Evidence map›Paper›PMID 32835381›Full record

ArticleThe Journal of antimicrobial chemotherapy2020

Novel IncFII plasmid harbouring blaNDM-4 in a carbapenem-resistant Escherichia coli of pig origin, Italy.

Elena L Diaconu, Virginia Carfora, Patricia Alba, Paola Di Matteo, Fiorentino Stravino, Carmela Buccella, Elena Dell'Aira, Roberta Onorati, Luigi Sorbara, Antonio Battisti and 1 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

16 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Genomics of NDM-5 producingJAC-antimicrobial resistance · 2025
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  3. Article
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  5. Characterization of Antimicrobial Resistance inAnimals : an open access journal from MDPI · 2024
    Article
  6. Article
  7. Review
  8. Genomics Insight intoAntibiotics (Basel, Switzerland) · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. The hazard of carbapenemase (OXA-181)-producingFrontiers in microbiology · 2022
    Article
  15. Article
  16. 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

11 authors at 1 institution in 1 country.

Elena L DiaconuIstituto Zooprofilattico Sperimentale del Lazio e della Toscana 'M. Aleandri', National Reference Laboratory for Antimicrobial Resistance, Department of General Diagnostics, Rome, Italy.
Virginia CarforaIstituto Zooprofilattico Sperimentale del Lazio e della Toscana 'M. Aleandri', National Reference Laboratory for Antimicrobial Resistance, Department of General Diagnostics, Rome, Italy.
Patricia AlbaIstituto Zooprofilattico Sperimentale del Lazio e della Toscana 'M. Aleandri', National Reference Laboratory for Antimicrobial Resistance, Department of General Diagnostics, Rome, Italy.
Paola Di MatteoIstituto Zooprofilattico Sperimentale del Lazio e della Toscana 'M. Aleandri', National Reference Laboratory for Antimicrobial Resistance, Department of General Diagnostics, Rome, Italy.
Fiorentino StravinoIstituto Zooprofilattico Sperimentale del Lazio e della Toscana 'M. Aleandri', National Reference Laboratory for Antimicrobial Resistance, Department of General Diagnostics, Rome, Italy.
Carmela BuccellaIstituto Zooprofilattico Sperimentale del Lazio e della Toscana 'M. Aleandri', National Reference Laboratory for Antimicrobial Resistance, Department of General Diagnostics, Rome, Italy.
Elena Dell'AiraIstituto Zooprofilattico Sperimentale del Lazio e della Toscana 'M. Aleandri', National Reference Laboratory for Antimicrobial Resistance, Department of General Diagnostics, Rome, Italy.
Roberta OnoratiIstituto Zooprofilattico Sperimentale del Lazio e della Toscana 'M. Aleandri', National Reference Laboratory for Antimicrobial Resistance, Department of General Diagnostics, Rome, Italy.
Luigi SorbaraIstituto Zooprofilattico Sperimentale del Lazio e della Toscana 'M. Aleandri', National Reference Laboratory for Antimicrobial Resistance, Department of General Diagnostics, Rome, Italy.
Antonio BattistiIstituto Zooprofilattico Sperimentale del Lazio e della Toscana 'M. Aleandri', National Reference Laboratory for Antimicrobial Resistance, Department of General Diagnostics, Rome, Italy.
Alessia FrancoIstituto Zooprofilattico Sperimentale del Lazio e della Toscana 'M. Aleandri', National Reference Laboratory for Antimicrobial Resistance, Department of General Diagnostics, Rome, Italy.
Istituto Zooprofilattico Sperimentale delle Regioni Lazio e Toscana · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo the best of our knowledge, we describe the first evidence in Europe of an MDR, blaNDM-4-positive Escherichia coli isolated from a food-producing animal, harboured by a novel IncFII plasmid of which we report the complete sequence.

methodsOne blaNDM-4-positive E. coli isolated in 2019 from the caecal contents of a fattening pig in Italy was in-depth characterized by combined bioinformatic analysis of Oxford Nanopore long reads and Illumina short reads, for in silico typing, determination of the blaNDM-4 genetic context and full reconstruction of the blaNDM-4-carrying plasmid.

resultsThe isolate belonged to ST641 and to the genoserotype O108:H23 and tested positive for different virulence genes and plasmid replicons. The MDR phenotype of resistance to all β-lactams, carbapenems, sulfamethoxazole and trimethoprim was mediated by blaTEM-1B, blaNDM-4, sul1/sul3 and dfrA12, respectively. The blaNDM-4 gene was harboured by a novel 53 043 bp IncFII plasmid (pMOL412_FII) composed of four main genetic regions, including an MDR region (MRR-NDM-4) of 16 kb carrying blaNDM-4 and several antimicrobial resistance genes located in a class 1 integron. pMOL412_FII was closely related to another ∼90.3 kb plasmid (pM109_FII) harbouring blaNDM-4 in an E. coli isolated from a human patient in Myanmar.

conclusionsTo the best of our knowledge, we have identified for the first time in Europe an NDM-producing Enterobacterales in livestock and resolved the complete sequence of the novel pMOL412_FII plasmid harbouring blaNDM-4 in an MRR. A global One Health approach, comparing genomic data from different sources and geographical areas, may help to trace back and control possible plasmid-borne carbapenemase gene transmission between animals and humans and along the food chain at international level.

Indexed as

Escherichia coliEscherichia coli InfectionsAnimalsAnti-Bacterial Agentsbeta-LactamasesCarbapenemsEuropeHumansItalyMicrobial Sensitivity TestsPlasmidsSwineAnti-Bacterial Agentsbeta-LactamasesCarbapenems

Identifiers

PMID32835381
PMCPMC7662189
OpenAlexW3080965497

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.