Evidence map›Paper›PMID 33829268›Full record

ArticleThe Journal of antimicrobial chemotherapy2021

Characterization of Klebsiella pneumoniae complex isolates from pigs and humans in farms in Thailand: population genomic structure, antibiotic resistance and virulence genes.

Thongpan Leangapichart, Kamonwan Lunha, Jatesada Jiwakanon, Sunpetch Angkititrakul, Josef D Järhult, Ulf Magnusson, Marianne Sunde

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pathogens (Basel, Switzerland) · 2024
    Pooled it
  2. Article
  3. Circulation of ESBL-producingFrontiers in public health · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
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  13. Virulence profile of carbapenem-resistantMicrobiology spectrum · 2025
    Article
  14. Review
  15. Article
  16. Article
  17. Clonal dissemination of highly virulentOne health (Amsterdam, Netherlands) · 2023
    Article
  18. Article
  19. Article
  20. Carbapenemase-ProducingAntibiotics (Basel, Switzerland) · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Thongpan LeangapichartSection for Food Safety and Animal Health Research, Department of Animal Health, Welfare and Food Safety, Norwegian Veterinary Institute, Oslo, Norway.
Kamonwan LunhaDepartment of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden.
Jatesada JiwakanonResearch Group for Animal Health Technology, Khon Kaen University, Khon Kaen, Thailand.
Sunpetch AngkititrakulResearch Group for Animal Health Technology, Khon Kaen University, Khon Kaen, Thailand.
Josef D JärhultZoonosis Science Centre, Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
Ulf MagnussonDepartment of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden.
Marianne SundeSection for Food Safety and Animal Health Research, Department of Animal Health, Welfare and Food Safety, Norwegian Veterinary Institute, Oslo, Norway.
Khon Kaen University · THNorwegian Veterinary Institute · NOSwedish University of Agricultural Sciences · SEUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo define characteristics of Klebsiella pneumoniae complex (hereafter KP) isolates from healthy pigs, farm workers and their household members in Thailand.

methodsA total of 839 individual rectal swabs from pigs on 164 farms and 271 faecal samples of humans working on pig farms and persons living in the same household in Khon Kaen, Thailand were screened for gut colonization by KP. Genomic sequences were investigated for antibiotic resistance and virulence genes. Phylogenetic analyses were performed in addition to comparison with isolates from previous studies from Thailand.

resultsKP was detected in approximately 50% of pig and human samples. In total, 253 KP isolates were obtained: 39% from pigs, 34% from farmers and 26% from individuals living on the same farm but without animal contact. MLST revealed high genetic diversity with 196 different STs distributed over four phylogroups (Kp1 to Kp4). Low prevalence of ESBL-KP (7.5%) and colistin-resistant KP (3.2%) was observed among pigs and humans. Remarkably, four convergent MDR and hypervirulent strains were observed: one from pigs (ST290) and three from humans [ST35, ST3415 (strain 90CP1), ST17 (strain 90CM2)]. Sharing of KP clones among pigs and humans was identified for some STs including ST4788, ST661, ST3541 and ST29.

conclusionsThe study indicated a low prevalence of ESBL and mcr genes among KP isolated from pigs and healthy humans in Thailand and suggested the possibility of zoonotic transmission for a subset of circulating KP clones.

Indexed as

Klebsiella InfectionsKlebsiella pneumoniaeAnimalsAnti-Bacterial AgentsDrug Resistance, Multiple, BacterialFarmsHumansMetagenomicsMultilocus Sequence TypingPhylogenySwineThailandVirulenceAnti-Bacterial Agents

Identifiers

PMID33829268
PMCPMC8283727
OpenAlexW3152149667

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.