Evidence map›Paper›PMID 41089331›Full record

ArticleInternational journal of microbiology2025

Detection of Colistin Heteroresistance in Carbapenem-Resistant

Zahra Riahi Rad, Zohreh Riahi Rad, Hossein Goudarzi, Mehdi Goudarzi, Parisa Pourdehghan, Masoud Kargar, Saeed Shams, Ali Hashemi

Abstract read
In one paragraph

Article in International journal of microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. High prevalence of colistin heteroresistance in Pseudomonas aeruginosa bloodstream isolates and associated clinical factors.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  2. Article
  3. 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

8 authors.

Zahra Riahi RadDepartment of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-2904-618X
Zohreh Riahi RadDepartment of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-0032-5329
Hossein GoudarziDepartment of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mehdi GoudarziDepartment of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0001-6720-9341
Parisa PourdehghanDepartment of Parasitology, Iranian Research Center of Ticks and Tick-Borne Diseases, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran.ORCID https://orcid.org/0009-0008-3287-6425
Masoud KargarThalassemia and Hemoglobinopathy Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.ORCID https://orcid.org/0000-0003-2771-8939
Saeed ShamsCellular and Molecular Research Center, Qom University of Medical Sciences, Qom, Iran.
Ali HashemiDepartment of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-7258-5541

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Since antimicrobial resistance is a rising danger and a serious threat to the health of humans, recent studies have revealed that routine tests, such as minimum inhibitory concentration (MIC), are not enough to detect heteroresistance (HR) phenotype (i.e., phenotypic heterogeneity in antibiotic susceptibility in the identical bacterial population), and medical laboratories require awareness raising to face it. Colistin is regarded as the final therapeutic option for infections caused by carbapenem-resistant gram-negative bacteria. In this study, we explored the presence of HR to colistin in carbapenem-resistant Methods: From 2019 to 2020, 100 Results: As a result, of the 100 Conclusions: Finally, our study highlights the interplay between HR and its diagnosis methods. Since it is difficult to detect heteroresistant isolates by routine tests in clinical laboratories, it might be misclassified as susceptible and lead to challenges for clinicians and their patients.

Indexed as

antibiotic resistancecarbapenem-resistant P. aeruginosa (CRPA)colistinheteroresistancepopulation analysis profilesPseudomonas aeruginosa

Identifiers

PMID41089331
PMCPMC12517994

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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.