Evidence map›Paper›PMID 32106056›Full record

ArticleiScience2020

Antimicrobial Resistance Gene Prevalence in a Population of Patients with Advanced Dementia Is Related to Specific Pathobionts.

Aislinn D Rowan-Nash, Rafael Araos, Erika M C D'Agata, Peter Belenky

Abstract read
In one paragraph

Article in iScience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. 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.

Aislinn D Rowan-NashDepartment of Molecular Microbiology and Immunology, Brown University, Providence, RI 02912, USA.
Rafael AraosInstituto de Ciencias e Innovación en Medicina (ICIM), Facultad de Medicina Clinica Alemana Universidad del Desarrollo, Santiago, Chile; Millenium Nucleus for Collaborative Research on Bacterial Resistance (MICROB-R), Santiago, Chile; Advanced Center for Chronic Diseases (ACCDiS), Facultad de Medicina Clinica Alemana Universidad del Desarrollo, Santiago, Chile.
Erika M C D'AgataInfectious Diseases Division, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.
Peter BelenkyDepartment of Molecular Microbiology and Immunology, Brown University, Providence, RI 02912, USA. Electronic address: peter_belenky@brown.edu.

Funding

Using Genomic Epidemiology to Identify Transmission Patterns and Inform Intervention Strategies for Antibiotic-Resistant N. GonorrhoeaeP20GM121344 · NIGMS · MIRIAM HOSPITAL · PI LEBLANC, BRIAN WILLIAM · 2018 to 2022
$9.4M
Determinants, Decision-Making and Outcomes of Antibiotic Use in Advanced DementiaR01AG032982 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI D'AGATA, ERIKA M, MITCHELL, SUSAN L · 2009 to 2013
$2.9M
Midcareer Investigator Award in Patient-Oriented ResearchK24AI119158 · NIAID · RHODE ISLAND HOSPITAL · PI D'AGATA, ERIKA M · 2016 to 2020
$885k
Dietary fiber to mitigate antibiotic-induced microbiome dysbiosis: a multi-omics approachR21AT010366 · NCCIH · BROWN UNIVERSITY · PI BELENKY, PETER · 2019 to 2020
$447k
NCCIH NIH HHS R21 AT010366NIAID NIH HHS K24 AI119158NIA NIH HHS R01 AG032982NIGMS NIH HHS P20 GM121344
6 · The paper itself

Abstract

Long-term care facilities are significant reservoirs of antimicrobial-resistant organisms, and patients with advanced dementia are particularly vulnerable to multidrug-resistant organism (MDRO) acquisition and antimicrobial overuse. In this study, we longitudinally examined a group of patients with advanced dementia using metagenomic sequencing. We found significant inter- and intra-subject heterogeneity in microbiota composition, suggesting temporal instability. We also observed a link between the antimicrobial resistance gene density in a sample and the relative abundances of several pathobionts, particularly Escherichia coli, Proteus mirabilis, and Enterococcus faecalis, and used this relationship to predict resistance gene density in samples from additional subjects. Furthermore, we used metagenomic assembly to demonstrate that these pathobionts had higher resistance gene content than many gut commensals. Given the frequency and abundances at which these pathobionts were found in this population and the underlying vulnerability to MDRO of patients with advanced dementia, attention to microbial blooms of these species may be warranted.

Indexed as

GenomicsMicrobiomeMulti-Drug Resistant Organisms

Identifiers

PMID32106056
PMCPMC7044522

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.