Evidence map›Paper›PMID 32525954›Full record

ArticlePloS one2020

Gut carriage of antimicrobial resistance genes in women exposed to small-scale poultry farms in rural Uganda: A feasibility study.

Ana A Weil, Meti D Debela, Daniel M Muyanja, Bernard Kakuhikire, Charles Baguma, David R Bangsberg, Alexander C Tsai, Peggy S Lai

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02619227 (A Livelihood Intervention for Impoverished Women in Rural Uganda), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT02619227 naunknown statusnot on this map

A Livelihood Intervention for Impoverished Women in Rural Uganda: Randomized Controlled Trial

TypeinterventionalSponsorMassachusetts General HospitalRan2015 to 2016Enrolled92ConditionsIndigencyArmsLivelihood intervention
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. CTX-M variants on the move: Tracking resistance inOne health (Amsterdam, Netherlands) · 2026
    Article
  2. Article
  3. Review
  4. Review
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Ana A WeilDepartment of Medicine, Massachusetts General Hospital Boston, Boston, Massachusetts, United States of America.
Meti D DebelaDepartment of Medicine, Massachusetts General Hospital Boston, Boston, Massachusetts, United States of America.
Daniel M MuyanjaMbarara University of Science and Technology, Mbarara, Uganda.
Bernard KakuhikireMbarara University of Science and Technology, Mbarara, Uganda.
Charles BagumaMbarara University of Science and Technology, Mbarara, Uganda.
David R BangsbergMbarara University of Science and Technology, Mbarara, Uganda.
Alexander C TsaiHarvard Medical School, Boston, Massachusetts, United States of America.ORCID 0000-0001-6397-7917
Peggy S LaiDepartment of Medicine, Massachusetts General Hospital Boston, Boston, Massachusetts, United States of America.ORCID 0000-0001-9501-8606

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI JAIME ELIZABETH HART · 1985 to 2026
$44.6M
The gut microbiome and susceptibility to Vibrio choleraeK08AI123494 · NIAID · UNIVERSITY OF WASHINGTON · PI WEIL, ANA A · 2016 to 2020
$967k
Microenterprise to empower and improve health of HIV+ women in UgandaK23MH096620 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI TSAI, ALEXANDER C · 2012 to 2016
$922k
Endotoxin, the airway transcriptome, and obstructive lung diseaseK23ES023700 · NIEHS · MASSACHUSETTS GENERAL HOSPITAL · PI LAI, PEGGY SUE · 2013 to 2017
$764k
NCATS NIH HHS UL1 TR001102NIAID NIH HHS K08 AI123494NIEHS NIH HHS K23 ES023700NIEHS NIH HHS P30 ES000002NIMH NIH HHS K23 MH096620
6 · The paper itself

Abstract

backgroundAntibiotic use for livestock is presumed to be a contributor to the acquisition of antimicrobial resistance (AMR) genes in humans, yet studies do not capture AMR data before and after livestock introduction.

methodsWe performed a feasibility study by recruiting a subset of women in a delayed-start randomized controlled trial of small-scale chicken farming to examine the prevalence of clinically-relevant AMR genes. Stool samples were obtained at baseline and one year post-randomization from five intervention women who received chickens at the start of the study, six control women who did not receive chickens until the end of the study, and from chickens provided to the control group at the end of the study. Stool was screened for 87 clinically significant AMR genes using a commercially available qPCR array (Qiagen).

resultsChickens harbored 23 AMR genes from classes found in humans as well as additional vancomycin and β-lactamase resistance genes. AMR patterns between intervention and control women appeared more similar at baseline than one year post randomization (PERMANOVA R2 = 0.081, p = 0.61 at baseline, R2 = 0.186, p = 0.09 at 12 months) Women in the control group who had direct contact with the chickens sampled in the study had greater similarities in AMR gene patterns to chickens than those in the intervention group who did not have direct contact with chickens sampled (p = 0.01). However, at one year there was a trend towards increased similarity in AMR patterns between humans in both groups and the chickens sampled (p = 0.06).

conclusionsStudies designed to evaluate human AMR genes in the setting of animal exposure should account for high baseline AMR rates. Concomitant collection of animal, human, and environmental samples over time is recommended to determine the directionality and source of AMR genes.

trial registrationClinicalTrials.gov Identifier NCT02619227.

Indexed as

FarmsAdultAnimalsChickensDrug Resistance, BacterialFeasibility StudiesFemaleGastrointestinal MicrobiomeHumansOccupational ExposureRural PopulationUganda

Identifiers

PMID32525954
PMCPMC7289395

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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.