{"id":"https://openalex.org/W2986508672","doi":null,"title":"Emergence of Multi-Resistant Enteric Infection In A Paediatric Unit Of Karachi, Pakistan.","display_name":"Emergence of Multi-Resistant Enteric Infection In A Paediatric Unit Of Karachi, Pakistan.","publication_year":2018,"publication_date":"2018-12-01","ids":{"openalex":"https://openalex.org/W2986508672","mag":"2986508672","pmid":"https://pubmed.ncbi.nlm.nih.gov/30504956"},"language":"en","primary_location":{"id":"pmid:30504956","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30504956","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JPMA. The Journal of the Pakistan Medical Association","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5113639643","display_name":"Sina Aziz","orcid":"https://orcid.org/0000-0002-8110-3655","observed_orcids":["https://orcid.org/0000-0002-8110-3655"]},"institutions":[{"id":"https://openalex.org/I1312995270","display_name":"Karachi Medical and Dental College","ror":"https://ror.org/02afbf040","country_code":"PK","type":"education","lineage":["https://openalex.org/I1312995270"]},{"id":"https://openalex.org/I2801788457","display_name":"Abbasi Shaheed Hospital","ror":"https://ror.org/02b72da46","country_code":"PK","type":"healthcare","lineage":["https://openalex.org/I2801788457"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Sina Aziz","raw_affiliation_strings":["Department of Paediatice, Unit-II, Abbasi Shaheed Hospital, Karachi Medical and Denatl College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Paediatice, Unit-II, Abbasi Shaheed Hospital, Karachi Medical and Denatl College","institution_ids":["https://openalex.org/I1312995270","https://openalex.org/I2801788457"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5112452589","display_name":"Laraib Fatima Malik","orcid":"https://orcid.org/0009-0006-7391-7639","observed_orcids":["https://orcid.org/0009-0006-7391-7639"]},"institutions":[{"id":"https://openalex.org/I1312995270","display_name":"Karachi Medical and Dental College","ror":"https://ror.org/02afbf040","country_code":"PK","type":"education","lineage":["https://openalex.org/I1312995270"]},{"id":"https://openalex.org/I2801788457","display_name":"Abbasi Shaheed Hospital","ror":"https://ror.org/02b72da46","country_code":"PK","type":"healthcare","lineage":["https://openalex.org/I2801788457"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Laraib Malik","raw_affiliation_strings":["Postgraduate trainee, Department of Paediatrics, Abbasi Shaheed Hospital, Karachi Medical and Denatl College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Postgraduate trainee, Department of Paediatrics, Abbasi Shaheed Hospital, Karachi Medical and Denatl College","institution_ids":["https://openalex.org/I1312995270","https://openalex.org/I2801788457"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.1299,"has_fulltext":false,"cited_by_count":13,"citation_normalized_percentile":{"value":0.77359809,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"68","issue":"12","first_page":"1848","last_page":"1850"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10486","display_name":"Salmonella and Campylobacter epidemiology","score":0.9901999831199646,"subfield":{"id":"https://openalex.org/subfields/1106","display_name":"Food Science"},"field":{"id":"https://openalex.org/fields/11","display_name":"Agricultural and Biological Sciences"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10486","display_name":"Salmonella and Campylobacter epidemiology","score":0.9901999831199646,"subfield":{"id":"https://openalex.org/subfields/1106","display_name":"Food Science"},"field":{"id":"https://openalex.org/fields/11","display_name":"Agricultural and Biological Sciences"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10147","display_name":"Antibiotic Resistance in Bacteria","score":0.006599999964237213,"subfield":{"id":"https://openalex.org/subfields/2726","display_name":"Microbiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.002099999925121665,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/salmonella-enterica-serovar-typhi","display_name":"Salmonella