Evidence map›Paper›PMID 29026655›Full record

ArticleMicrobial genomics2017

Sharing of carbapenemase-encoding plasmids between Enterobacteriaceae in UK sewage uncovered by MinION sequencing.

Catherine Ludden, Sandra Reuter, Kim Judge, Theodore Gouliouris, Beth Blane, Francesc Coll, Plamena Naydenova, Martin Hunt, Alan Tracey, Katie L Hopkins and 4 more

Open access · goldAbstract read
In one paragraph

Article in Microbial genomics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
1.5field-weighted citation impact, top 21% 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

29 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
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  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Elimination of blaBMC microbiology · 2023
    Article
  13. Article
  14. Clonal Spread of Hospital-Acquired NDM-1-ProducingAntibiotics (Basel, Switzerland) · 2023
    Article
  15. Draft genome analysis forFrontiers in bioengineering and biotechnology · 2023
    Article
  16. Article
  17. Clinically Relevant β-Lactam Resistance Genes in Wastewater Treatment Plants.International journal of environmental research and public health · 2022
    Review
  18. Frontiers in microbiology · 2022
    Article
  19. Article
  20. 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

14 authors at 5 institutions in 1 country.

Catherine Ludden1​London School of Hygiene and Tropical Medicine, London, UK.
Sandra Reuter3​Department of Medicine, University of Cambridge, Cambridge, UK.
Kim Judge2​Wellcome Trust Sanger Institute, Cambridge, UK.
Theodore Gouliouris3​Department of Medicine, University of Cambridge, Cambridge, UK.
Beth Blane3​Department of Medicine, University of Cambridge, Cambridge, UK.
Francesc Coll1​London School of Hygiene and Tropical Medicine, London, UK.
Plamena Naydenova3​Department of Medicine, University of Cambridge, Cambridge, UK.
Martin Hunt2​Wellcome Trust Sanger Institute, Cambridge, UK.
Alan Tracey2​Wellcome Trust Sanger Institute, Cambridge, UK.
Katie L Hopkins5​Antimicrobial Resistance and Healthcare Associated Infections (AMRHAI) Reference Unit, National Infection Service, Public Health England, London, UK.
Nicholas M Brown4​Clinical Microbiology and Public Health Laboratory, Public Health England, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Neil Woodford5​Antimicrobial Resistance and Healthcare Associated Infections (AMRHAI) Reference Unit, National Infection Service, Public Health England, London, UK.
Julian Parkhill2​Wellcome Trust Sanger Institute, Cambridge, UK.
Sharon J Peacock1​London School of Hygiene and Tropical Medicine, London, UK.
University of Cambridge · GBWellcome Sanger Institute · GBLondon School of Hygiene & Tropical Medicine · GBPublic Health England · GBCambridge University Hospitals NHS Foundation Trust · GB

Funding

Department of HealthWellcome Trust 103387/Z/13/ZWellcome Trust 110243/Z/15/ZWellcome Trust 201344/Z/16/ZWellcome Trust WT098600
6 · The paper itself

Abstract

Dissemination of carbapenem resistance among pathogenic Gram-negative bacteria is a looming medical emergency. Efficient spread of resistance within and between bacterial species is facilitated by mobile genetic elements. We hypothesized that wastewater contributes to the dissemination of carbapenemase-producing Enterobacteriaceae (CPE), and studied this through a cross-sectional observational study of wastewater in the East of England. We isolated clinically relevant species of CPE in untreated and treated wastewater, confirming that waste treatment does not prevent release of CPE into the environment. We observed that CPE-positive plants were restricted to those in direct receipt of hospital waste, suggesting that hospital effluent may play a role in disseminating carbapenem resistance. We postulated that plasmids carrying carbapenemase genes were exchanged between bacterial hosts in sewage, and used short-read (Illumina) and long-read (MinION) technologies to characterize plasmids encoding resistance to antimicrobials and heavy metals. We demonstrated that different CPE species (

Indexed as

Carbapenem-Resistant EnterobacteriaceaeGene Transfer, HorizontalBacterial Proteinsbeta-LactamasesDNA, BacterialEnglandPlasmidsSequence Analysis, DNASewageBacterial Proteinsbeta-LactamasescarbapenemaseDNA, BacterialSewageESBL- producing EnterobacteriaceaeMinIONsequencingwastewater

Identifiers

PMID29026655
PMCPMC5605956
OpenAlexW2733517948

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.