Evidence map›Paper›PMID 42780020›Full record

ArticleIJID regions2026

A systematic review of antimicrobial resistance among World Health Organization Bacterial Priority Pathogens in Syria (2015-2025).

Bayan Galal, Nadia Barouk, Ahmad Kejah, Marwan Osman, Nabil Karah, Salam Abbara, Yasir Farrouh, Shaffi Fazaludeen Koya, Antoine Abou Fayad, Souha S Kanj and 3 more

Abstract read
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Article in IJID regions, 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

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

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

13 authors.

Bayan GalalDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA.
Nadia BaroukDepartment of Medicine, Rowan-Virtua School of Osteopathic Medicine, Stratford, USA.
Ahmad KejahDepartment of Microbiology, Aleppo University, Aleppo, Syria.
Marwan OsmanDepartment of Neurosurgery, Yale University School of Medicine, New Haven, Connecticut, USA.
Nabil KarahDepartment of Molecular Biology, Umea University, Umea, Sweden.
Salam AbbaraEpidemiology and Modelling of Antibiotic Evasion Unit, Pasteur Institute, Paris-Cité University, Paris, France.
Yasir FarrouhDepartment of Infectious Diseases, Syrian Ministry of Health, Damascus, Syria.
Shaffi Fazaludeen KoyaAntimcirobial Resistance, WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt.
Antoine Abou FayadDepartment of Microbiology, American University of Beirut, Beirut, Lebanon.
Souha S KanjDepartment of Medicine, and Center for Infectious Diseases research, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.
Ahmad DarwishPrivate Microbiology Laboratory, Damascus, Syria.
Omar DewachiDepartment of Anthropology, Rutgers University, New Brunswick, USA.
Aula AbbaraDepartment of Infectious Diseases, Imperial College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Antimicrobial resistance (AMR) is an urgent public health threat, but empirical data from Syria remain limited after prolonged conflict-related disruption of health care, laboratory, and surveillance systems. We aimed to synthesize the available evidence on AMR in Syria. Methods: We searched PubMed, EMBASE, and Google Scholar for English- or Arabic-language studies published from 2015 to 2025 that reported AMR among organisms included in the World Health Organization Bacterial Priority Pathogen List organisms clinical or screening samples collected in Syria. Two reviewers independently screened records and extracted study, specimen, organism, susceptibility testing, and resistance data. Findings were synthesized narratively and summarized using study-level medians and interquartile ranges (IQRs). Results: Of 203 records identified, 22 studies were included, representing 6367 samples. Studies were largely hospital-based and concentrated in Damascus, Aleppo, and Lattakia. Third-generation cephalosporin resistance was high among Conclusion: Syrian AMR data remain sparse and geographically uneven, but the available evidence suggests substantial resistance. Standardized national surveillance, microbiology capacity, local antibiograms, and context-specific empiric treatment guidelines are urgently needed.

Indexed as

Antimicrobial resistanceConflict-affected settingSurveillanceSyriaSystematic review

Identifiers

PMID42780020
PMCPMC13597191

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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.