Evidence map›Paper›PMID 34202175›Full record

ReviewAntibiotics (Basel, Switzerland)2021

Testudines as Sentinels for Monitoring the Dissemination of Antibiotic Resistance in Marine Environments: An Integrative Review.

Kezia Drane, Roger Huerlimann, Michelle Power, Anna Whelan, Ellen Ariel, Madoc Sheehan, Robert Kinobe

Abstract readReview
In one paragraph

Review in Antibiotics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Detection and genomic characterization ofFrontiers in veterinary science · 2026
    Article
  3. Characterisation of the Gastrointestinal Microbiome of Green Sea Turtles (Animals : an open access journal from MDPI · 2025
    Review
  4. Article
  5. Article
  6. New Delhi metallo-β-lactamase-1-producingOne health (Amsterdam, Netherlands) · 2023
    Article
  7. Bacterial Infections in Sea Turtles.Veterinary sciences · 2023
    Review
  8. Review
  9. Article
  10. Antimicrobial Resistance in Loggerhead Sea Turtles (Animals : an open access journal from MDPI · 2021
    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.

Kezia DraneCentre for Molecular Therapeutics, College of Public Health, Medical and Veterinary Sciences, Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, QLD 4811, Australia.
Roger HuerlimannCentre for Sustainable Tropical Fisheries and Aquaculture, Centre for Tropical Bioinformatics and Molecular Biology, College of Science and Engineering, James Cook University, Townsville, QLD 4811, Australia.ORCID 0000-0002-6020-334X
Michelle PowerDepartment of Biological Sciences, Macquarie University, Sydney, NSW 2109, Australia.
Anna WhelanTownsville Water and Waste, Wastewater Operations, Townsville, QLD 4810, Australia.
Ellen ArielCentre for Molecular Therapeutics, College of Public Health, Medical and Veterinary Sciences, Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, QLD 4811, Australia.
Madoc SheehanCollege of Science, Technology and Engineering, James Cook University, Townsville, QLD 4811, Australia.ORCID 0000-0003-4936-9602
Robert KinobeCentre for Molecular Therapeutics, College of Public Health, Medical and Veterinary Sciences, Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, QLD 4811, Australia.ORCID 0000-0003-1166-0947

Funding

The Townsville City Council, Queensland Australia 2256.95982.2331
6 · The paper itself

Abstract

Dissemination of antibiotic resistance (AR) in marine environments is a global concern with a propensity to affect public health and many ecosystems worldwide. We evaluated the use of sea turtles as sentinel species for monitoring AR in marine environments. In this field, antibiotic-resistant bacteria have been commonly identified by using standard culture and sensitivity tests, leading to an overrepresentation of specific, culturable bacterial classes in the available literature. AR was detected against all major antibiotic classes, but the highest cumulative global frequency of resistance in all represented geographical sites was against the beta-lactam class by a two-fold difference compared to all other antibiotics. Wastewater facilities and turtle rehabilitation centres were associated with higher incidences of multidrug-resistant bacteria (MDRB) accounting for an average of 58% and 49% of resistant isolates, respectively. Furthermore, a relatively similar prevalence of MDRB was seen in all studied locations. These data suggest that anthropogenically driven selection pressures for the development of AR in sea turtles and marine environments are relatively similar worldwide. There is a need, however, to establish direct demonstrable associations between AR in sea turtles in their respective marine environments with wastewater facilities and other anthropogenic activities worldwide.

Indexed as

anthropogenic pollutionantimicrobial pollutionhorizontal gene transfermultidrug-resistant bacteriaturtle rehabilitation centreswastewater treatment plants

Identifiers

PMID34202175
PMCPMC8300651

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.