Evidence map›Paper›PMID 34450630›Full record

ArticleThe Journal of antimicrobial chemotherapy2021

Limited phylogenetic overlap between fluoroquinolone-resistant Escherichia coli isolated on dairy farms and those causing bacteriuria in humans living in the same geographical region.

Oliver Mounsey, Hannah Schubert, Jacqueline Findlay, Katy Morley, Emma F Puddy, Virginia C Gould, Paul North, Karen E Bowker, O Martin Williams, Philip B Williams and 6 more

Open 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. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Poultry-associated nitrofurantoin-resistant and pre-resistantOne health (Amsterdam, Netherlands) · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. One health transmission of fluoroquinolone-resistantOne health (Amsterdam, Netherlands) · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Evidence that faecal carriage of resistantOne health (Amsterdam, Netherlands) · 2022
    Article
  16. Baas Becking meets One Health.Nature microbiology · 2022
    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

16 authors at 3 institutions in 1 country.

Oliver MounseySchool of Cellular & Molecular Medicine, University of Bristol, Bristol, UK.
Hannah SchubertBristol Veterinary School, University of Bristol, Bristol, UK.
Jacqueline FindlaySchool of Cellular & Molecular Medicine, University of Bristol, Bristol, UK.
Katy MorleyBristol Veterinary School, University of Bristol, Bristol, UK.
Emma F PuddySchool of Cellular & Molecular Medicine, University of Bristol, Bristol, UK.
Virginia C GouldSchool of Cellular & Molecular Medicine, University of Bristol, Bristol, UK.
Paul NorthDepartment of Microbiology, Infection Sciences, Southmead Hospital, North Bristol NHS Trust, Bristol, UK.
Karen E BowkerDepartment of Microbiology, Infection Sciences, Southmead Hospital, North Bristol NHS Trust, Bristol, UK.
O Martin WilliamsBristol Royal Infirmary, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Philip B WilliamsBristol Royal Infirmary, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
David C BarrettBristol Veterinary School, University of Bristol, Bristol, UK.
Tristan A CoganBristol Veterinary School, University of Bristol, Bristol, UK.
Katy M TurnerBristol Veterinary School, University of Bristol, Bristol, UK.
Alasdair P MacGowanDepartment of Microbiology, Infection Sciences, Southmead Hospital, North Bristol NHS Trust, Bristol, UK.
Kristen K ReyherBristol Veterinary School, University of Bristol, Bristol, UK.ORCID 0000-0003-4912-5026
Matthew B AvisonSchool of Cellular & Molecular Medicine, University of Bristol, Bristol, UK.ORCID 0000-0003-1454-8440
University of Bristol · GBNorth Bristol NHS Trust · GBUniversity Hospitals Bristol NHS Foundation Trust · GB

Funding

Department of HealthMedical Research Council MR/T005408/1
6 · The paper itself

Abstract

backgroundOur primary aim was to test whether cattle-associated fluoroquinolone-resistant (FQ-R) Escherichia coli found on dairy farms are closely phylogenetically related to those causing bacteriuria in humans living in the same 50 × 50 km geographical region suggestive of farm-human sharing. Another aim was to identify risk factors for the presence of FQ-R E. coli on dairy farms.

methodsFQ-R E. coli were isolated during 2017-18 from 42 dairy farms and from community urine samples. Forty-two cattle and 489 human urinary isolates were subjected to WGS, allowing phylogenetic comparisons. Risk factors were identified using a Bayesian regularization approach.

resultsOf 489 FQ-R human isolates, 255 were also third-generation-cephalosporin-resistant, with strong genetic linkage between aac(6')Ib-cr and blaCTX-M-15. We identified possible farm-human sharing for pairs of ST744 and ST162 isolates, but minimal core genome SNP distances were larger between farm-human pairs of ST744 and ST162 isolates (71 and 63 SNPs, respectively) than between pairs of isolates from different farms (7 and 3 SNPs, respectively). Total farm fluoroquinolone use showed a positive association with the odds of isolating FQ-R E. coli, while total dry cow therapy use showed a negative association.

conclusionsThis work suggests that FQ-R E. coli found on dairy farms have a limited impact on community bacteriuria within the local human population. Reducing fluoroquinolone use may reduce the on-farm prevalence of FQ-R E. coli and this reduction may be greater when dry cow therapy is targeted to the ecology of resistant E. coli on the farm.

Indexed as

BacteriuriaEscherichia coli InfectionsAnimalsAnti-Bacterial AgentsBayes TheoremCattleEscherichia coliFarmsFemaleFluoroquinolonesHumansPhylogenyAnti-Bacterial AgentsFluoroquinolones

Identifiers

PMID34450630
PMCPMC8598280
OpenAlexW3194559567

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.