Evidence map›Paper›PMID 41299227›Full record

ArticleBMC microbiology2025

A five-year retrospective analysis of antimicrobial resistance patterns in clinical bacterial isolates from the Jazeera University Laboratory in Mogadishu, Somalia.

Abdirahman Moallim Ibrahim, Lul Mohamud Mohamed, Abdullah Dahir H Aweis, Safiyo Qasim Fidow, Farhia Abdullahi Mohamed, Safiyo Mohamed Osman, Fadumo Abdi Mohamed, Ismail Ali Mohamud, Naciima Mohamud Roble, Marian Muse Osman and 4 more

Abstract read
In one paragraph

Article in BMC microbiology, 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.

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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

14 authors.

Abdirahman Moallim IbrahimFaculty of Medicine and Surgery, Jazeera University, Mogadishu, Somalia. drguulwade@gmail.com.
Lul Mohamud MohamedFaculty of Medicine and Surgery, Jazeera University, Mogadishu, Somalia.
Abdullah Dahir H AweisLaboratory Department, Jazeera University, Mogadishu, Somalia.
Safiyo Qasim FidowLaboratory Department, Jazeera University, Mogadishu, Somalia.
Farhia Abdullahi MohamedFaculty of Medicine and Surgery, Jazeera University, Mogadishu, Somalia.
Safiyo Mohamed OsmanFaculty of Medicine and Surgery, Jazeera University, Mogadishu, Somalia.
Fadumo Abdi MohamedFaculty of Medicine and Surgery, Jazeera University, Mogadishu, Somalia.
Ismail Ali MohamudFaculty of Medicine and Surgery, Jazeera University, Mogadishu, Somalia.
Naciima Mohamud RobleFaculty of Medicine and Surgery, Jazeera University, Mogadishu, Somalia.
Marian Muse OsmanResearch Department, Somali National Institute of Health, Mogadishu, Somalia.
Abdullahi Mohamed MohamudFaculty of Medicine and Surgery, Jazeera University, Mogadishu, Somalia.
Saadaq Adan HusseinSchool of Postgraduate Studies, Benaadir University, Mogadishu, Somalia.
Abdiwahab Sheikh Elmi AdamLaboratory Department, Jazeera University, Mogadishu, Somalia.
Abdullahi Adan ShabaFaculty of Medicine and Surgery, Jazeera University, Mogadishu, Somalia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAntimicrobial resistance (AMR) is a critical global health threat, particularly in resource-constrained settings like Somalia, where fragile healthcare systems amplify the challenge. This study aimed to evaluate AMR patterns in clinical bacterial isolates over a five-year period at Jazeera University Laboratory Department in Mogadishu, Somalia, to identify prevalent resistant pathogens and assess resistance trends for commonly prescribed antibiotics.

methodsA retrospective analysis examined 785 bacterial samples from clinical specimens (e.g., urine, blood, wound swabs) collected between January 2019 and December 2024. Isolates which included Escherichia coli, Klebsiella pneumoniae, Staphylococcus aureus, Pseudomonas aeruginosa, Acinetobacter baumannii, or Enterobacter spp., underwent susceptibility testing for Ampicillin (AMP), Amoxicillin/Clavulanate (AMC), Ceftriaxone (CRO), Ciprofloxacin (CIP), Gentamicin (GENTA), Nitrofurantoin (NIT), and Methicillin (METH) using disk diffusion method per CLSI guidelines. Data on age, sex, specimen source, isolation year, and resistance profiles were analyzed using SPSS, with chi-square tests to assess associations and temporal trends (p < 0.05 indicating significance).

resultsEscherichia coli (38.7%), Staphylococcus aureus (34.9%), and Klebsiella pneumoniae (22.9%) were the prevalent pathogens, primarily from urine cultures (47.1%). High resistance was observed for Ampicillin (AMP) in Escherichia coli (96.7%, p = 0.001), Klebsiella pneumoniae (93.9%, p = 0.074), and Staphylococcus aureus (90.1%, p = 0.008), and for Amoxicillin/Clavulanate (AMC) in Escherichia coli (78.9%, p = 0.001), Klebsiella pneumoniae (57.8%, p = 0.002), and Staphylococcus aureus (57.3%, p = 0.001). Ceftriaxone (CRO) resistance was high in Escherichia coli (61.8%, p = 0.001) and low in Staphylococcus aureus (16.8%, p = 0.001). Ciprofloxacin (CIP) resistance was moderately high in Escherichia coli (46.7%, p = 0.001) and lower in Staphylococcus aureus (22.3%, p = 0.001). Gentamicin (GENTA) and Nitrofurantoin (NIT) showed an overall lower resistance, particularly in Escherichia coli (16.8%, p = 0.001; 8.2%, p = 0.001) and Staphylococcus aureus (17.9%, p = 0.001; 7.3%, p = 0.001). Staphylococcus aureus exhibited significant methicillin resistance (40.5%, p = 0.001).

conclusionWidespread AMR, particularly to AMP, AMC, CRO, and CIP, the need for targeted antimicrobial stewardship, enhanced surveillance, and robust infection prevention strategies in Somalia’s resource-limited healthcare system to address the growing AMR crisis.

Indexed as

Anti-Bacterial AgentsBacteriaBacterial InfectionsDrug Resistance, BacterialDrug Resistance, Multiple, BacterialFemaleHumansMicrobial Sensitivity TestsRetrospective StudiesSomaliaThird Generation CephalosporinsAnti-Bacterial AgentsThird Generation CephalosporinsAntibiotic susceptibilityAntimicrobial resistanceAntimicrobial stewardshipBacterial isolatesSomalia

Identifiers

PMID41299227
PMCPMC12659041

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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.