Evidence map›Paper›PMID 33332438›Full record

SynthesisPloS one2020

Epidemiology of streptomycin resistant Salmonella from humans and animals in Ethiopia: A systematic review and meta-analysis.

Getachew Mengistu, Getiye Dejenu, Cheru Tesema, Balew Arega, Tadesse Awoke, Kassahun Alemu, Feleke Moges

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 21 citations in OpenAlex.

  1. Widespread antibiotic-resistantOne health (Amsterdam, Netherlands) · 2026
    Article
  2. Article
  3. Article
  4. Non-typhoidalItalian journal of food safety · 2026
    Article
  5. Genetic diversity ofGut microbes · 2025
    Article
  6. Antimicrobial ResistantInternational journal of environmental research and public health · 2025
    Article
  7. Antibiotic-ResistantAntibiotics (Basel, Switzerland) · 2025
    Article
  8. Whole-Genome Sequencing Analysis of Non-TyphoidalAntibiotics (Basel, Switzerland) · 2023
    Article
  9. Review
  10. Adaptive laboratory evolution ofFrontiers in microbiology · 2023
    Article
  11. Multi-Drug Resistance toAntibiotics (Basel, Switzerland) · 2022
    Article
  12. Antimicrobial Peptides: From Design to Clinical Application.Antibiotics (Basel, Switzerland) · 2022
    Review
  13. One Health Perspective ofInternational journal of microbiology · 2022
    Review
  14. Prevalence of Antibiotic Resistance inAntibiotics (Basel, Switzerland) · 2021
    Review
  15. 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

7 authors at 3 institutions in 1 country.

Getachew MengistuMedical Laboratory Science, College of Health Sciences, DebreMarkos University, Debre Marqos, Ethiopia.ORCID 0000-0002-3556-3650
Getiye DejenuDepartment of Public Health, College of Health Sciences, DebreMarkos University, Debre Marqos, Ethiopia.
Cheru TesemaDepartment of Public Health, College of Health Sciences, DebreMarkos University, Debre Marqos, Ethiopia.
Balew AregaYekatit 12 Hospital Medical College, Addis Ababa, Ethiopia.
Tadesse AwokeDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Kassahun AlemuDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Feleke MogesDepartment of Medical Microbiology, School of Laboratory and Biomedical Science, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
University of Gondar · ETDebre Markos University · ETSt. Paul's Hospital Millennium Medical College · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStreptomycin is used as an epidemiological marker in monitoring programs for antimicrobial resistance in Salmonella serovars and indicates the presence of pentaresistance. However, comprehensive data on streptomycin resistant Salmonella among human, animal, and animal products is lacking in Ethiopia. In this review, we aimed to assess heterogeneity and pooled proportion of Salmonella serovars to streptomycin resistance among human, animal and animal products in Ethiopia.

methodsWe conducted a systematic review and meta-analysis of published literature from Ethiopia. We used the MEDLINE/ PubMed, Embase, Cochrane Library, and Google Scholar databases to identify genetic and phenotypic data on Salmonella isolates. To determine the heterogeneity and pooled proportion, we used metaprop commands and the random-effects model. Relative and cumulative frequencies were calculated to describe the overall preponderance of streptomycin resistance isolates after arcsine-transformed data. Metan funnel and meta-bias using a begg test were performed to check for publication bias.

resultsOverall, we included 1475 Salmonella serovars in this meta-analysis. The pooled proportion of streptomycin resistance was 47% (95% CI: 35-60%). Sub-group analysis by target population showed that the proportion of streptomycin resistance in Salmonella serovars was 54% (95% CI: 35-73%) in animal, 44% (95% Cl: 33-59%) in humans and 39% (95% CI: 24-55%) in animals products. The streptomycin resistant Salmonella serovars were statistically increasing from 0.35(95% CI: 0.12-0.58) in 2003 to 0.77(95% CI: 0.64-0.89) in 2018. The level of multidrug-resistant (MDR) Salmonella serovars was 50.1% in the meta-analysis.

conclusionWe found a high level of streptomycin resistance, including multidrug, Salmonella serovars among human, animals, and animal products. This resistance was significantly increasing in the last three decades (1985-2018). The resistance to streptomycin among Salmonella serovars isolated from animals was higher than humans. This mandates the continuous monitoring of streptomycin use and practicing one health approach to preventing further development of resistance in Ethiopia. REGISTRATION: We conducted a systematic review and meta-analysis after registration of the protocol in PROSPERO (CRD42019135116) following the MOOSE (Meta-Analysis of Observational Studies in Epidemiology).

Indexed as

Drug Resistance, BacterialAnimalsAnti-Bacterial AgentsEthiopiaHumansSalmonellaSalmonella InfectionsSalmonella Infections, AnimalStreptomycinAnti-Bacterial AgentsStreptomycin

Identifiers

PMID33332438
PMCPMC7746177
OpenAlexW3112739514

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.