Evidence map›Paper›PMID 40704322›Full record

ArticleHealth science reports2025

The Global Challenge of Antimicrobial Resistance: Mechanisms, Case Studies, and Mitigation Approaches.

Abubakar Nazir, Awais Nazir, Varisha Zuhair, Shafaq Aman, Safi Ur Rehman Sadiq, Abdul Haseeb Hasan, Maryam Tariq, Latif Ur Rehman, Mubarak Jolayemi Mustapha, Deusdedith Boniphace Bulimbe

Abstract read
In one paragraph

Article in Health science reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 2 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

65 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  20. Treatment Options for Metallo-Beta-Lactamase-ProducingInternational journal of molecular sciences · 2026
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5 more citing papers are in PubMed but not listed here.

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

10 authors.

Abubakar NazirDepartment of Medicine King Edward Medical University Lahore Pakistan.ORCID https://orcid.org/0000-0002-6650-6982
Awais NazirDepartment of Medicine King Edward Medical University Lahore Pakistan.ORCID https://orcid.org/0000-0001-8440-4667
Varisha ZuhairJinnah Postgraduate Medical Centre Karachi Pakistan.ORCID https://orcid.org/0009-0009-8640-6872
Shafaq AmanDepartment of Medicine King Edward Medical University Lahore Pakistan.
Safi Ur Rehman SadiqDepartment of Medicine King Edward Medical University Lahore Pakistan.
Abdul Haseeb HasanDepartment of Medicine King Edward Medical University Lahore Pakistan.ORCID https://orcid.org/0009-0003-9913-0509
Maryam TariqKarachi Medical and Dental College Karachi Pakistan.ORCID https://orcid.org/0000-0002-1822-274X
Latif Ur RehmanDepartment of Allied Health Sciences Iqra National University Peshawar Pakistan.ORCID https://orcid.org/0000-0002-8469-987X
Mubarak Jolayemi MustaphaFaculty of Basic Medical Sciences University of Ilorin Ilorin Nigeria.ORCID https://orcid.org/0000-0003-4452-9582
Deusdedith Boniphace BulimbeSchool of Medicine and Dentistry The University of Dodoma Dodoma Tanzania.ORCID https://orcid.org/0000-0003-2818-9426

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Antimicrobial resistance (AMR) is projected to cause 10 million deaths annually by 2050 if left unaddressed, posing a severe threat to global health and modern medicine. This review analyzes the molecular and ecological mechanisms underlying antibiotic resistance and evaluates global efforts aimed at containment to identify actionable strategies to mitigate AMR's escalating impact. Methods: A systematic literature review was performed using databases including PubMed, ScienceDirect, Scopus, Google Scholar, and Web of Science, focusing on peer-reviewed studies from 2000 to 2024. Search terms included "antibiotic resistance," "resistance mechanisms," "horizontal gene transfer," and "AMR epidemiology." A total of 152 articles were selected based on predefined inclusion criteria relevant to resistance mechanisms, epidemiological data, clinical outcomes, and public health interventions. Results: Findings underscore three dominant resistance pathways: target site modification, enzymatic degradation (e.g., β-lactamases), and horizontal gene transfer via plasmids and transposons. Notably, resistance to last-resort antibiotics (e.g., colistin, carbapenems) is rising in pathogens such as Conclusion: AMR is a quantifiable, escalating crisis that undermines decades of progress in infectious disease control. Tackling it requires coordinated action: strengthening antimicrobial stewardship, incentivizing antibiotic R&D, integrating environmental and clinical surveillance under One Health frameworks, and implementing global policy reforms. Without prompt action, AMR could surpass cancer in annual mortality by mid-century.

Indexed as

antimicrobial resistancebacterial adaptationglobal threathorizontal gene transferpublic healthresistance mechanisms

Identifiers

PMID40704322
PMCPMC12284435

What OpenQuestion holds

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LicenceCC BY
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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.