Evidence map›Paper›PMID 31264805›Full record

ArticleZoonoses and public health2019

Carriage of carbapenemase- and extended-spectrum cephalosporinase-producing Escherichia coli and Klebsiella pneumoniae in humans and livestock in rural Cambodia; gender and age differences and detection of bla

Clara Atterby, Kristina Osbjer, Viktoria Tepper, Elisabeth Rajala, Jorge Hernandez, Sokerya Seng, Davun Holl, Jonas Bonnedahl, Stefan Börjesson, Ulf Magnusson and 1 more

Abstract read
In one paragraph

Article in Zoonoses and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 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

30 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Antimicrobial resistantOne health (Amsterdam, Netherlands) · 2026
    Review
  5. Article
  6. Article
  7. Phenotypic and genome-based characterization ofFrontiers in microbiology · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Genomic insights into extended-spectrumJournal of medical microbiology · 2025
    Article
  13. Article
  14. AmpC β-lactamases detected in Southeast AsianJAC-antimicrobial resistance · 2024
    Article
  15. Antimicrobial use and resistance in food animal production: food safety and associated concerns in Sub-Saharan Africa.International microbiology : the official journal of the Spanish Society for Microbiology · 2024
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Worldwide Prevalence ofPathogens (Basel, Switzerland) · 2022
    Review
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

11 authors.

Clara AtterbyZoonosis Science Center, Department of Medical Sciences, Uppsala University, Uppsala, Sweden.ORCID 0000-0001-7360-5383
Kristina OsbjerDivision of Reproduction, Department of Clinical Sciences, Swedish University of Agricultural Sciences (SLU), Uppsala, Sweden.
Viktoria TepperInstitute of Environmental Engineering, ETH Zürich, Switzerland.
Elisabeth RajalaDivision of Reproduction, Department of Clinical Sciences, Swedish University of Agricultural Sciences (SLU), Uppsala, Sweden.
Jorge HernandezCenter for Ecology and Evolution in Microbial Model Systems Linnaeus University, Kalmar, Sweden.
Sokerya SengFood and Agriculture Organization of the United Nations, Phnom Penh, Cambodia.
Davun HollGeneral Directorate of Animal Health and Production, Ministry of Agriculture, Forestry and Fisheries, Phnom Penh, Cambodia.
Jonas BonnedahlCenter for Ecology and Evolution in Microbial Model Systems Linnaeus University, Kalmar, Sweden.
Stefan BörjessonDepartment of Animal Health and Antimicrobial strategies, National Veterinary Institute (SVA), Uppsala, Sweden.
Ulf MagnussonDivision of Reproduction, Department of Clinical Sciences, Swedish University of Agricultural Sciences (SLU), Uppsala, Sweden.
Josef D JärhultZoonosis Science Center, Department of Medical Sciences, Uppsala University, Uppsala, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study investigates the frequency and characteristics of carbapenemase-producing Escherichia coli/Klebsiella pneumoniae (CPE/K) and extended-spectrum cephalosporinase-producing E. coli/K. pneumoniae (ESCE/K) in healthy humans and livestock in rural Cambodia. Additionally, household practices as risk factors for faecal carriage of ESCE/K are identified.

methodsFaecal samples were obtained from 307 humans and 285 livestock including large ruminants, pigs and poultry living in 100 households in rural Cambodia in 2011. Each household was interviewed, and multilevel logistic model determined associations between household practices/meat consumption and faecal carriage of ESCE/K. CPE and ESCE/K were detected and further screened for colistin resistance genes.

resultsCPE/K isolates harbouring bla

conclusionsFaecal carriage of E. coli and K. pneumoniae harbouring extended-spectrum cephalosporinase genes are common in the Cambodian community, especially in women and young children. Exposure to animal manure and slaughter products are risk factors for intestinal colonization of ESCE/K in humans.

Indexed as

AdolescentAdultAnimalsAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesCambodiaCephalosporinaseChildChild, PreschoolColistinDrug Resistance, Multiple, BacterialEscherichia coliFecesFemaleGene Expression Regulation, BacterialAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasescarbapenemaseCephalosporinaseColistinAmpCCambodiacarbapenemasecolistinESBLrisk factorsrural populationzoonoses

Identifiers

PMID31264805
PMCPMC6852310

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.