Evidence map›Paper›PMID 40604438›Full record

ArticleBMC microbiology2025

Whole-Genome Sequencing and Bioinformatics Analysis of ESBL- producing Klebsiella pneumoniae in a Ghanaian teaching hospital.

Esther Eyram Asare Yeboah, Joshua Mbanga, Daniel Gyamfi Amoako, Nicholas Agyepong, Akebe Luther King Abia, Arshad Ismail, Alexander Owusu-Ofori, Sabiha Yusuf Essack

Abstract read
In one paragraph

Article in BMC microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
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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

8 authors.

Esther Eyram Asare YeboahDepartment of Pharmaceutical Sciences, School of Pharmacy, Central University, P. O. Box 2305, Miotso, Ghana. esteyram@gmail.com.
Joshua MbangaAntimicrobial Research Unit, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Daniel Gyamfi AmoakoAntimicrobial Research Unit, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Nicholas AgyepongDepartment of Pharmaceutical Sciences, Sunyani Technical University, Sunyani, Ghana.
Akebe Luther King AbiaAntimicrobial Research Unit, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Arshad IsmailSequencing Core Facility, National Institute for Communicable Diseases of the National Health Laboratory Service, Johannesburg, South Africa.
Alexander Owusu-OforiDepartment of Clinical Microbiology, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Sabiha Yusuf EssackAntimicrobial Research Unit, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultidrug-resistant (MDR) ESBL-producing K. pneumoniae is widely implicated in community and hospital-acquired infections. Thus, the current study determined the prevalence and clonal relatedness of MDR K. pneumoniae from hospital environments, patients and healthcare workers in a Ghanaian hospital.

methodsPatients (rectal and hand, collected on admission and 48 h post admission), healthcare workers (hands) and hospital environment samples were sampled for three months. Antimicrobial susceptibility was determined using VITEK-2. Ten MDR ESBL-producing K. pneumoniae isolates were further analysed by whole-genome sequencing.

resultsAll the isolates were ceftazidime-resistant; 90% were resistant to cefepime, amoxicillin/clavulanic, acid piperacillin/tazobactam, and sulphamethoxazole/trimethoprim. The isolates showed varying resistance to the cephalosporins and were susceptible to tigecycline. One environmental isolate isolate was resistant to meropenem but harboured no carbapenemase gene. The β-lactamase gene, bla

conclusionThis study highlights the prevalence of MDR ESBL-producing K. pneumoniae in both hospital environments and patients, emphasizing the potential for cross-transmission within healthcare settings. These findings reinforce the urgent need for strengthened infection prevention and control measures, enhanced antimicrobial stewardship, and continuous genomic surveillance to mitigate the spread of resistant K. pneumoniae in healthcare settings.

Indexed as

beta-LactamasesKlebsiella InfectionsKlebsiella pneumoniaeWhole Genome SequencingAnti-Bacterial AgentsComputational BiologyCross InfectionDrug Resistance, Multiple, BacterialGenome, BacterialGhanaHospitals, TeachingHumansMicrobial Sensitivity TestsAnti-Bacterial Agentsbeta-LactamasesCarbapenem-resistant bacteriaExtended-spectrum β-lactamaseHospital-acquired infectionsHospital environmentMultidrug resistancePublic healthWhole genome sequencing

Identifiers

PMID40604438
PMCPMC12217819

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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.