Evidence map›Paper›PMID 25969564›Full record

ArticleThe Journal of infectious diseases2015

Gut Colonization of Healthy Children and Their Mothers With Pathogenic Ciprofloxacin-Resistant Escherichia coli.

Emily A Gurnee, I Malick Ndao, James R Johnson, Brian D Johnston, Mark D Gonzalez, Carey-Ann D Burnham, Carla M Hall-Moore, Jessica E McGhee, Alexander Mellmann, Barbara B Warner and 1 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
–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

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Maternal gut microbiota in the postpartum Period: A Systematic review.European journal of obstetrics, gynecology, and reproductive biology · 2023
    Pooled it
  2. Review
  3. Article
  4. Comprehensive antibiotic resistome comparison ofCurrent research in microbial sciences · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Environmental Spread of Antibiotic Resistance.Antibiotics (Basel, Switzerland) · 2021
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. "Enhanced acquisition of antibiotic-resistant intestinalAntimicrobial resistance and infection control · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Emily A GurneeDepartment of Pediatrics.
I Malick NdaoDepartment of Pediatrics.
James R JohnsonMinneapolis Veterans Affairs Medical Center Department of Medicine, University of Minnesota, Minneapolis.
Brian D JohnstonMinneapolis Veterans Affairs Medical Center Department of Medicine, University of Minnesota, Minneapolis.
Mark D GonzalezDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri.
Carey-Ann D BurnhamDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri.
Carla M Hall-MooreDepartment of Pediatrics.
Jessica E McGheeDepartment of Pediatrics.
Alexander MellmannInstitute of Hygiene, University Hospital Muenster, Germany.
Barbara B WarnerDepartment of Pediatrics.
Phillip I TarrDepartment of Pediatrics Department of Molecular Microbiology, Washington University School of Medicine, St. Louis, Missouri.

Funding

Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Nicholas O. Davidson · 2000 to 2026
$30.8M
Gut reservoir of E. coli ST131I01CX000920 · VA · MINNEAPOLIS VA MEDICAL CENTER · PI JOHNSON, JAMES R · 2014 to 2021
–
CSRD VA I01 CX000920NIDDK NIH HHS 5P30 DK052574NIDDK NIH HHS P30 DK052574
6 · The paper itself

Abstract

backgroundThe reservoir of pathogenic ciprofloxacin-resistant Escherichia coli remains unknown.

methodsWe conducted a prospective cohort study of 80 healthy twins and their mothers to determine the frequency of excretion of ciprofloxacin-resistant, potentially pathogenic E. coli. Stool specimens were cultured selectively for ciprofloxacin-resistant gram-negative bacteria. Isolates were categorized on the basis of additional resistance and virulence profiles. We also prospectively collected clinical metadata.

resultsFifteen children (19%) and 8 mothers (20%) excreted ciprofloxacin-resistant E. coli at least once. Overall, 33% of 40 families had at least 1 member whose stool specimen yielded ciprofloxacin-resistant E. coli on culture. Fifty-seven submitted stool specimens (2.8%) contained such organisms; clones ST131-H30 and ST405 accounted for 52 and 5 of the positive specimens, respectively. Length of hospital stay after birth (P = .002) and maternal colonization (P = .0001) were associated with subsequent childhood carriage of ciprofloxacin-resistant E. coli; antibiotic use, acid suppression, sex, mode of delivery, and maternal perinatal antibiotic use were not. Ciprofloxacin-resistant E. coli were usually resistant to additional antibiotic classes, and all had virulence genotypes typical of extraintestinal pathogenic E. coli.

conclusionsHealthy children and their mothers commonly harbor ciprofloxacin-resistant E. coli with pathogenic potential.

Indexed as

Drug Resistance, BacterialAdultAnti-Bacterial AgentsCarrier StateChild, PreschoolCiprofloxacinEscherichia coliEscherichia coli InfectionsFecesFemaleGastrointestinal TractGenotypeHealthy VolunteersHumansInfantInfant, NewbornAnti-Bacterial AgentsCiprofloxacinciprofloxacin-resistant E. coliE. coli ST131-H30E. coli ST405extra-intestinal pathogenic E. coliurinary tract infections

Identifiers

PMID25969564
PMCPMC4655851

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.