Evidence map›Paper›PMID 33467065›Full record

ReviewTropical medicine and infectious disease2021

Travel-Related Antimicrobial Resistance: A Systematic Review.

Hamid Bokhary, Krisna N A Pangesti, Harunor Rashid, Moataz Abd El Ghany, Grant A Hill-Cawthorne

Abstract readReview
In one paragraph

Review in Tropical medicine and infectious disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 3 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

68 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Systematic review of multidrug-resistantFrontiers in microbiology · 2025
    Pooled it
  4. Gut Resistome of Preschool Children After Prolonged Mass Azithromycin Distribution: A Cluster-randomized Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Trial
  5. Article
  6. Editorial: New Target Product Profiles From the WHO as Climate Change, Global Population Migration, and Conflict Drive Antimicrobial Resistance.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  7. Genomic Epidemiology of ClinicalAntibiotics (Basel, Switzerland) · 2026
    Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Genomic epidemiology of carbapenemase-producingMicrobial cell (Graz, Austria) · 2026
    Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Comprehensive Genomic Characterization of a Drug-ResistantIranian journal of medical sciences · 2025
    Article
  20. Review

8 more citing papers are in PubMed but not listed here.

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.

Hamid BokharySchool of Public Health, The University of Sydney, Sydney, NSW 2006, Australia.ORCID 0000-0001-9533-0720
Krisna N A PangestiSchool of Public Health, The University of Sydney, Sydney, NSW 2006, Australia.ORCID 0000-0001-6339-915X
Harunor RashidThe Marie Bashir Institute for Infectious Diseases and Biosecurity, The University of Sydney, Westmead, NSW 2145, Australia.ORCID 0000-0003-2286-5139
Moataz Abd El GhanyThe Marie Bashir Institute for Infectious Diseases and Biosecurity, The University of Sydney, Westmead, NSW 2145, Australia.ORCID 0000-0002-0020-261X
Grant A Hill-CawthorneSchool of Public Health, The University of Sydney, Sydney, NSW 2006, Australia.ORCID 0000-0002-3828-5473

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is increasing evidence that human movement facilitates the global spread of resistant bacteria and antimicrobial resistance (AMR) genes. We systematically reviewed the literature on the impact of travel on the dissemination of AMR. We searched the databases Medline, EMBASE and SCOPUS from database inception until the end of June 2019. Of the 3052 titles identified, 2253 articles passed the initial screening, of which 238 met the inclusion criteria. The studies covered 30,060 drug-resistant isolates from 26 identified bacterial species. Most were enteric, accounting for 65% of the identified species and 92% of all documented isolates. High-income countries were more likely to be recipient nations for AMR originating from middle- and low-income countries. The most common origin of travellers with resistant bacteria was Asia, covering 36% of the total isolates. Beta-lactams and quinolones were the most documented drug-resistant organisms, accounting for 35% and 31% of the overall drug resistance, respectively. Medical tourism was twice as likely to be associated with multidrug-resistant organisms than general travel. International travel is a vehicle for the transmission of antimicrobial resistance globally. Health systems should identify recent travellers to ensure that adequate precautions are taken.

Indexed as

antimicrobial resistanceenteric bacteriamedical travellermultidrug resistancetravel

Identifiers

PMID33467065
PMCPMC7838817

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.