Evidence map›Paper›PMID 40941733›Full record

ReviewDiagnostics (Basel, Switzerland)2025

Diagnostic Innovations to Combat Antibiotic Resistance in Critical Care: Tools for Targeted Therapy and Stewardship.

Ahmed D Alatawi, Helal F Hetta, Mostafa A Sayed Ali, Yasmin N Ramadan, Amirah B Alaqyli, Wareef K Alansari, Nada H Aldhaheri, Talidah A Bin Selim, Shahad A Merdad, Maram O Alharbi and 2 more

Abstract readReview
In one paragraph

Review in Diagnostics (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 citing papers in PubMed, 1 synthesis or guideline 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

12 authors.

Ahmed D AlatawiDepartment of Clinical Pharmacy, College of Pharmacy, Jouf University, Sakaka 72388, Saudi Arabia.ORCID 0000-0001-6459-9700
Helal F HettaDivision of Microbiology, Immunology and Biotechnology, Department of Natural Products and Alternative Medicine, Faculty of Pharmacy, University of Tabuk, Tabuk 71491, Saudi Arabia.ORCID 0000-0001-8541-7304
Mostafa A Sayed AliDepartment of Pharmacy Practice, Faculty of Pharmacy, University of Tabuk, Tabuk 71491, Saudi Arabia.ORCID 0000-0002-5851-5088
Yasmin N RamadanDepartment of Microbiology and Immunology, Faculty of Pharmacy, Assiut University, Assiut 71515, Egypt.ORCID 0009-0008-7374-9334
Amirah B AlaqyliCollege of Applied Medical Sciences, University of Tabuk, Tabuk 47315, Saudi Arabia.
Wareef K AlansariMedical Laboratory Technology, College of Applied Medical Sciences, University of Taibah, Medina 42367, Saudi Arabia.
Nada H AldhaheriMedical Laboratory Technology, College of Applied Medical Sciences, University of Taibah, Medina 42367, Saudi Arabia.
Talidah A Bin SelimLaboratory Medicine, College of Applied Medical Sciences, Umm Al-Qura University, Makkah 24321, Saudi Arabia.
Shahad A MerdadLaboratory Medicine, College of Applied Medical Sciences, Umm Al-Qura University, Makkah 24321, Saudi Arabia.
Maram O AlharbiLaboratory Medicine, College of Applied Medical Sciences, Umm Al-Qura University, Makkah 24321, Saudi Arabia.
Wejdan Alhumaidi Hmdan AlatawiMedical Laboratory Technology, College of Applied Medical Sciences, University of Northern Border, Arar 73213, Saudi Arabia.
Abdelazeem M AlgammalDepartment of Bacteriology, Immunology and Mycology, Faculty of Veterinary Medicine, Suez Canal University, Ismailia 41522, Egypt.ORCID 0000-0001-5580-1559

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antibiotic resistance is a growing global health threat, with critical care settings representing one of the most vulnerable arenas due to the high burden of infection and frequent empirical antibiotic use. Rapid and precise diagnosis of infectious pathogens is crucial for initiating appropriate therapy, minimizing unnecessary antimicrobial exposure, and supporting effective stewardship programs. This review explores how innovative diagnostic technologies are reshaping infection management and antimicrobial stewardship in critical care. We examine the clinical utility of molecular assays, multiplex PCR, MALDI-TOF mass spectrometry, metagenomic sequencing, point-of-care (POC) diagnostics, and emerging tools like biosensors and AI-powered predictive models. These platforms enable earlier pathogen identification and resistance profiling, facilitating timely and targeted therapy while minimizing unnecessary broad-spectrum antibiotic use. By integrating diagnostics into stewardship frameworks, clinicians can optimize antimicrobial regimens, improve patient outcomes, and reduce resistance selection pressure. Despite their promise, adoption is challenged by cost, infrastructure, interpretation complexity, and inequitable access, particularly in low-resource settings. Future perspectives emphasize the need for scalable, AI-enhanced, and globally accessible diagnostic solutions. In bridging innovation with clinical application, diagnostic advancements can serve as pivotal tools in the global effort to curb antimicrobial resistance in critical care environments.

Indexed as

antimicrobial resistancediagnostic stewardshipintensive care unit (ICU)point-of-care (POC) testingrapid diagnostics

Identifiers

PMID40941733
PMCPMC12428289

What OpenQuestion holds

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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.