Evidence map›Paper›PMID 31261988›Full record

ArticleAntibiotics (Basel, Switzerland)2019

Socioeconomic Enablers for Contagion: Factors Impelling the Antimicrobial Resistance Epidemic.

Peter Collignon, John J Beggs

Registry-linked trialAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07012421 (Comparison of Community and Hospital Antibiotic Use Practices, Susceptibility and ResisTance and Determinants of Care Seeking Among Patients With Urinary Tract Infections), which is not on this map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing 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.

NCT07012421 completednot on this mapstarted 2024, after this paper: background citation

Comparison of Community and Hospital Antibiotic Use Practices, Susceptibility and ResisTance and Determinants of Care Seeking Among Patients With Urinary Tract Infections (CAST-UTI)

TypeobservationalSponsorSt George's, University of LondonRan2024 to 2026Enrolled890ConditionsUrinary Tract Infections (UTIs)
3 · Its place in the literature

Who cites it

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

  1. Pooled it
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  12. Gender differences in global antimicrobial resistance.NPJ biofilms and microbiomes · 2025
    Article
  13. Geo-Temporal Variation in the Antimicrobial Resistance ofAntibiotics (Basel, Switzerland) · 2025
    Article
  14. Article
  15. Antimicrobial Susceptibility Profiles of CommensalAntibiotics (Basel, Switzerland) · 2025
    Article
  16. Article
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  19. Review
  20. Pharmacies and use of antibiotics: a cross sectional study in 19 Arab countries.Antimicrobial resistance and infection control · 2024
    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

2 authors.

Peter CollignonInfectious Diseases Physician and Microbiologist, Australian Capital Territory Pathology, Canberra Hospital, Australian Capital Territory 2606, Australia. peter.collignon@act.gov.au.ORCID 0000-0001-8648-9203
John J BeggsMonarch Institute, 10 Queen St, Melbourne 3000, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antimicrobial resistance is a growing global problem that causes increased deaths as well as increased suffering for people. Overall, there are two main factors that drive antimicrobial resistance: the volumes of antimicrobials used and the spread of resistant micro-organisms along with the genes encoding for resistance. Importantly, a growing body of evidence points to contagion (i.e., spread) being the major, but frequently under-appreciated and neglected, factor driving the increased prevalence of antimicrobial resistance. When we aggregate countries into regional groupings, it shows a pattern where there is an inverse aggregate relationship between AMR and usage. Poor infrastructure and corruption levels, however, are highly and positively correlated with antimicrobial resistance levels. Contagion, antibiotic volumes, governance, and the way antibiotics are used are profoundly affected by a host of social and economic factors. Only after we identify and adequately address these factors can antimicrobial resistance be better controlled.

Indexed as

antibioticsantimicrobial resistancecorruptiongovernanceinfrastructuresewagesocial factorswater

Identifiers

PMID31261988
PMCPMC6784211

What OpenQuestion holds

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Registered trials

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.