Evidence map›Paper›PMID 40461635›Full record

ReviewThe Journal of antibiotics2025

"Global divide in carbapenem resistance and hypervirulence of Klebsiella pneumonia: comparing trends in India and developed nations"- a comprehensive review.

Saloni V Koli, Snehal V Mali, Jisha Geevarghese

Abstract readReviewComparative Study
PubMed Publisher
In one paragraph

Review in The Journal of antibiotics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. <p>Molecular medicine reports · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. 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

3 authors.

Saloni V KoliPharm D Post Baccalaureate, Department of Pharmacy Practice, Krishna Institute of Pharmacy, Krishna Vishwa Vidyapeeth (Deemed To Be University), (KVV), Karad, Maharashtra, India.
Snehal V MaliPharm D Post Baccalaureate, Department of Pharmacy Practice, Krishna Institute of Pharmacy, Krishna Vishwa Vidyapeeth (Deemed To Be University), (KVV), Karad, Maharashtra, India.
Jisha GeevarghesePharm D Post Baccalaureate, Department of Pharmacy Practice, Krishna Institute of Pharmacy, Krishna Vishwa Vidyapeeth (Deemed To Be University), (KVV), Karad, Maharashtra, India. kipjisha@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The global health problem of carbapenem-resistant and hypervirulent Klebsiella pneumoniae (CRKP) is exacerbated by the lack of effective treatments and increasing resistance. This study compares the clinical impact, resistance mechanisms, and prevalence of CR-hvKP in industrialized and emerging nations, analyzing 300 papers from national databases and selecting 70 for further examination. Treatment effectiveness, clinical outcomes, resistance mechanisms, and prevalence were assessed in the study, which concentrated on CRKP and hvKP strains that carried virulence genes (rmpA, aerobactin, yersiniabactin) and carbapenemase genes (blaKPC, blaNDM, blaOXA-12). With 25% of studies identifying blaOXA-48, 30% reporting blaKPC, and 45% tying blaNDM to resistance, analysis showed β-lactamase genes are mostly responsible for carbapenem resistance in Klebsiella pneumoniae strains. Resistance rates for CR-hvKP range from 4.4% to 100% in India, where the condition is disproportionately common. Clinical results are alarming: hospital-admitted patients had death rates ranging from 30% to 60% and morbidity rates as high as 90%. The study emphasizes how plasmid-mediated resistance, immune evasion mechanisms, and enhanced biofilm development contribute to the pathophysiology of CR-hvKP, making therapy more difficult. Urgent action is needed to battle CR-hvKP and lessen its catastrophic clinical impact, as it is more common in India than developed countries.

Indexed as

Anti-Bacterial AgentsCarbapenemsKlebsiella InfectionsKlebsiella pneumoniaeBacterial Proteinsbeta-LactamasesDeveloped CountriesHumansIndiaMicrobial Sensitivity TestsVirulenceAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasescarbapenemaseCarbapenems

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.