Evidence map›Paper›PMID 31040380›Full record

ArticleScientific reports2019

High levels of drug resistance in commensal E. coli in a cohort of children from rural central India.

Manju Raj Purohit, Lars Falkdalen Lindahl, Vishal Diwan, Gaetano Marrone, Cecilia Stålsby Lundborg

Abstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. Pooled it
  2. Article
  3. Review
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  6. Article
  7. The Resistance Patterns inTropical medicine and infectious disease · 2022
    Article
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  10. Article
  11. Article
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  15. Risk Factors and Prevalence ofFrontiers in microbiology · 2021
    Article
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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

5 authors.

Manju Raj PurohitDepartment of Public Health Sciences, Global Health- Health Systems and Policy (HSP): Medicines focusing antibiotics, Karolinska Institutet, Stockholm, Sweden. manjuraj.purohit64@gmail.com.
Lars Falkdalen LindahlDepartment of Public Health Sciences, Global Health- Health Systems and Policy (HSP): Medicines focusing antibiotics, Karolinska Institutet, Stockholm, Sweden.
Vishal DiwanDepartment of Public Health Sciences, Global Health- Health Systems and Policy (HSP): Medicines focusing antibiotics, Karolinska Institutet, Stockholm, Sweden.
Gaetano MarroneDepartment of Public Health Sciences, Global Health- Health Systems and Policy (HSP): Medicines focusing antibiotics, Karolinska Institutet, Stockholm, Sweden.
Cecilia Stålsby LundborgDepartment of Public Health Sciences, Global Health- Health Systems and Policy (HSP): Medicines focusing antibiotics, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0001-6525-1861

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The world is experiencing crisis of antibiotic resistance not only in pathogenic but also in commensal bacteria. We determine the prevalence of antibiotic resistance in commensal Escherichia coli in young children in rural setting of central India and search for its correlations with demographic and behavioral factors. At seven time points during a period of 2 years we collected stool samples from 125 children; aged 1-3 in a rural area of Madhya Pradesh. We isolated six isolates of E. coli per stool sample and subjected them to antibiotic susceptibility testing. We found resistance to ampicillin, quinolones, cephalosporins, sulfamethoxazole, co-trimoxazole, in at least one isolate from 89% to 100% of children. Extended spectrum beta lactamase producing E. coli were identified in all but one child and multidrug resistance was identified in isolates from all children. Female gender (p = 0.04) and higher wealth (p = 0.03) was significantly correlated with less antibiotic resistance. Thus, the high prevalence of antibiotic resistance in commensal E. coli in rural community from India needs urgent measures to control the growing antibiotic resistance crisis.

Indexed as

Drug Resistance, BacterialRural PopulationAdolescentAnti-Bacterial AgentsChildChild, PreschoolEscherichia coliEscherichia coli InfectionsFemaleGenes, BacterialHumansIndiaInfantMaleMicrobial Sensitivity TestsPopulation SurveillanceAnti-Bacterial Agents

Identifiers

PMID31040380
PMCPMC6491649

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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.