Evidence map›Paper›PMID 40777963›Full record

SynthesisAfrican health sciences2024

A systematic review and meta-analysis on the prevalence of extended-spectrum beta-Lactamase-Producing

Christian Kelechi Ezeh, Daniel Chinonso Digwo, Irene Amara Okeke, Prisca Chidinma Elebe, Emmanuel Onyedikachi Ezeh

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in African health sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Pooled it
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

5 authors.

Christian Kelechi EzehDepartment of Microbiology, University of Nigeria, Nsukka, Enugu State, Nigeria.
Daniel Chinonso DigwoDepartment of Microbiology, University of Nigeria, Nsukka, Enugu State, Nigeria.
Irene Amara OkekeDepartment of Microbiology, University of Nigeria, Nsukka, Enugu State, Nigeria.
Prisca Chidinma ElebeDepartment of Microbiology, University of Nigeria, Nsukka, Enugu State, Nigeria.
Emmanuel Onyedikachi EzehDepartment of Biochemistry, University of Nigeria, Nsukka, Enugu State, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rapid emergence and proliferation of extended spectrum beta-lactamase producing Objectives: The aim of this study was to evaluate the pooled prevalence of ESBL-KP and ESBL genes in Nigeria. Methods: A quantitative method (Meta-analysis) design was used to summarize pooled results of primary studies. Different databases [Google Scholar, PubMed, and African Journal Online (AJOL)] were searched for relevant studies. Meta-analysis was done using random-effects model. I2 and Egger test was used to ascertain heterogeneity and publication bias evaluation. Results: Eighteen observational studies were selected and the pooled prevalence of ESBL-KP in Nigeria was 47.3% [95% confidence interval (CI) 37 - 58%]. Among the genes encoding ESBL, OXA had the highest pooled prevalence in the selected studies [57% (95% CI 32, 76)], followed by TEM [55% (95% CI 36, 70)], CTX-M [54% (95% CI 38, 70)], and 41% (95% CI 27, 57). Heterogeneity tests (I2) was observed to be between 69.22 and 95.63 % for ESBL-KP and ESBL genes in the studies. Egger tests showed no publication bias (0.09 - 0.99). Conclusions: This meta-analysis demonstrated that the prevalence of ESBL-KP is increasing in Nigeria. Hence, antimicrobial stewardship and infection control measures for the prevention and spread of these strains be implemented.

Indexed as

beta-LactamasesKlebsiella InfectionsKlebsiella pneumoniaeAnti-Bacterial AgentsHumansNigeriaPrevalenceAnti-Bacterial Agentsbeta-LactamasesExtended spectrum beta-latamaseKlebsiella Pneumoniameta-analysisNigeria

Identifiers

PMID40777963
PMCPMC12327123

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.