Evidence map›Paper›PMID 31063106›Full record

ArticleEpidemiology and infection2019

Zoonotic approach to Shiga toxin-producing Escherichia coli: integrated analysis of virulence and antimicrobial resistance in ruminants and humans.

B Oporto, M Ocejo, M Alkorta, J M Marimón, M Montes, A Hurtado

Erratum issuedOpen access · hybridAbstract readComparative Study
In one paragraph

Article in Epidemiology and infection, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Shiga toxin-producingMicrobiology and molecular biology reviews : MMBR · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Prevalence of Shiga-ToxigenicMicroorganisms · 2025
    Article
  7. Article
  8. Molecular Detection of Shiga Toxin-ProducingInternational journal of microbiology · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Bacteriocin-ProducingMicroorganisms · 2022
    Article
  13. Article
  14. PathogenicAntibiotics (Basel, Switzerland) · 2022
    Article
  15. Article
  16. Antimicrobial Resistance ofAnimals : an open access journal from MDPI · 2021
    Article
  17. Article
  18. Article
  19. Antimicrobial Resistance of Non-O157 Shiga Toxin-ProducingAntibiotics (Basel, Switzerland) · 2021
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

B OportoNEIKER - Instituto Vasco de Investigación y Desarrollo Agrario,Animal Health Department,Bizkaia Science and Technology Park 812L,48160 Derio, Bizkaia,Spain.
M OcejoNEIKER - Instituto Vasco de Investigación y Desarrollo Agrario,Animal Health Department,Bizkaia Science and Technology Park 812L,48160 Derio, Bizkaia,Spain.ORCID 0000-0001-5136-956X
M AlkortaHospital Universitario de Donostia,Paseo Doctor Beguiristain,109, 20014 Donostia,Gipuzkoa,Spain.
J M MarimónHospital Universitario de Donostia,Paseo Doctor Beguiristain,109, 20014 Donostia,Gipuzkoa,Spain.
M MontesHospital Universitario de Donostia,Paseo Doctor Beguiristain,109, 20014 Donostia,Gipuzkoa,Spain.
A HurtadoNEIKER - Instituto Vasco de Investigación y Desarrollo Agrario,Animal Health Department,Bizkaia Science and Technology Park 812L,48160 Derio, Bizkaia,Spain.ORCID 0000-0001-7089-9670
Biogipuzkoa Health Research Institute · ESEuskadiko Parke Teknologikoa · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 2014-2016, we conducted a cross-sectional survey in 115 sheep, 104 beef and 82 dairy cattle herds to estimate Shiga toxin-producing Escherichia coli (STEC) prevalence, and collected data on human clinical cases of infection. Isolates were characterised (stx1, stx2, eae, ehxA) and serogroups O157 and O111 identified by PCR, and their antimicrobial resistance (AMR) profiles were determined by broth microdilution. STEC were more frequently isolated from beef cattle herds (63.5%) and sheep flocks (56.5%) than from dairy cattle herds (30.5%) (P < 0.001). A similar but non-significant trend was observed for O157:H7 STEC. In humans, mean annual incidence rate was 1.7 cases/100 000 inhabitants for O157 STEC and 4.7 for non-O157 STEC, but cases concentrated among younger patients. Distribution of virulence genes in STEC strains from ruminants differed from those from human clinical cases. Thus, stx2 was significantly associated with animal STEC isolates (O157 and non-O157), ehxA to ruminant O157 STEC (P = 0.004) and eae to human non-O157 STEC isolates (P < 0.001). Resistance was detected in 21.9% of human and 5.2% of animal O157 STEC isolates, whereas all non-O157 isolates were fully susceptible. In conclusion, STEC were widespread in ruminants, but only some carried virulence genes associated with severe disease in humans; AMR in ruminants was low but profiles were similar to those found in human isolates.

Indexed as

AnimalsCattleCattle DiseasesCross-Sectional StudiesEscherichia coli InfectionsGenotypeHumansIncidencePrevalenceSheepSheep DiseasesShiga-Toxigenic Escherichia coliVirulenceVirulence FactorsZoonosesVirulence FactorsAntimicrobial resistance (AMR)cattlehaemolytic uremic syndrome (HUS)sheepShiga toxin-producing Escherichia coli (STEC)

Identifiers

PMID31063106
PMCPMC6518511
OpenAlexW2925115888

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.