typhi","score":0.9319999814033508},{"id":"https://openalex.org/keywords/pediatric-patients","display_name":"pediatric patients","score":0.6660000085830688},{"id":"https://openalex.org/keywords/antibiotic-resistance","display_name":"antibiotic resistance","score":0.6129999756813049},{"id":"https://openalex.org/keywords/third-generation-cephalosporins","display_name":"third-generation cephalosporins","score":0.8489999771118164},{"id":"https://openalex.org/keywords/meropenem","display_name":"meropenem","score":0.8840000033378601},{"id":"https://openalex.org/keywords/azithromycin","display_name":"azithromycin","score":0.921999990940094},{"id":"https://openalex.org/keywords/fosfomycin","display_name":"fosfomycin","score":0.9660000205039978},{"id":"https://openalex.org/keywords/amoxicillin-clavulanic-acid","display_name":"amoxicillin-clavulanic acid","score":0.8339999914169312},{"id":"https://openalex.org/keywords/typhoid-vaccination","display_name":"typhoid vaccination","score":0.6850000023841858},{"id":"https://openalex.org/keywords/rational-antibiotic-use","display_name":"rational antibiotic use","score":0.7749999761581421},{"id":"https://openalex.org/keywords/karachi","display_name":"Karachi","score":0.5929999947547913}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9438067674636841},{"id":"https://openalex.org/C520601542","wikidata":"https://www.wikidata.org/wiki/Q83319","display_name":"Typhoid fever","level":2,"score":0.6890494227409363},{"id":"https://openalex.org/C2776520383","wikidata":"https://www.wikidata.org/wiki/Q421713","display_name":"Ceftriaxone","level":3,"score":0.6227134466171265},{"id":"https://openalex.org/C2778907293","wikidata":"https://www.wikidata.org/wiki/Q165399","display_name":"Azithromycin","level":3,"score":0.606514573097229},{"id":"https://openalex.org/C2779454058","wikidata":"https://www.wikidata.org/wiki/Q415709","display_name":"Clavulanic acid","level":4,"score":0.5569905638694763},{"id":"https://openalex.org/C2779375183","wikidata":"https://www.wikidata.org/wiki/Q421670","display_name":"Meropenem","level":4,"score":0.5540112257003784},{"id":"https://openalex.org/C2779708577","wikidata":"https://www.wikidata.org/wiki/Q201928","display_name":"Amoxicillin","level":3,"score":0.5224468111991882},{"id":"https://openalex.org/C2994552716","wikidata":"https://www.wikidata.org/wiki/Q21600865","display_name":"Salmonella typhi","level":4,"score":0.5047107934951782},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.45940178632736206},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4500090777873993},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.4173259735107422},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.35291099548339844},{"id":"https://openalex.org/C94665300","wikidata":"https://www.wikidata.org/wiki/Q63391344","display_name":"Antibiotic resistance","level":3,"score":0.23290526866912842},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.16223883628845215},{"id":"https://openalex.org/C159047783","wikidata":"https://www.wikidata.org/wiki/Q7215","display_name":"Virology","level":1,"score":0.10703036189079285},{"id":"https://openalex.org/C104317684","wikidata":"https://www.wikidata.org/wiki/Q7187","display_name":"Gene","level":2,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C547475151","wikidata":"https://www.wikidata.org/wiki/Q25419","display_name":"Escherichia coli","level":3,"score":0.0},{"id":"https://openalex.org/C55493867","wikidata":"https://www.wikidata.org/wiki/Q7094","display_name":"Biochemistry","level":1,"score":0.0},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.0},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000077731","descriptor_name":"Meropenem","qualifier_ui":"Q000494","qualifier_name":"pharmacology","is_major_topic":false},{"descriptor_ui":"D000077731","descriptor_name":"Meropenem","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000494","qualifier_name":"pharmacology","is_major_topic":true},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010154","descriptor_name":"Pakistan","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012485","descriptor_name":"Salmonella typhi","qualifier_ui":"Q000187","qualifier_name":"drug