Evidence map›Paper›PMID 31654298›Full record

ReviewInfectious diseases and therapy2019

The Intestinal Microbiota as a Reservoir and a Therapeutic Target to Fight Multi-Drug-Resistant Bacteria: A Narrative Review of the Literature.

Andrea Aira, Csaba Fehér, Elisa Rubio, Alex Soriano

Registry-linked trialAbstract readReview
In one paragraph

Review in Infectious diseases and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04698148 (Costituzione Della Biobanca Del Microbiota Intestinale e Salivare Umano), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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.

NCT04698148 completednot on this mapstarted 2021, after this paper: background citation

Costituzione Della Biobanca Del Microbiota Intestinale e Salivare Umano: Dalla Disbiosi Alla Simbiosi

TypeobservationalSponsorAzienda Ospedaliero-Universitaria Consorziale Policlinico di BariRan2021 to 2022Enrolled225ConditionsClostridium Difficile Infection, Multi Drug Resistant Organisms, Chronic Inflammatory Bowel Disease, Irritable Bowel SyndromeArmsBiological sample collection, Questionnaire, Medical examination
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Impact of a Purified Microbiome Therapeutic on Abundance of Antimicrobial Resistance Genes in Patients With Recurrent Clostridioides difficile Infection.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Trial
  2. Duration and predictors of colonization with MDRInfection prevention in practice · 2026
    Article
  3. Article
  4. Article
  5. Impact of ExogenousAntibiotics (Basel, Switzerland) · 2024
    Article
  6. Article
  7. Article
  8. Review
  9. Antibiotics (Basel, Switzerland) · 2023
    Article
  10. Frontiers in cellular and infection microbiology · 2023
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. 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

4 authors.

Andrea AiraDepartment of Infectious Diseases, Hospital Clínic, IDIBAPS, Catalonia, Barcelona, Spain.
Csaba FehérDepartment of Infectious Diseases, Hospital Clínic, IDIBAPS, Catalonia, Barcelona, Spain.
Elisa RubioDepartment of Clinical Microbiology, Hospital Clínic, Catalonia, Barcelona, Spain.
Alex SorianoDepartment of Infectious Diseases, Hospital Clínic, IDIBAPS, Catalonia, Barcelona, Spain. asoriano@clinic.cat.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The appearance and dissemination of antibiotic-resistant bacteria, particularly in specific closed environments such as intensive care units of acute care hospitals, have become a major health concern. The intestinal microbiota has various functions including host protection from overgrowth or colonization by unwanted bacteria. The exposure to antibiotics significantly reduces the bacterial density of intestinal microbiota leaving an ecologic void that can be occupied by potentially pathogenic and/or resistant bacteria frequently present in hospital settings. Consequently, the intestinal microbiota of inpatients acts as a major reservoir and plays a critical role in perpetuating the spread of resistant bacteria. There are novel innovative methods to protect the host microbiota during antibiotic treatment, but they do not offer a solution for already established colonization by resistant microorganisms. Fecal microbiota transfer (FMT) is a promising intervention to achieve this goal; however, controlled trials report lower success rates than initial retrospective studies, especially in case of gram negatives. The aim of the present article is to highlight the importance of the intestinal microbiota in the global spread of multi-drug-resistant (MDR) microorganisms and to review the recent advances to protect the human microbiota from the action of antibiotics as well as a critical discussion about the evidence of decolonization of MDR microorganisms by FMT.

Indexed as

DecolonizationFecal microbiota transfer (FMT)Fecal microbiota transplantIntestinal microbiotaMulti-drug-resistant (MDRO) bacteriaReservoir

Identifiers

PMID31654298
PMCPMC6856238

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.