Evidence map›Paper›PMID 34853032›Full record

ArticleBMJ global health2021

Antimicrobial use and resistance data in human and animal sectors in the Lao PDR: evidence to inform policy.

Vilada Chansamouth, Mayfong Mayxay, David Ab Dance, Tamalee Roberts, Rattanaxay Phetsouvanh, Bouakham Vannachone, Manivanh Vongsouvath, Viengmon Davong, Phout Inthavong, Syseng Khounsy and 8 more

Abstract read
In one paragraph

Article in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Global Variation inAntibiotics (Basel, Switzerland) · 2024
    Article
  9. Investigation ofOne health (Amsterdam, Netherlands) · 2024
    Article
  10. Scaling up One Health: A network analysis in Lao PDR.One health (Amsterdam, Netherlands) · 2024
    Article
  11. Review
  12. Article
  13. Article
  14. Detection ofWellcome open research · 2023
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

18 authors.

Vilada ChansamouthMicrobiology Laboratory, Mahosot Hospital, Vientiane, Lao People's Democratic Republic vilada@tropmedres.ac.ORCID 0000-0003-3049-784X
Mayfong MayxayLao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Mahosot Hospital, Vientiane, Lao People's Democratic Republic.ORCID 0000-0002-6056-4516
David Ab DanceLao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Mahosot Hospital, Vientiane, Lao People's Democratic Republic.ORCID 0000-0001-9189-7244
Tamalee RobertsLao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Mahosot Hospital, Vientiane, Lao People's Democratic Republic.ORCID 0000-0001-8599-737X
Rattanaxay PhetsouvanhDepartment of Communicable Disease Control, Ministry of Health, Vientiane, Lao People's Democratic Republic.
Bouakham VannachoneDepartment of Communicable Disease Control, Ministry of Health, Vientiane, Lao People's Democratic Republic.
Manivanh VongsouvathMicrobiology Laboratory, Mahosot Hospital, Vientiane, Lao People's Democratic Republic.
Viengmon DavongMicrobiology Laboratory, Mahosot Hospital, Vientiane, Lao People's Democratic Republic.
Phout InthavongDepartment of Livestock and Fisheries, Ministry of Agriculture, Vientiane, Lao People's Democratic Republic.
Syseng KhounsyDepartment of Livestock and Fisheries, Ministry of Agriculture, Vientiane, Lao People's Democratic Republic.
Bounxou KeohavongDepartment of Food and Drug, Ministry of Health, Vientiane, Lao People's Democratic Republic.
Valy KeoluangkhotInfectious Disease Center, Mahosot Hospital, Vientiane, Lao People's Democratic Republic.
Khamla ChoumlivongSetthathirath Hospital, Vientiane, Lao People's Democratic Republic.
Nicholas Pj DayCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID 0000-0003-2309-1171
Paul TurnerCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID 0000-0002-1013-7815
Elizabeth A AshleyLao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Mahosot Hospital, Vientiane, Lao People's Democratic Republic.ORCID 0000-0002-7620-4822
H Rogier van DoornCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID 0000-0002-9807-1821
Paul N NewtonLao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Mahosot Hospital, Vientiane, Lao People's Democratic Republic.ORCID 0000-0002-4608-6431

Funding

Wellcome TrustWellcome Trust 214207/Z/18/Z
6 · The paper itself

Abstract

objectivesTo review the scientific evidence base on antimicrobial use (AMU) and antimicrobial resistance (AMR) in human and animal sectors in the Lao PDR (Laos).

methodsWe reviewed all publications from July 1994 (the first article describing AMR in Laos) to December 2020. Electronic searches were conducted using Google Scholar and PubMed with specific terms relating to AMR and AMU in Lao, French and English languages.

findingsWe screened 1,357 peer-reviewed and grey reports by title and abstract and then full articles/reports. Of 80 included, 66 (83%) related to human health, nine (11%) to animal health, four (5%) to both animal and human health and one (1%) to the environment. Sixty-two (78%) were on AMR and 18 (22%) on AMU. Extended spectrum beta lactamase-producing

conclusionAMR in Laos is occurring at relatively low proportions for some GLASS pathogens, giving the country a window of opportunity to act quickly to implement strategies to protect the population from a worsening situation. Urgent interventions to roll out new guidelines with enhanced one-health antibiotic stewardship, reduce antibiotic use without prescriptions, enhance surveillance and improve understanding of AMU and AMR are needed.

Indexed as

Anti-Infective AgentsMethicillin-Resistant Staphylococcus aureusAnimalsAnti-Bacterial AgentsDrug Resistance, BacterialHumansLanguageLaosPolicyAnti-Bacterial AgentsAnti-Infective Agentsepidemiologymedical microbiologypublic healthreview

Identifiers

PMID34853032
PMCPMC8638151

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.