Evidence map›Paper›PMID 33292525›Full record

ArticleGut pathogens2020

Emergence of plasmid-mediated mcr genes from Gram-negative bacteria at the human-animal interface.

Humera Javed, Sidrah Saleem, Aizza Zafar, Aamir Ghafoor, Ahmad Bin Shahzad, Hasan Ejaz, Kashaf Junaid, Shah Jahan

Open access · goldAbstract read
In one paragraph

Article in Gut pathogens, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

25 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Multidrug-resistantVirulence · 2025
    Review
  5. Colistin: Lights and Shadows of an Older Antibiotic.Molecules (Basel, Switzerland) · 2024
    Review
  6. Mobile Colistin-Resistant GenesAntibiotics (Basel, Switzerland) · 2024
    Article
  7. Dissemination of clinicalFrontiers in microbiology · 2024
    Article
  8. Article
  9. Carriage and within-host diversity ofEmerging microbes & infections · 2023
    Article
  10. Article
  11. Article
  12. Mobile Colistin Resistance (Antibiotics (Basel, Switzerland) · 2023
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Synergistic Activity of Tetrandrine and Colistin againstAntibiotics (Basel, Switzerland) · 2022
    Article
  18. Antimicrobial Resistance inTropical medicine and infectious disease · 2022
    Article
  19. Worldwide Prevalence ofPathogens (Basel, Switzerland) · 2022
    Review
  20. Whole-Genome Sequencing of a Colistin-ResistantAntibiotics (Basel, Switzerland) · 2022
    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

8 authors at 3 institutions in 2 countries.

Humera JavedDepartment of Microbiology, University of Health Sciences, Lahore, Pakistan.ORCID https://orcid.org/0000-0002-3564-3466
Sidrah SaleemDepartment of Microbiology, University of Health Sciences, Lahore, Pakistan.
Aizza ZafarDepartment of Microbiology, The Children's Hospital & The Institute of Child Health, Lahore, Pakistan.
Aamir GhafoorUniversity Diagnostic Laboratory, University of Veterinary and Animal Sciences, Lahore, Pakistan.
Ahmad Bin ShahzadUniversity Diagnostic Laboratory, University of Veterinary and Animal Sciences, Lahore, Pakistan.
Hasan EjazDepartment of Clinical Laboratory Sciences, College of Applied Medical Sciences, Jouf University, Al Jouf, Saudi Arabia.ORCID http://orcid.org/0000-0002-6185-2042
Kashaf JunaidDepartment of Clinical Laboratory Sciences, College of Applied Medical Sciences, Jouf University, Al Jouf, Saudi Arabia.ORCID http://orcid.org/0000-0001-5328-4105
Shah JahanDepartment of Immunology, University of Health Sciences, Khayaban-e-Jamia Punjab, 54600, Lahore, Pakistan. shahjahan@uhs.edu.pk.ORCID http://orcid.org/0000-0002-1730-5025
University of Health Sciences Lahore · PKJouf University · SAUniversity of Veterinary and Animal Sciences · PK

Funding

Higher Education Commission, Pakistan NRPU 8557
6 · The paper itself

Abstract

backgroundThe global emergence of plasmid-mediated colistin resistance (Col-R) conferred by mcr genes in gram-negative rods (GNRs) has jeopardized the last treatment option for multidrug-resistant bacterial infections in humans. This study aimed to assess the emergence of mcr gene-mediated Col-R in GNRs isolated from humans and animals in Pakistan.

methodsAnimal and clinical specimens collected from various sources were prospectively analysed using standard microbiological procedures. Pathogens were identified using the API 20E and API 20NE systems (bioMerieux). Minimum inhibitory concentration (MIC) against colistin was determined using the MIC detection methods, and multiplex polymerase chain reaction (PCR) was used to amplify the mcr-1 to mcr-5 genes.

resultsWe isolated 126 (88.1%) animal and 17 (11.9%) human Col-R phenotypes, among which there was a significant association (P < 0.01) of Escherichia coli and Proteus mirabilis with animals and of Acinetobacter baumannii with humans. Animal strains exhibited statistically significant (P < 0.05) resistance to co-trimoxazole, chloramphenicol, and moxifloxacin, and the human pathogens exhibited statistically significant (P < 0.05) antibiotic resistance to cephalosporins, carbapenems, and piperacillin-tazobactam. For Col-R strains, MIC

conclusionsThe detection of a considerable number of mcr-1 and mcr-2 genes in animals is worrisome, as they are now being detected in clinical pathogens. The acquisition of mcr genes by colistin-susceptible bacteria could leave us in a post-antibiotic era.

Indexed as

Antibacterial profileAntimicrobial resistanceColistin resistancemcr genesMobile colistin resistancePlasmid-mediated resistance

Identifiers

PMID33292525
PMCPMC7678191
OpenAlexW3108615993

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.