Evidence map›Paper›PMID 34374428›Full record

ArticleThe Journal of infectious diseases2021

The Gut Microbiome of Healthy Vietnamese Adults and Children Is a Major Reservoir for Resistance Genes Against Critical Antimicrobials.

Joana Pereira-Dias, Chau Nguyen Ngoc Minh, Chau Tran Thi Hong, To Nguyen Thi Nguyen, Tuyen Ha Thanh, Caroline Zellmer, Hao Chung The, Lindsay Pike, Ellen E Higginson, Stephen Baker

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Understanding the influence of the microbiome on childhood infections.Expert review of anti-infective therapy · 2024
    Review
  7. Observational
  8. Article
  9. 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

10 authors.

Joana Pereira-DiasUniversity of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, United Kingdom.
Chau Nguyen Ngoc MinhOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Chau Tran Thi HongOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
To Nguyen Thi NguyenOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Tuyen Ha ThanhOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Caroline ZellmerUniversity of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, United Kingdom.
Hao Chung TheOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Lindsay PikeThe Wellcome Sanger Institute, Hinxton, Cambridge, United Kingdom.
Ellen E HigginsonUniversity of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, United Kingdom.
Stephen BakerUniversity of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, United Kingdom.ORCID 0000-0003-1308-5755

Funding

Wellcome Trust 215515/Z/19/ZWellcome Trust 218726/Z/19/Z
6 · The paper itself

Abstract

Antimicrobials are a key group of therapeutic agents. Given the animal/human population density and high antimicrobial consumption rate in Southeast Asia, the region is a focal area for monitoring antimicrobial resistance (AMR). Hypothesizing that the gastrointestinal tract of healthy individuals in Vietnam is a major source of AMR genes that may be transferred to pathogens, we performed shotgun metagenomic sequencing on fecal samples from 42 healthy Vietnamese people (21 children and 21 adults). We compared their microbiome profiles by age group and determined the composition of AMR genes. An analysis of the taxonomic profiles in the gut microbiome showed a clear differentiation by age, with young children (age <2 years) exhibiting a unique structure in comparison to adults and older children. We identified a total of 132 unique AMR genes, with macrolide, lincosamide, and streptogramin class resistance genes (ermB and lnuC) and tetracycline resistance genes being almost ubiquitous across the study population. Notably, samples from younger children were significantly associated with a greater number of AMR genes than other age groups, including key signature genes associated with AMR pathogens (eg, blaCTX-M, mphA). Our data suggest that the gut microbiome of those living in Vietnam, particularly young children, is a substantial reservoir of AMR genes, which can be transferred to circulating enteric pathogens. Our data support the generation of longitudinal cohort studies of those living in urban and rural areas of developing countries to understand the behavior of these AMR reservoirs and their role in generating multidrug-resistant and extensively drug-resistant pathogens.

Indexed as

Gastrointestinal MicrobiomeMetagenomicsAdolescentAdultAgedAnimalsAnti-Bacterial AgentsAsian PeopleChildChild, PreschoolDrug Resistance, BacterialFecesFemaleHumansLongitudinal StudiesMaleAnti-Bacterial Agentsantimicrobial resistancefamilial microbiomemicrobiomepediatricresistomeurban microbiomeVietnam

Identifiers

PMID34374428
PMCPMC8687120

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Registered trials

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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.