Evidence map›Paper›PMID 41968297›Full record

ArticleMicrobiologyOpen2026

The Influence of COVID-19 on the Composition and Drug Resistance of Pleural Effusion in Shandong Province.

Wenwen Yu, Shuqing Ma, Fen Xu, Xiangmin Han, Ming Li, Yuanqi Zhu, Sufei Pan, Sujun Hou, Chunqing Ma, Fawen Deng and 2 more

Abstract read
In one paragraph

Article in MicrobiologyOpen, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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

12 authors.

Wenwen YuDepartment of Clinical Microbiology, Jinan Children's Hospital, Jinan, China.
Shuqing MaClinical Laboratory Center, Weihai Municipal Hospital, Cheeloo College of Medicine, Shandong University, Weihai, China.
Fen XuDepartment of Clinical Laboratory, Zhangqiu District Traditional Chinese Medicine Hospital of Jinan City, Jinan, China.
Xiangmin HanDepartment of Clinical Laboratory, Zhangqiu District Traditional Chinese Medicine Hospital of Jinan City, Jinan, China.
Ming LiDepartment of Clinical Laboratory, JiNan ZhangQiu district maternal and child health hospital, Jinan, China.
Yuanqi ZhuDepartment of Clinical Laboratory, The Affiliated Hospital of Qingdao University, Qingdao, China.
Sufei PanDepartment of Clinical Laboratory, Shengli Oilfield Central Hospital, Dongying, China.
Sujun HouDepartment of Clinical Laboratory, Rizhao Municipal Hospital of Traditional Chinese Medicine, Rizhao, China.
Chunqing MaDepartment of Clinical Laboratory, People's Hospital of Jinan Zhangqiu district, Jinan, China.
Fawen DengDepartment of Hospital Infection Control, Dong 'e County People's Hospital, Dong 'e, Liaocheng, China.
Shifu WangDepartment of Clinical Microbiology, Jinan Children's Hospital, Jinan, China.ORCID https://orcid.org/0000-0002-2131-9518
SPARSS net Working Group

Funding

High-level Talents in the Medical and Health Industry of Jinan City Shifu WangResearch on the Cross-Species Risk of Respiratory Viruses Potentially Threatening HumansShandong Children's Health and Disease Clinical Medical Research Center ProjectYoung Elite Sponsorship Program of Shandong Provincial Medical Association GZNL2024A01019Young Elite Sponsorship Program of Shandong Provincial Medical Association No.2024-GJ-0109Young Elite Sponsorship Program of Shandong Provincial Medical Association RC006
6 · The paper itself

Abstract

To analyze the composition and drug resistance changes of pleural effusion in Shandong region from 2017 to 2024, and to provide a basis for clinical empirical treatment and future public health strategies. Uese the WHONET5.6 software to analyze the data reported by the SPARSS network. A total of 6336 pathogens was isolated, 3876 were Gram-positive bacteria and 2211 were Gram-negative bacteria. The top five pathogens are Staphylococcus aureus, Staphylococcus epidermidis, Klebsiella pneumoniae, Streptococcus constellatus, and Escherichia coli. The main pathogens in male patients are S. constellatus, S. epidermidis, and K. pneumoniae, while in female patients, they are mainly S. aureus, S. epidermidis, and E. coli. The detection rate of S. constellatus rose from 4.3% to 8.1% after the COVID-19 pandemic (p < 0.0001); K. pneumoniae rose from 6.9% to 8.9%(p = 0.0264), and its resistance rate to meropenem increased from 2.1% to 18.3% (p = 0.0063). The detection rate of methicillin-resistant Staphylococcus aureus has remained largely unaffected by the COVID-19. The resistance rate of Candida albicans to fluconazole is as high as 12.5%. The pathogen spectrum of pleural effusion in Shandong Province is mainly Gram-positive bacteria. Coagulase-negative staphylococci were among the most common isolates, yet their role as true pathogens versus culture contaminants remains to be clarified in clinical practice. Moreover, after the epidemic, the carbapenem resistance of K. pneumoniae has significantly increased, and the problem of fungal drug resistance also needs to be paid attention to continuous monitoring to guide the rational use of drugs in clinical practice.

Indexed as

COVID-19Drug Resistance, BacterialPleural EffusionAnti-Bacterial AgentsChinaFemaleGram-Negative BacteriaGram-Positive BacteriaHumansMaleMicrobial Sensitivity TestsSARS-CoV-2Anti-Bacterial Agentscoagulase‐negative staphylococcicontaminationCOVID‐19drug resistance ratepleural effusion

Identifiers

PMID41968297
PMCPMC13070869

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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.