Evidence map›Paper›PMID 32576281›Full record

ArticleAntimicrobial resistance and infection control2020

Poor infection prevention and control standards are associated with environmental contamination with carbapenemase-producing Enterobacterales and other multidrug-resistant bacteria in Swiss companion animal clinics.

Janne S Schmidt, Stefan P Kuster, Aurélien Nigg, Valentina Dazio, Michael Brilhante, Helene Rohrbach, Odette J Bernasconi, Thomas Büdel, Edgar I Campos-Madueno, Stefanie Gobeli Brawand and 4 more

Abstract readMulticenter Study
In one paragraph

Article 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 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

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

  1. Pooled it
  2. Carbapenemase-Producing Enterobacterales in Pets: A New Threat From Veterinary Clinics.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Microorganisms · 2026
    Review
  7. Article
  8. Interplay between bacterial clones and plasmids in the spread ofOne health (Amsterdam, Netherlands) · 2025
    Article
  9. Review
  10. Impact of Antimicrobial Resistance ofVeterinary sciences · 2025
    Review
  11. Article
  12. Isolation ofMicroorganisms · 2024
    Article
  13. Article
  14. A newFrontiers in microbiology · 2024
    Article
  15. Antimicrobial resistance patterns ofVeterinary world · 2023
    Article
  16. [Therapy-relevant antibiotic resistances in a One Health context].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023
    Review
  17. Article
  18. Article
  19. Review
  20. 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

14 authors.

Janne S SchmidtClinic for Small Animal Internal Medicine, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.
Stefan P KusterDivision of Infectious Diseases and Hospital Epidemiology, University and University Hospital of Zurich, Zurich, Switzerland.
Aurélien NiggInstitute of Veterinary Bacteriology, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
Valentina DazioDivision of Small Animal Internal Medicine, Department of Clinical Veterinary Medicine, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
Michael BrilhanteInstitute of Veterinary Bacteriology, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
Helene RohrbachSmall Animal Clinic, Department of Clinical Veterinary Medicine, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
Odette J BernasconiInstitute for Infectious Diseases, Faculty of Medicine, University of Bern, Bern, Switzerland.
Thomas BüdelInstitute for Infectious Diseases, Faculty of Medicine, University of Bern, Bern, Switzerland.
Edgar I Campos-MaduenoInstitute for Infectious Diseases, Faculty of Medicine, University of Bern, Bern, Switzerland.
Stefanie Gobeli BrawandInstitute of Veterinary Bacteriology, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
Simone SchullerDivision of Small Animal Internal Medicine, Department of Clinical Veterinary Medicine, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
Andrea EndimianiInstitute for Infectious Diseases, Faculty of Medicine, University of Bern, Bern, Switzerland.
Vincent PerretenInstitute of Veterinary Bacteriology, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
Barbara WilliClinic for Small Animal Internal Medicine, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland. bwilli@vetclinics.uzh.ch.ORCID 0000-0002-8010-1180

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntensive medical care in companion animal clinics could pose a risk for the selection and dissemination of multidrug-resistant organisms (MDROs). Infection prevention and control (IPC) concepts are key measures to reduce the spread of MDROs, but data on IPC standards in companion animal clinics is sparse. The study assessed IPC standards in seven companion animal clinics and practices in Switzerland by structured IPC audits and combined results with environmental MDRO contamination and MDRO carriage of the personnel.

methodsIPC audits were held between August 2018 and January 2019. The observations in 34 IPC areas were scored based on predefined criteria (not fulfilled/partially fulfilled/fulfilled = score 0/1/2). Environmental swabs and nasal and stool samples from veterinary personnel were tested for methicillin-resistant (MR) staphylococci and macrococci and for colistin-resistant, extended-spectrum β-lactamase- and carbapenemase-producing (CP) Enterobacterales (CPE). Species was identified by MALDI-TOF MS, antimicrobial resistance determined by microdilution and β-lactam resistance gene detection, and genetic relatedness assessed by REP-/ERIC-PCR and multilocus sequence typing.

resultsOf a maximum total IPC score of 68, the institutions reached a median (range) score of 33 (19-55). MDROs were detected in median (range) 8.2% (0-33.3%) of the sampling sites. Clinics with low IPC standards showed extensive environmental contamination, i.e. of intensive care units, consultation rooms and utensils. CPE were detected in two clinics; one of them showed extensive contamination with CP Klebsiella pneumoniae (ST11, bla

conclusionsThe study indicates that IPC standards in companion animal clinics are variable and that insufficient IPC standards could contribute to the evolution of MDROs which can be transferred between the environment and working personnel. The implementation of IPC concepts in companion animal clinics should urgently be promoted.

Indexed as

AnimalsAnimal TechniciansCarbapenem-Resistant EnterobacteriaceaeCommission on Professional and Hospital ActivitiesDrug Resistance, Multiple, BacterialEquipment and SuppliesEquipment ContaminationFecesHospitals, AnimalHumansInfection ControlNosePetsProspective StudiesSwitzerlandVeterinariansAntimicrobial resistant pathogensColonizationEnterobacteriaceaeInfection prevention and controlMultidrug-resistant pathogensSmall animal clinicZoonosis

Identifiers

PMID32576281
PMCPMC7310346

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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.