Evidence map›Paper›PMID 26716443›Full record

ArticlePloS one2015

Emergence of a Clonal Lineage of Multidrug-Resistant ESBL-Producing Salmonella Infantis Transmitted from Broilers and Broiler Meat to Humans in Italy between 2011 and 2014.

Alessia Franco, Pimlapas Leekitcharoenphon, Fabiola Feltrin, Patricia Alba, Gessica Cordaro, Manuela Iurescia, Rita Tolli, Mario D'Incau, Monica Staffolani, Elisabetta Di Giannatale and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 122 papers.

0numbers the graph read from it
0cells of the map it votes in
122citing papers in PubMed
12.2field-weighted citation impact, top 1% 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

122 citing papers in PubMed, 188 citations in OpenAlex.

  1. Article
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  8. A rare case of gastroenteritis due toFrontiers in public health · 2026
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  10. A spotlight on multidrug-resistantFrontiers in microbiology · 2026
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  11. Molecular epidemiology of pESI-carryingEmerging microbes & infections · 2025
    Article
  12. Article
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  15. Surveillance ofPathogens (Basel, Switzerland) · 2025
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Emerging Resistance and Virulence Patterns inAntibiotics (Basel, Switzerland) · 2025
    Article

62 more citing papers are in PubMed but not listed here.

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

12 authors at 5 institutions in 2 countries.

Alessia FrancoIstituto Zooprofilattico Sperimentale del Lazio e della Toscana "M. Aleandri", National Reference Laboratory for Antimicrobial Resistance, Via Appia Nuova 1411, 00178, Rome, Italy.
Pimlapas LeekitcharoenphonNational Food Institute, Technical University of Denmark, WHO Collaborating Center for Antimicrobial Resistance in Food borne Pathogens, and European Union Reference Laboratory for Antimicrobial Resistance, Kgs. Lyngby, Denmark.
Fabiola FeltrinIstituto Zooprofilattico Sperimentale del Lazio e della Toscana "M. Aleandri", National Reference Laboratory for Antimicrobial Resistance, Via Appia Nuova 1411, 00178, Rome, Italy.
Patricia AlbaIstituto Zooprofilattico Sperimentale del Lazio e della Toscana "M. Aleandri", National Reference Laboratory for Antimicrobial Resistance, Via Appia Nuova 1411, 00178, Rome, Italy.
Gessica CordaroIstituto Zooprofilattico Sperimentale del Lazio e della Toscana "M. Aleandri", National Reference Laboratory for Antimicrobial Resistance, Via Appia Nuova 1411, 00178, Rome, Italy.
Manuela IuresciaIstituto Zooprofilattico Sperimentale del Lazio e della Toscana "M. Aleandri", National Reference Laboratory for Antimicrobial Resistance, Via Appia Nuova 1411, 00178, Rome, Italy.
Rita TolliIstituto Zooprofilattico Sperimentale del Lazio e della Toscana "M. Aleandri", National Reference Laboratory for Antimicrobial Resistance, Via Appia Nuova 1411, 00178, Rome, Italy.
Mario D'IncauIstituto Zooprofilattico Sperimentale della Lombardia e dell'Emilia-Romagna ''Bruno Ubertini", Via Bianchi 9, 25124, Brescia, Italy.
Monica StaffolaniIstituto Zooprofilattico Sperimentale dell'Umbria e delle Marche, Sezione di Macerata, Via dei Velini, 15, 62100, Macerata, Italy.
Elisabetta Di GiannataleIstituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise "G. Caporale", Via Campo Boario, 64100, Teramo, Italy.
Rene S HendriksenNational Food Institute, Technical University of Denmark, WHO Collaborating Center for Antimicrobial Resistance in Food borne Pathogens, and European Union Reference Laboratory for Antimicrobial Resistance, Kgs. Lyngby, Denmark.
Antonio BattistiIstituto Zooprofilattico Sperimentale del Lazio e della Toscana "M. Aleandri", National Reference Laboratory for Antimicrobial Resistance, Via Appia Nuova 1411, 00178, Rome, Italy.
Istituto Zooprofilattico Sperimentale delle Regioni Lazio e Toscana · ITTechnical University of Denmark · DKIstituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise G. Caporale · ITIstituto Zooprofilattico Sperimentale della Lombardia e dell'Emilia Romagna "Bruno Ubertini" · ITIstituto Zooprofilattico Sperimentale dell'Umbria e delle Marche · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the spread of a clone of multidrug-resistant (MDR), ESBL-producing (blaCTX-M-1) Salmonella enterica subsp. enterica serovar Infantis, in the Italian broiler chicken industry and along the food-chain. This was first detected in Italy in 2011 and led to human infection in Italy in 2013-2014.A set (n = 49) of extended-spectrum cephalosporin (ESC)-resistant (R) isolates of S. Infantis (2011-2014) from humans, food-producing animals and meat thereof, were studied along with a selected set of earlier and more recent ESC-susceptible (ESC-S) isolates (n = 42, 2001-2014). They were characterized by macrorestriction-PFGE analysis and genetic environment of ESC-resistance. Isolates representative of PFGE-patterns and origin were submitted to Whole Genome Sequencing. The emerging ESC-R clone, detected mainly from broiler chickens, broiler meat and humans, showed a minimum pattern of clinical resistance to cefotaxime, tetracycline, sulfonamides, and trimethoprim, beside ciprofloxacin microbiological resistance (MIC 0.25 mg/L). All isolates of this clone harbored a conjugative megaplasmid (~ 280-320 Kb), similar to that described in ESC-susceptible S. Infantis in Israel (pESI-like) in 2014. This megaplasmid carried the ESBL gene blaCTX-M-1, and additional genes [tet(A), sul1, dfrA1 and dfrA14] mediating cefotaxime, tetracycline, sulfonamide, and trimethoprim resistance. It also contained genes conferring enhanced colonization capability, virulence (fimbriae, yersiniabactin), resistance and fitness (qacE1, mer) in the intensive-farming environment. This emerging clone of S. Infantis has been causing infections in humans, most likely through the broiler industry. Since S. Infantis is among major serovars causing human infections in Europe and is an emerging non-typhoidal Salmonella globally, further spread of this lineage in primary productions deserves quick and thorough risk-management strategies.

Indexed as

PhylogenyAnimalsbeta-LactamasesCephalosporin ResistanceChickensConjugation, GeneticDrug Resistance, Multiple, BacterialElectrophoresis, Gel, Pulsed-FieldGenes, BacterialHumansItalyMeatMicrobial Sensitivity TestsMultilocus Sequence TypingPolymorphism, Single NucleotideSalmonellabeta-Lactamases

Identifiers

PMID26716443
PMCPMC4696813
OpenAlexW2220860538

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.