Evidence map›Paper›PMID 41023896›Full record

SynthesisBMC infectious diseases2025

Temporal and geographic trends in extended-spectrum cephalosporins resistance among Neisseria gonorrhoeae isolates worldwide: a systematic review and meta-analysis.

Laith B Alhusseini, Bita Hasani, Firas Nabeeh Jaafar, Masoumeh Beig, Sara Abbasian, Khalil Azizian

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
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

6 authors.

Laith B Alhusseini *Department of Ecology, College of Science, Kufa University, Kufa, Najaf, Iraq.
Bita Hasani *Department of Microbiology, Islamic Azad University, Tonekabon, Iran.
Firas Nabeeh JaafarMicrobiology Department, College of Science, Mustansiriyah University, Baghdad, Iraq.
Masoumeh BeigDepartment of Bacteriology, Pasteur Institute of Iran, Tehran, Iran.
Sara AbbasianLaboratory Sciences Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
Khalil AzizianDepartment of Microbiology, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran. k.azizian86@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The global emergence of antibiotic resistance in Neisseria gonorrhoeae (NG) infections poses a critical public health challenge. This study aimed to evaluate global resistance rates to extended-spectrum cephalosporins (ESCs) in N. gonorrhoeae, considering factors such as time, geography, antimicrobial susceptibility testing (AST), and resistance interpretation. A systematic review and meta-analysis (from 1988 to 2025) of 252 studies from 71 countries reported a weighted pooled resistance rate (WPR) of ≤ 2.5% for ESCs. Significant temporal variation in ESCs-resistant isolates (P < 0.05) underscores the dynamic nature of resistance development. Significantly, there was a difference in penicillin resistance rates between countries/ continents, and AST (P < 0.001). These findings emphasize the urgent need for effective antimicrobial stewardship, enhanced contact tracing, and comprehensive monitoring systems to combat antimicrobial resistance in gonococcal infections.

Indexed as

Anti-Bacterial AgentsCephalosporin ResistanceCephalosporinsGonorrheaNeisseria gonorrhoeaeDrug Resistance, BacterialGlobal HealthHumansMicrobial Sensitivity TestsAnti-Bacterial AgentsCephalosporinsAntimicrobial resistanceNeisseria gonorrhoeaeSystematic review and meta-analysisThird-generation extended-spectrum cephalosporin

Identifiers

PMID41023896
PMCPMC12482267

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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.