Evidence map›Paper›PMID 32665016›Full record

ArticleAntimicrobial resistance and infection control2020

Gut microbiome signatures of nursing home residents carrying Enterobacteria producing extended-spectrum β-lactamases.

Quentin Le Bastard, Guillaume Chapelet, Gabriel Birgand, Benjamin M Hillmann, François Javaudin, Niki Hayatgheib, Céline Bourigault, Pascale Bemer, Laure De Decker, Eric Batard and 2 more

Open access · goldAbstract read
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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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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

12 authors at 4 institutions in 2 countries.

Quentin Le BastardMiHAR lab, Université de Nantes, 44000, Nantes, France. quentin.lebastard@chu-nantes.fr.ORCID 0000-0001-6930-0720
Guillaume ChapeletMiHAR lab, Université de Nantes, 44000, Nantes, France.
Gabriel BirgandMiHAR lab, Université de Nantes, 44000, Nantes, France.
Benjamin M HillmannDepartment of Computer Science and Engineering, University of Minnesota, Minneapolis, Minnesota, USA.
François JavaudinMiHAR lab, Université de Nantes, 44000, Nantes, France.
Niki HayatgheibMiHAR lab, Université de Nantes, 44000, Nantes, France.
Céline BourigaultMiHAR lab, Université de Nantes, 44000, Nantes, France.
Pascale BemerMiHAR lab, Université de Nantes, 44000, Nantes, France.
Laure De DeckerPole de gérontologie clinique, Nantes University Hospital, 44000, Nantes, France.
Eric BatardMiHAR lab, Université de Nantes, 44000, Nantes, France.
Didier LepelletierMiHAR lab, Université de Nantes, 44000, Nantes, France.
Emmanuel MontassierMiHAR lab, Université de Nantes, 44000, Nantes, France. emmanuel.montassier@chu-nantes.fr.
Nantes Université · FRCentre Hospitalier Universitaire de Nantes · FRCentre Pays de la Loire · FRUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of extended beta-lactamase producing Enterobacteriaceae (ESBL-E) has been constantly increasing over the last few decades. These microorganisms that have acquired broad antibiotic resistance are now common human pathogens. Changes in the gut microbiome, induced by antibiotics or other drugs, enable expansion of these microorganisms, but the mechanisms are not yet fully understood.

objectivesThe main objective was to identify specific bacteria and functional pathways and genes characterizing the gut microbiome of nursing home residents carrying ESBL-E, using metagenomics. SUBJECTS AND

methodsWe included 144 residents living in two different nursing homes. All fecal samples were screened for ESBL-E and gut microbiome was characterized using shallow shotgun metagenomic DNA sequencing.

resultsTen nursing home residents were colonized by ESBL-E, namely Escherichia coli, Klebsiella pneumoniae and Enterobacter cloacae species, and were compared to non-carriers. We found that ESBL-E carriers had an alteration in within-sample diversity. Using a bootstrap algorithm, we found that the gut microbiome of ESBL-E carriers was depleted in butyrate-producing species, enriched in succinate-producing species and enriched in pathways involved in intracellular pH homeostasis compared to non-carriers individuals. Several energy metabolism pathways were overrepresented in ESBL-E carriers suggesting a greater ability to metabolize multiple microbiota and mucus layer-derived nutrients.

conclusionsThe gut microbiome of ESBL-E carriers in nursing homes harbors specific taxonomic and functional characteristics, conferring an environment that enables Enterobacteriaceae expansion. Here we describe new functional features associated with ESBL-E carriage that could help us to elucidate the complex interactions leading to colonization persistence in the human gut microbiota.

Indexed as

Gastrointestinal MicrobiomeTranscriptomeAgedAged, 80 and overAnti-Bacterial Agentsbeta-LactamasesCarrier StateDrug Resistance, Multiple, BacterialEnterobacteriaceaeEnterobacteriaceae InfectionsFecesFemaleHumansMaleMetagenomicsMicrobial Sensitivity TestsAnti-Bacterial Agentsbeta-LactamasesAntibiotic resistanceEnterobacteriaceaeMetabolomeMicrobiome

Identifiers

PMID32665016
PMCPMC7359458
OpenAlexW3042996232

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.