Evidence map›Paper›PMID 33142796›Full record

ReviewInternational journal of environmental research and public health2020

Antibiotic Resistance in Recreational Waters: State of the Science.

Sharon P Nappier, Krista Liguori, Audrey M Ichida, Jill R Stewart, Kaedra R Jones

Abstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Detection and genomic characterization ofFrontiers in veterinary science · 2026
    Article
  7. Review
  8. Review
  9. Article
  10. Ampicillin- and Multidrug-ResistantAntibiotics (Basel, Switzerland) · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Prevalence of Antimicrobial ResistantInternational journal of environmental research and public health · 2024
    Article
  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

5 authors.

Sharon P NappierU.S. Environmental Protection Agency, Office of Water, Office of Science and Technology, 1200 Pennsylvania Avenue, NW, Washington, DC 20460, USA.
Krista LiguoriU.S. Environmental Protection Agency, Office of Water, Office of Science and Technology, 1200 Pennsylvania Avenue, NW, Washington, DC 20460, USA.
Audrey M IchidaICF, LLC, 9300 Lee Highway, Fairfax, VA 22031, USA.
Jill R Stewart1301 Michael Hooker Research Center, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA.ORCID 0000-0002-3474-5233
Kaedra R JonesICF, LLC, 9300 Lee Highway, Fairfax, VA 22031, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ambient recreational waters can act as both recipients and natural reservoirs for antimicrobial resistant (AMR) bacteria and antimicrobial resistant genes (ARGs), where they may persist and replicate. Contact with AMR bacteria and ARGs potentially puts recreators at risk, which can thus decrease their ability to fight infections. A variety of point and nonpoint sources, including contaminated wastewater effluents, runoff from animal feeding operations, and sewer overflow events, can contribute to environmental loading of AMR bacteria and ARGs. The overall goal of this article is to provide the state of the science related to recreational exposure and AMR, which has been an area of increasing interest. Specific objectives of the review include (1) a description of potential sources of antibiotics, AMR bacteria, and ARGs in recreational waters, as documented in the available literature; (2) a discussion of what is known about human recreational exposures to AMR bacteria and ARGs, using findings from health studies and exposure assessments; and (3) identification of knowledge gaps and future research needs. To better understand the dynamics related to AMR and associated recreational water risks, future research should focus on source contribution, fate and transport-across treatment and in the environment; human health risk assessment; and standardized methods.

Indexed as

Anti-Bacterial AgentsBacteriaWastewaterAnimalsDrug Resistance, MicrobialGenes, BacterialHumansRecreationWater MicrobiologyAnti-Bacterial AgentsWastewaterambient waterantibiotic resistanceantimicrobial resistant bacteriaantimicrobial resistant genesaquatic microbial communityaquatic microbiomehuman health riskrecreational exposuressurface waterwastewater

Identifiers

PMID33142796
PMCPMC7663426

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.