Evidence map›Paper›PMID 28125722›Full record

ArticlePloS one2017

Antimicrobial Use and Veterinary Care among Agro-Pastoralists in Northern Tanzania.

Mark A Caudell, Marsha B Quinlan, Murugan Subbiah, Douglas R Call, Casey J Roulette, Jennifer W Roulette, Adam Roth, Louise Matthews, Robert J Quinlan

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 1 pooled it
33.1field-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

70 citing papers in PubMed, 1 synthesis or guideline pooled it, 133 citations in OpenAlex.

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10 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

9 authors at 3 institutions in 2 countries.

Mark A CaudellPaul G. Allen School for Global Animal Health, Washington State University, Pullman, Washington, United States of America.ORCID http://orcid.org/0000-0003-4456-3318
Marsha B QuinlanPaul G. Allen School for Global Animal Health, Washington State University, Pullman, Washington, United States of America.
Murugan SubbiahPaul G. Allen School for Global Animal Health, Washington State University, Pullman, Washington, United States of America.
Douglas R CallPaul G. Allen School for Global Animal Health, Washington State University, Pullman, Washington, United States of America.
Casey J RouletteDepartment of Anthropology, San Diego State University, San Diego, California, United States of America.
Jennifer W RouletteDepartment of Anthropology, Washington State University, Pullman, Washington, United States of America.
Adam RothDepartment of Sociology, Washington State University, Pullman, Washington, United States of America.
Louise MatthewsInstitute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, Scotland, United Kingdom.
Robert J QuinlanPaul G. Allen School for Global Animal Health, Washington State University, Pullman, Washington, United States of America.
Washington State University · USSan Diego State University · USUniversity of Glasgow · GB

Funding

Biotechnology and Biological Sciences Research Council BB/P004202/1
6 · The paper itself

Abstract

Frequent and unregulated use of antimicrobials (AM) in livestock requires public health attention as a likely selection pressure for resistant bacteria. Studies among small-holders, who own a large percentage of the world's livestock, are vital for understanding how practices involving AM use might influence resistance. We present a cultural-ecological mixed-methods analysis to explore sectors of veterinary care, loosely regulated AM use, and human exposure to AMs through meat and milk consumption across three rural to peri-urban Tanzanian ethnic groups (N = 415 households). Reported use of self-administered AMs varied by ethnic group (Maasai: 74%, Arusha: 21%, Chagga: 1%) as did consultation with professional veterinarians (Maasai: 36%, Arusha: 45%, Chagga: 96%) and observation of withdrawal of meat and milk from consumption during and following AM treatment (Maasai: 7%, Arusha: 72%, Chagga: 96%). The antibiotic oxytetracycline was by far the most common AM in this sample. Within ethnic groups, herd composition differences, particularly size of small-stock and cattle herds, were most strongly associated with differences in lay AM use. Among the Arusha, proxies for urbanization, including owning transportation and reliance on "zero-grazing" herds had the strongest positive associations with veterinarian consultation, while distance to urban centers was negatively associated. For Maasai, consultation was negatively associated with use of traditional healers or veterinary drug-shops. Observation of withdrawal was most strongly associated with owning technology among Maasai while Arusha observance displayed seasonal differences. This "One-Health" analysis suggests that livelihood and cultural niche factors, through their association with practices in smallholder populations, provide insight into the selection pressures that may contribute to the evolution and dissemination of antimicrobial resistance.

Indexed as

AnimalsAnti-Bacterial AgentsCattleCattle DiseasesDrug Resistance, MicrobialHumansSelection, GeneticTanzaniaAnti-Bacterial Agents

Identifiers

PMID28125722
PMCPMC5268417
OpenAlexW2580132210

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.