Evidence map›Paper›PMID 41784697›Full record

ArticleNaunyn-Schmiedeberg's archives of pharmacology2026

Antimicrobial resistance and carbapenemase production among gram-negative bacteria in a newly established hospital.

Abdullah Tozluyurt

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Article in Naunyn-Schmiedeberg's archives of pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

1 author.

Abdullah TozluyurtDepartment of Medical Microbiology Laboratory, Konya Kulu Regional Hospital, Konya, Turkey. atozluyurt92@gmail.com.ORCID http://orcid.org/0000-0001-7036-0587

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antimicrobial resistance among Gram-negative bacteria, particularly carbapenemase production, is an increasing global public health concern. This retrospective study aimed to compare community-acquired and hospital-acquired Gram-negative infections and to evaluate antimicrobial resistance patterns, with a particular focus on carbapenemase production, in a newly established regional hospital in Turkey. A total of 437 non-duplicate Gram-negative isolates recovered between January and December 2025 were included and classified as community-acquired or hospital-acquired according to Centers for Disease Control and Prevention criteria. Antimicrobial susceptibility testing was performed using the disc diffusion method and interpreted according to EUCAST guidelines, while carbapenemase production was assessed using the NG-Test CARBA 5 assay. Of the isolates, 370 (84.66%) were community-acquired, and 67 (15.33%) were hospital-acquired. Escherichia coli was the predominant pathogen in community-acquired infections, whereas Klebsiella pneumoniae and Pseudomonas aeruginosa were most frequently isolated from hospital-acquired infections. Community-acquired isolates showed high susceptibility to carbapenems, aminoglycosides, and nitrofurantoin, while hospital-acquired isolates exhibited significantly higher resistance to β-lactams and fluoroquinolones. Carbapenem resistance was mainly observed among hospital-acquired isolates, particularly K. pneumoniae and the Enterobacter cloacae complex. Carbapenemase production was detected predominantly in hospital-acquired isolates, with OXA-48-like and NDM enzymes being the most common, although sporadic carbapenemase-producing community-acquired isolates were also identified. The early detection of multidrug-resistant Gram-negative bacteria, including carbapenemase producers, shortly after hospital opening underscores the necessity of early antimicrobial resistance surveillance and robust infection prevention and control strategies.

Indexed as

Anti-Bacterial AgentsBacterial Proteinsbeta-LactamasesCross InfectionDrug Resistance, BacterialGram-Negative BacteriaGram-Negative Bacterial InfectionsCommunity-Acquired InfectionsHumansMicrobial Sensitivity TestsRetrospective StudiesTurkeyAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasescarbapenemaseAntimicrobial resistanceCarbapenemaseGram-negative bacteriaNewly established hospitalSurveillance

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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.