Evidence map›Paper›PMID 42460211›Full record

ArticleCureus2026

Molecular Mechanisms of Carbapenem Resistance in Clinical Enterobacterales Isolates: The Role of Carbapenemases and Porin Loss.

Pavithraa Suresh, Muthamizhveena R, Guruswamy Narayanan Prabhu, Manchireddy Manish, Jigar Gusani, Dipin Kumar P U, Sajidali S Saiyad

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Pavithraa SureshDepartment of Microbiology, Sri Venkateshwaraa Medical College Hospital and Research Centre, Puducherry, IND.
Muthamizhveena RDepartment of Pharmacology, Government Medical College, Pudukkottai, Pudukkottai, IND.
Guruswamy Narayanan PrabhuDepartment of Cardiothoracic Surgery, Sir Ivan Stedeford Hospital, Chennai, IND.
Manchireddy ManishDepartment of Anesthesiology, Madha Medical College and Research Institute, Chennai, IND.
Jigar GusaniDepartment of Microbiology, Dharmsinh Desai University, Dr N. D. Desai Faculty of Medical Science and Research, Nadiad, IND.
Dipin Kumar P UDepartment of Internal Medicine and Infectious Diseases, Malabar Institute of Medical Sciences (MIMS) Hospital, Kozhikode, IND.
Sajidali S SaiyadDepartment of Physiology, Pacific Medical College and Hospital, Pacific Medical University, Udaipur, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objective Carbapenem-resistant Enterobacterales (CRE) have emerged as a major global public health threat, driven by the rapid dissemination of carbapenemase genes that compromise the efficacy of last-line antimicrobial agents. Comprehensive characterization of these mechanisms is essential for informing antimicrobial stewardship and infection-control strategies. The objective of this study was to investigate the molecular mechanisms underlying carbapenem resistance among clinical Enterobacterales isolates, with particular emphasis on carbapenemase genes and outer membrane porin expression alterations. Methods A retrospective cross-sectional study was conducted on 120 non-duplicate CRE isolates recovered from clinical specimens at a tertiary care hospital in Rajasthan, India, between January 2024 and December 2025. Species identification was performed using MALDI-TOF mass spectrometry, while antimicrobial susceptibility testing and carbapenem minimum inhibitory concentration (MIC) determination were carried out according to CLSI guidelines. Carbapenemase production was assessed using the Carba NP test. PCR was used to detect major carbapenemase and extended-spectrum β-lactamase (ESBL) genes. Outer membrane porin expression was evaluated by SDS-PAGE with densitometric analysis. Results

Indexed as

antimicrobial resistancebla_kpcbla_ndmcarbapenemase genescarbapenem resistance mechanismscarbapenem-resistant enterobacteralesmolecular epidemiologyouter membrane porins

Identifiers

PMID42460211
PMCPMC13370088

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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.