Evidence map›Paper›PMID 32345218›Full record

ArticleBMC infectious diseases2020

Longitudinal assessment of antibiotic resistance gene profiles in gut microbiomes of infants at risk of eczema.

Evelyn Xiu Ling Loo, Amanda Zain, Gaik Chin Yap, Rikky W Purbojati, Daniela I Drautz-Moses, Yan Qing Koh, Yap Seng Chong, Kok Hian Tan, Peter D Gluckman, Fabian Yap and 7 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

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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

17 authors at 8 institutions in 3 countries.

Evelyn Xiu Ling LooSingapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Amanda ZainDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Gaik Chin YapDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Rikky W PurbojatiSingapore Centre For Environmental Life Sciences Engineering (SCELSE), Nanyang Technological University, Singapore, Singapore.
Daniela I Drautz-MosesSingapore Centre For Environmental Life Sciences Engineering (SCELSE), Nanyang Technological University, Singapore, Singapore.
Yan Qing KohSingapore Centre For Environmental Life Sciences Engineering (SCELSE), Nanyang Technological University, Singapore, Singapore.
Yap Seng ChongSingapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Kok Hian TanDepartment of Maternal Fetal Medicine, KK Women's and Children's Hospital (KKH), Singapore, Singapore.
Peter D GluckmanSingapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Fabian YapDepartment of Endocrinology KK Women's and Children's Hospital (KKH), Singapore, Singapore.
Johan Gunnar ErikssonSingapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Elizabeth ThamDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Lynette Pei-Chi ShekSingapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Staffan KjellebergSingapore Centre For Environmental Life Sciences Engineering (SCELSE), Nanyang Technological University, Singapore, Singapore.
Stephan C SchusterSingapore Centre For Environmental Life Sciences Engineering (SCELSE), Nanyang Technological University, Singapore, Singapore.
Ritu BanerjeeVanderbilt University Medical Center, Nashville, TN, USA.
Bee Wah LeeDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. Paeleebw@nus.edu.sg.
National University of Singapore · SGSingapore Centre for Environmental Life Sciences Engineering · SGNational University Health System · SGKK Women's and Children's Hospital · SGAgency for Science, Technology and Research · SGNanyang Technological University · SGSingapore Institute for Clinical Sciences · SGVanderbilt University Medical Center · US

Funding

NMRC NMRC/TCR/004-NUS/2008; NMRC/TCR/012-NUHS/2014.NMRC (R-178-000-222-511)
6 · The paper itself

Abstract

backgroundWhile there is increasing knowledge about the gut microbiome, the factors influencing and the significance of the gut resistome are still not well understood. Infant gut commensals risk transferring multidrug-resistant antibiotic resistance genes (ARGs) to pathogenic bacteria. The rapid spread of multidrug-resistant pathogenic bacteria is a worldwide public health concern. Better understanding of the naïve infant gut resistome may build the evidence base for antimicrobial stewardship in both humans and in the food industry. Given the high carriage rate of extended spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae in Asia, we aimed to evaluate community prevalence, dynamics, and longitudinal changes in antibiotic resistance gene (ARG) profiles and prevalence of ESBL-producing E. coli and K. pneumoniae in the intestinal microbiome of infants participating in the Growing Up in Singapore Towards Healthy Outcomes (GUSTO) study, a longitudinal cohort study of pregnant women and their infants.

methodsWe analysed ARGs in the first year of life among 75 infants at risk of eczema who had stool samples collected at multiple timepoints using metagenomics.

resultsThe mean number of ARGs per infant increased with age. The most common ARGs identified confer resistance to aminoglycoside, beta-lactam, macrolide and tetracycline antibiotics; all infants harboured these antibiotic resistance genes at some point in the first year of life. Few ARGs persisted throughout the first year of life. Beta-lactam resistant Escherichia coli and Klebsiella pneumoniae were detected in 4 (5.3%) and 32 (42.7%) of subjects respectively.

conclusionIn this longitudinal cohort study of infants living in a region with high endemic antibacterial resistance, we demonstrate that majority of the infants harboured several antibiotic resistance genes in their gut and showed that the infant gut resistome is diverse and dynamic over the first year of life.

Indexed as

AminoglycosidesAnti-Bacterial AgentsBacterial Proteinsbeta-Lactamasesbeta-LactamsDrug Resistance, BacterialEczemaEscherichia coliFecesFemaleGastrointestinal MicrobiomeHumansInfantInfant, NewbornKlebsiella pneumoniaeLongitudinal StudiesAminoglycosidesAnti-Bacterial AgentsBacterial Proteinsbeta-Lactamasesbeta-LactamsAntibiotic resistance genesBirth cohortESBL producing EnterobacteriaceaeInfancyResistome

Identifiers

PMID32345218
PMCPMC7189448
OpenAlexW3019216653

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.