Evidence map›Paper›PMID 25547361›Full record

ArticleAntimicrobial agents and chemotherapy2015

Pharmacokinetic-pharmacodynamic model to evaluate intramuscular tetracycline treatment protocols to prevent antimicrobial resistance in pigs.

Amais Ahmad, Kaare Græsbøll, Lasse Engbo Christiansen, Nils Toft, Louise Matthews, Søren Saxmose Nielsen

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.6field-weighted citation impact, top 12% of its field
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

13 citing papers in PubMed, 23 citations in OpenAlex.

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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

6 authors at 3 institutions in 2 countries.

Amais AhmadDepartment of Large Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg C, Denmark.
Kaare GræsbøllDepartment of Applied Mathematics and Computer Science, Technical University of Denmark, Lyngby, Denmark.
Lasse Engbo ChristiansenDepartment of Applied Mathematics and Computer Science, Technical University of Denmark, Lyngby, Denmark.
Nils ToftNational Veterinary Institute, Section of Epidemiology, Technical University of Denmark, Frederiksberg C, Denmark.
Louise MatthewsBoyd Orr Centre for Population and Ecosystem Health, Institute for Biodiversity, Animal Health, and Comparative Medicine, College of Medical, Veterinary, and Life Sciences, University of Glasgow, Glasgow, United Kingdom.
Søren Saxmose NielsenDepartment of Large Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg C, Denmark saxmose@sund.ku.dk.ORCID http://orcid.org/0000-0003-2417-0787
Technical University of Denmark · DKUniversity of Copenhagen · DKGlasgow Centre for Population Health · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High instances of antimicrobial resistance are linked to both routine and excessive antimicrobial use, but excessive or inappropriate use represents an unnecessary risk. The competitive growth advantages of resistant bacteria may be amplified by the strain dynamics; in particular, the extent to which resistant strains outcompete susceptible strains under antimicrobial pressure may depend not only on the antimicrobial treatment strategies but also on the epidemiological parameters, such as the composition of the bacterial strains in a pig. This study evaluated how variation in the dosing protocol for intramuscular administration of tetracycline and the composition of bacterial strains in a pig affect the level of resistance in the intestine of a pig. Predictions were generated by a mathematical model of competitive growth of Escherichia coli strains in pigs under specified plasma concentration profiles of tetracycline. All dosing regimens result in a clear growth advantage for resistant strains. Short treatment duration was found to be preferable, since it allowed less time for resistant strains to outcompete the susceptible ones. Dosing frequency appeared to be ineffective at reducing the resistance levels. The number of competing strains had no apparent effect on the resistance level during treatment, but possession of fewer strains reduced the time to reach equilibrium after the end of treatment. To sum up, epidemiological parameters may have more profound influence on growth dynamics than dosing regimens and should be considered when designing improved treatment protocols.

Indexed as

AnimalsAnti-Bacterial AgentsClinical ProtocolsDrug Resistance, Multiple, BacterialEscherichia coliEscherichia coli InfectionsInjections, IntramuscularMicrobial Sensitivity TestsSwineTetracyclineAnti-Bacterial AgentsTetracycline

Identifiers

PMID25547361
PMCPMC4325798
OpenAlexW1977265971

What OpenQuestion 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 OpenQuestion graph.