Evidence map›Paper›PMID 40822587›Full record

ArticleFrontiers in cellular and infection microbiology2025

The correlation between antibiotic usage and antibiotic resistance: a 3-year retrospective study.

Ann Lisa Arulappen, Amer Hayat Khan, Syed Shahzad Hasan, Sabariah Noor Harun, Ting Soo Chow, Mahmood Basil A Al-Rawi, Wajid Syed

Erratum issuedAbstract read
In one paragraph

Article in Frontiers in cellular and infection microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Ann Lisa ArulappenDiscipline of Clinical Pharmacy, School of Pharmaceutical Sciences, University Science Malaysia, Georgetown, Malaysia.
Amer Hayat KhanDiscipline of Clinical Pharmacy, School of Pharmaceutical Sciences, University Science Malaysia, Georgetown, Malaysia.
Syed Shahzad HasanDepartment of Pharmacy, School of Applied Science, University of Huddersfield, Huddersfield, United Kingdom.
Sabariah Noor HarunDiscipline of Clinical Pharmacy, School of Pharmaceutical Sciences, University Science Malaysia, Georgetown, Malaysia.
Ting Soo ChowDepartment of Medicine, Penang Hospital, Ministry of Health, Georgetown, Malaysia.
Mahmood Basil A Al-RawiDiscipline of Clinical Pharmacy, School of Pharmaceutical Sciences, University Science Malaysia, Georgetown, Malaysia.
Wajid SyedDepartment of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Multidrug-resistant (MDR) microorganisms have increased all over the world, which is considered a public health threat. The emergence of MDR bacterial pathogens correlates with the increased antibiotic usage. This study aimed to determine the correlation between antibiotic usage and antibiotic resistance within 3 years. Method: This was a retrospective cross-sectional study reviewing the positive bacterial culture results and the total antibiotic usage in six hospitals in Penang for 3 years from January 2021 to December 2023 through a convenient sampling method. Results: Every sample type has experienced a significant shift over the years. Most microorganisms from all samples significantly changed in distribution over time, except for Conclusion: The correlation between the use of third-generation cephalosporins and ESBL rate, as well as the use of carbapenems and CRE rate, further suggests that controlling certain antibiotic usage could help mitigate the rise in MDR microorganisms.

Indexed as

Anti-Bacterial AgentsBacteriaBacterial InfectionsDrug Resistance, Multiple, BacterialCross-Sectional StudiesHospitalsHumansMicrobial Sensitivity TestsRetrospective StudiesAnti-Bacterial Agentsantibiogramantibiotic usageantimicrobial resistancegram negativegram positiveprevalence

Identifiers

PMID40822587
PMCPMC12353727

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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.