Tunisia.
Nour Ben AyedLaboratory of Microbiology of Sfax University Hospital Center, Sfax 3000, Tunisia.
Faouzia MahjoubiLaboratory of Microbiology of Sfax University Hospital Center, Sfax 3000, Tunisia.
Yomna Ben LamineLaboratory of Microbiology, Mohamed Kassab Orthopedics Institute, La Manouba 2010, Tunisia.
Salma KaoualLaboratory of Microbiology, Mohamed Kassab Orthopedics Institute, La Manouba 2010, Tunisia.
Basma MnifLaboratory of Microbiology of Sfax University Hospital Center, Sfax 3000, Tunisia.
Habiba NaijaLaboratory of Microbiology, Military Hospital, Tunis 1008, Tunisia.
Manel MarzoukLaboratory of Microbiology, Farhat Hached Hospital, Sousse 4000, Tunisia.
Sarra DhraiefLaboratory of Clinical Biology, Burn and Trauma Center, Ben Arous 2013, Tunisia.
Hela KarrayLaboratory of Microbiology of Sfax University Hospital Center, Sfax 3000, Tunisia.
Jaya Prasad TripathyAll India Institute of Medical Sciences, Nagpur 441108, India.ORCID 0000-0002-2626-5977
Bobson Derrick FofanahWorld Health Organization Country Office, Freetown P.O. Box 529, Sierra Leone.ORCID 0000-0003-3276-8949
Safa BouwazraLaboratory Department, Bone and Marrow Transplantation Center, Tunis 1006, Tunisia.
Hajer BattikhUnit of Laboratories, Ministry of Health, Tunis 1006, Tunisia.
Ramzi OuhichiWorld Health Organization Country Office, Tunis 1082, Tunisia.
Lamia ThabetLaboratory of Clinical Biology, Burn and Trauma Center, Ben Arous 2013, Tunisia.
Jalel BoukadidaLaboratory of Microbiology, Farhat Hached Hospital, Sousse 4000, Tunisia.
Farouk BarguellilLaboratory of Microbiology, Military Hospital, Tunis 1008, Tunisia.ORCID 0000-0002-0494-8080
Sophia BesbesLaboratory of Microbiology, Mohamed Kassab Orthopedics Institute, La Manouba 2010, Tunisia.
Leila SlimLaboratory of Microbiology, Abderrahmen Mami Hospital, Ariana 2080, Tunisia.ORCID 0000-0002-4324-0579
Maha MastouriLaboratory of Microbiology, Fatouma Bourguiba Hospital, Monastir 5000, Tunisia.ORCID 0000-0003-3630-5255
Olfa BahriLaboratory of Clinical Biology, Aziza Othmana Hospital, Tunis 1008, Tunisia.
Wafa AchourLaboratory Department, Bone and Marrow Transplantation Center, Tunis 1006, Tunisia.ORCID 0000-0002-7245-9190
Adnene HammamiLaboratory of Microbiology of Sfax University Hospital Center, Sfax 3000, Tunisia.ORCID 0000-0002-5140-2216
Hanen SmaouiLaboratory of Microbiology, Bechir Hamza Children's Hospital, Tunis 1006, Tunisia.ORCID 0000-0002-4026-0259
Ilhem Boutiba-Ben BoubakerNational Reference Laboratory on Antimicrobial Resistance Surveillance, Laboratory of Microbiology, Charles Nicolle Hospital, Tunis 1006, Tunisia.ORCID 0000-0002-6590-2406

Funding

World Health Organization 001
6 · The paper itself

Abstract

The antimicrobial resistance (AMR) surveillance network has been monitoring bloodstream bacterial pathogens and their resistance since 1999 in Tunisia. We report the long-term trends in the distribution of bloodstream bacterial pathogens and their resistance patterns from this surveillance database. We analyzed antibiotic resistance rates in 11 tertiary teaching hospital laboratories under the AMR surveillance network during 2011-2023, focusing on six priority bacterial pathogens, using the Cochrane-Armitage test for trend analysis. Of 22,795 isolates,

Indexed as

antimicrobial resistance surveillancecarbapenem resistant EnterobacteralesGLASSoperational researchSORT-IT

Identifiers

PMID40559731
PMCPMC12197613

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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.