effects","is_major_topic":true},{"descriptor_ui":"D012485","descriptor_name":"Salmonella typhi","qualifier_ui":"Q000472","qualifier_name":"pathogenicity","is_major_topic":true},{"descriptor_ui":"D014435","descriptor_name":"Typhoid Fever","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D014435","descriptor_name":"Typhoid Fever","qualifier_ui":"Q000382","qualifier_name":"microbiology","is_major_topic":true},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017963","descriptor_name":"Azithromycin","qualifier_ui":"Q000494","qualifier_name":"pharmacology","is_major_topic":false},{"descriptor_ui":"D017963","descriptor_name":"Azithromycin","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D024901","descriptor_name":"Drug Resistance, Multiple, Bacterial","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:30504956","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30504956","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JPMA. The Journal of the Pakistan Medical Association","raw_type":"Journal Article"},{"id":"mag:2986508672","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30504956","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4386347385","https://openalex.org/W4406346645","https://openalex.org/W7156357942","https://openalex.org/W4380086412","https://openalex.org/W2980146105","https://openalex.org/W4405561288","https://openalex.org/W2593020568","https://openalex.org/W2964903725","https://openalex.org/W7127052613","https://openalex.org/W7217713116"],"abstract_inverted_index":{"From":[0],"June":[1,42],"2018,":[2],"onwards,":[3],"there":[4],"has":[5],"been":[6],"an":[7],"upsurge":[8],"of":[9,20,47,66,91,98,106,183,191,196,210],"multi-resistant":[10],"enteric":[11,67,156,212],"infections":[12],"in":[13,165,186,207],"children":[14],"admitted":[15],"from":[16,41],"various":[17],"catchment":[18],"areas":[19],"Abbasi":[21],"Shaheed":[22],"Hospital":[23],"(ASH).":[24],"This":[25],"is":[26],"a":[27,72,78,161],"serious":[28],"concern":[29,164],"as":[30],"very":[31],"few":[32],"antibiotics":[33],"are":[34,205],"available":[35],"to":[36,44,55,59,112,116,120,127,133,159],"treat":[37],"the":[38,208],"children.":[39],"Children":[40],"2018":[43,46],"September":[45],"age":[48],"groups":[49],"5.7":[50],"\u00b1":[51],"2.84":[52],"(range":[53],"1.6":[54],"11":[56],"years),":[57],"referred":[58],"ASH,":[60],"for":[61,81,140],"admission,":[62],"with":[63,86,169],"clinical":[64],"suspicion":[65],"fever":[68,157],"and":[69,89,129,143,201],"having":[70],"received":[71],"third":[73],"generation":[74],"injectable":[75,176],"cephalosporin":[76],"by":[77],"general":[79],"practitioner,":[80],"5":[82,123],"days":[83,142],"or":[84,175],"more,":[85],"no":[87,148],"response,":[88],"continuation":[90],"fever,":[92],"were":[93,137,147],"included.":[94],"A":[95],"total":[96],"number":[97],"137":[99],"patients":[100,124,136],"had":[101,131],"culture":[102],"proven":[103],"salmonella":[104],"typhi,":[105],"whom":[107],"61(44.52%)":[108],"showed":[109,125],"sensitivity":[110,126,132],"only":[111],"meropenem,":[113],"45":[114],"(32.8%)":[115],"azithromycin,13(9.4%)to":[117],"fosfomycin,":[118],"11(8.02%)":[119],"Amoxicillin/clavulanic":[121],"acid,":[122],"ceftriaxone(3.64%)":[128],"one":[130],"amikacin.":[134],"All":[135],"treated":[138],"successfully":[139],"10":[141],"discharged":[144],"home.":[145],"There":[146],"reported":[149],"complications":[150],"at":[151],"follow-up.":[152],"Multi-Drug":[153],"Resistance":[154],"(MDR)":[155],"appears":[158],"be":[160],"major":[162],"health":[163,203],"Karachi.":[166],"Mass":[167],"immunization":[168],"oral":[170],"live":[171],"attenuated":[172],"Typhi":[173],"21a":[174],"unconjugated":[177],"Vi":[178],"typhoid":[179],"vaccine,":[180],"rational":[181],"use":[182],"antibiotics,":[184],"improvement":[185],"public":[187,202],"sanitation":[188],"facilities,":[189],"availability":[190],"clean":[192],"drinking":[193],"water,":[194],"promotion":[195],"safe":[197],"food":[198],"handling":[199],"practices":[200],"education":[204],"vital":[206],"prevention":[209],"MDR":[211],"fever.":[213]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2019-11-22T00:00:00"}
