Evidence map›Paper›PMID 32487220›Full record

ReviewAntimicrobial resistance and infection control2020

One Health in hospitals: how understanding the dynamics of people, animals, and the hospital built-environment can be used to better inform interventions for antimicrobial-resistant gram-positive infections.

Kathryn R Dalton, Clare Rock, Karen C Carroll, Meghan F Davis

Open access · goldAbstract readReview
In one paragraph

Review in Antimicrobial resistance and infection control, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 12% 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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. An unusual cross-transmission of carbapenem-resistant Acinetobacter baumannii: when the endoscope isn't the only culprit.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  7. Article
  8. Comparative Proteomic Profiling of ClinicalJournal of extracellular biology · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
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  14. Review
  15. Review
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  19. Isolation of Bacteriophages for Clinically Relevant Bacteria.Methods in molecular biology (Clifton, N.J.) · 2024
    Article
  20. 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

4 authors at 1 institution in 1 country.

Kathryn R DaltonDepartment of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, W7034G JHSPH EHE, Baltimore, MD, 21205, USA. Kdalton4@jhu.edu.ORCID 0000-0002-0105-7098
Clare RockDivision of Medical Microbiology, Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Karen C CarrollDepartment of Molecular and Comparative Pathobiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Meghan F DavisDepartment of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, W7034G JHSPH EHE, Baltimore, MD, 21205, USA.
Johns Hopkins University · US

Funding

Clinical trial of a disinfectant intervention in therapy dogs to combat hospital-associated pathogens and promote sustainability of Animal-Assisted visitation programsR01HD097692 · NICHD · JOHNS HOPKINS UNIVERSITY · PI DAVIS, MEGHAN F. · 2018 to 2022
$3.1M
Effects of pest and pet animal microbiota on child microbiota and asthma: a one health studyK01OD019918 · OD · JOHNS HOPKINS UNIVERSITY · PI DAVIS, MEGHAN F. · 2016 to 2020
$621k
NICHD NIH HHS R01 HD097692NIH HHS K01 OD019918NIOSH CDC HHS T42 OH008428
6 · The paper itself

Abstract

Despite improvements in hospital infection prevention and control, healthcare associated infections (HAIs) remain a challenge with significant patient morbidity, mortality, and cost for the healthcare system. In this review, we use a One Health framework (human, animal, and environmental health) to explain the epidemiology, demonstrate key knowledge gaps in infection prevention policy, and explore improvements to control Gram-positive pathogens in the healthcare environment. We discuss patient and healthcare worker interactions with the hospital environment that can lead to transmission of the most common Gram-positive hospital pathogens - methicillin-resistant Staphylococcus aureus, Clostridioides (Clostridium) difficile, and vancomycin-resistant Enterococcus - and detail interventions that target these two One Health domains. We discuss the role of animals in the healthcare settings, knowledge gaps regarding their role in pathogen transmission, and the absence of infection risk mitigation strategies targeting animals. We advocate for novel infection prevention and control programs, founded on the pillars of One Health, to reduce Gram-positive hospital-associated pathogen transmission.

Indexed as

Drug Resistance, Multiple, BacterialOne HealthAnimalsGram-Positive Bacterial InfectionsHealth Knowledge, Attitudes, PracticeHealth PersonnelHospitalsHumansInfection ControlHAI interventionsHospital-associated infectionsHospital environmentInfection controlInfection preventionOne Health

Identifiers

PMID32487220
PMCPMC7268532
OpenAlexW3030003194

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.