Evidence map›Paper›PMID 33004028›Full record

ArticleBMC public health2020

Reunion Island, a sentinel territory for antimicrobial-resistant bacteria surveillance in the South-Western Indian Ocean: a retrospective survey using hospitalized patient screening, 2015-2017.

Noellie Gay, Nathalie Lugagne, Guillaume Miltgen, Olivier Belmonte, Eric Cardinale

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 54% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

5 authors at 3 institutions in 1 country.

Noellie GayUMR Animal Santé Territoires Risque Environnement (CIRAD, INRAe, Univ Montpellier), Montpellier, France. gnoellie@hotmail.com.
Nathalie LugagneNosocomial infection Unit, Felix-Guyon University hospital, La Reunion, Saint-Denis, France.
Guillaume MiltgenBacteriology laboratory, Felix-Guyon University hospital, La Reunion, Saint-Denis, France.
Olivier BelmonteBacteriology laboratory, Felix-Guyon University hospital, La Reunion, Saint-Denis, France.
Eric CardinaleUMR Animal Santé Territoires Risque Environnement (CIRAD, INRAe, Univ Montpellier), Montpellier, France.
Centre Hospitalier Universitaire de La Réunion · FRAnimal, Santé, Territoires, Risques et Ecosystèmes · FRUniversité de Montpellier · FR

Funding

Agence Régionale de Santé de l'océan Indien None
6 · The paper itself

Abstract

backgroundIn 2015, antimicrobial resistance was identified as a public health priority for the South-Western Indian Ocean (SWIO) (i.e. Comoros, Madagascar, Mauritius, Mayotte (France), Reunion Island (France), and Seychelles). However, in 2020, colonization rates of antimicrobial-resistant bacteria (ARB) in human populations on most islands in SWIO were still not known and neither hospital nor community colonization rates had been estimated. The aim of this study was to estimate the prevalence of colonization of six ARB groups in hospitalized patients residing in the SWIO territories. The six groups comprise extended-spectrum betalactamase producing Enterobacteriaceae (ESBL-E), carbapenem-resistant Enterobacteriaceae (CRE), methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), and both ceftazidime and/or imipenem-resistant Acinetobacter spp. (ACB), and ceftazidime and/or imipenem-resistant Pseudomonas spp. (PSA)).

methodsBased on comprehensive hospital laboratory ARB screening data, we provide the first estimation of ARB colonization rates in hospitalized patients residing in SWIO (2015-2017). Using ARB colonization rates in Reunion Island (France) as the reference for estimating odds ratio, we identified at risk patients based on their territory of residence.

resultsThe survey pointed to significantly higher overall ARB colonization rates in patients from Comoros, Madagascar, Mayotte, and Seychelles compared to Reunion Island as the reference. Extended-spectrum betalactamase producing Enterobacteriaceae was found to be the most common ARB group colonizing patients from SWIO territories. The highest MRSA colonization rates were observed in patients from Mayotte and Seychelles. Colonization by carbapenem-resistant Enterobacteriaceae (CRE) was highest in patients from Mauritius.

conclusionThese results identify high ARB colonization rates in hospitalized patients from SWIO territories that require further investigation, particularly CRE in Mauritius and MRSA in Seychelles and Mayotte. This study is the first step toward the implementation of a broader regional ARB surveillance system.

Indexed as

Anti-Infective AgentsMethicillin-Resistant Staphylococcus aureusAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsFranceHumansIndian OceanMadagascarMauritiusRetrospective StudiesReunionSeychellesAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAnti-Infective AgentsColonizationEpidemiologyHospitalIndian OceanMultidrug resistanceScreening

Identifiers

PMID33004028
PMCPMC7528459
OpenAlexW3091480465

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.