Evidence map›Paper›PMID 35468830›Full record

SynthesisAntimicrobial resistance and infection control2022

Global status of antimicrobial resistance among environmental isolates of Vibrio cholerae O1/O139: a systematic review and meta-analysis.

Xin-Hui Yuan, Yu-Mei Li, Ali Zaman Vaziri, Vahab Hassan Kaviar, Yang Jin, Yu Jin, Abbas Maleki, Nazanin Omidi, Ebrahim Kouhsari

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Antimicrobial resistance and infection control, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Genome-wide investigation of outbreak-associatedFrontiers in microbiology · 2026
    Article
  5. Article
  6. Article
  7. Antimicrobial Resistance in Sub-Saharan Africa: A Comprehensive Landscape Review.The American journal of tropical medicine and hygiene · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Resistance ofFrontiers in pharmacology · 2023
    Review
  19. Review
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

9 authors at 5 institutions in 2 countries.

Xin-Hui YuanThe First Hospital of Lanzhou University, Lanzhou, 730000, China.
Yu-Mei LiThe First Hospital of Lanzhou University, Lanzhou, 730000, China.
Ali Zaman VaziriDepartment of Genetics, Faculty of Advanced Science and Technology, Tehran Medical Science, Islamic Azad University, Tehran, Iran.
Vahab Hassan KaviarClinical Microbiology Research Center, Ilam University of Medical Sciences, Ilam, Iran.
Yang JinNanjing Children's Hospital Affiliated to Nanjing Medical University, Nanjing, 210008, China.
Yu JinNanjing Children's Hospital Affiliated to Nanjing Medical University, Nanjing, 210008, China. jinyucp@126.com.
Abbas MalekiClinical Microbiology Research Center, Ilam University of Medical Sciences, Ilam, Iran.
Nazanin OmidiClinical Microbiology Research Center, Ilam University of Medical Sciences, Ilam, Iran.
Ebrahim KouhsariLaboratory Sciences Research Center, Faculty of Paramedical Sciences, Golestan University of Medical Sciences, Gorgan, Iran. dr.kouhsari@goums.ac.ir.ORCID 0000-0001-5893-6483
Medical University of Ilam · IRNanjing Children's Hospital · CNFirst Hospital of Lanzhou University · CNGolestan University · IRIslamic Azad University Medical Branch of Tehran · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVibrio cholerae O1/O139 were the predominant circulating serogroups exhibiting multi-drug resistance (MDR) during the cholera outbreak which led to cholera treatment failures.

objectiveThis meta-analysis aimed to evaluate the weighted pooled resistance (WPR) rates in V. cholerae O1/O139 isolates obtained from environmental samples.

methodsWe systematically searched the articles in PubMed, Scopus, and Embase (until January 2020). Subgroup analyses were then employed by publication year, geographic areas, and the quality of studies. Statistical analyses were conducted using STATA software (ver. 14.0).

resultsA total of 20 studies investigating 648 environmental V. cholerae O1/O139 isolates were analysed. The majority of the studies were originated from Asia (n = 9). In addition, a large number of studies (n = 15 i.e. 71.4%) included in the meta-analysis revealed the resistance to cotrimoxazole and ciprofloxacin. The WPR rates were as follows: cotrimoxazole 59%, erythromycin 28%, tetracycline 14%, doxycycline 5%, and ciprofloxacin 0%. There was increased resistance to nalidixic acid, cotrimoxazole, furazolidone, and tetracycline while a decreased resistance to amoxicillin, ciprofloxacin, erythromycin, chloramphenicol, ampicillin, streptomycin, and ceftriaxone was observed during the years 2000-2020. A significant decrease in the doxycycline and ciprofloxacin-resistance rates in V. cholerae O1/O139 isolates was reported over the years 2011-2020 which represents a decrease in 2001-2010 (p < 0.05).

conclusionsFluoroquinolones, gentamicin, ceftriaxone, doxycycline, kanamycin, and cefotaxime showed the highest effectiveness and the lowest resistance rate. However, the main interest is the rise of antimicrobial resistance in V. cholerae strains especially in low-income countries or endemic areas, and therefore, continuous surveillance, careful appropriate AST, and limitation on improper antibiotic usage are crucial.

Indexed as

CholeraVibrio cholerae O1Vibrio cholerae O139Anti-Bacterial AgentsCeftriaxoneCiprofloxacinDoxycyclineDrug Resistance, BacterialErythromycinHumansMicrobial Sensitivity TestsTrimethoprim, Sulfamethoxazole Drug CombinationAnti-Bacterial AgentsCeftriaxoneCiprofloxacinDoxycyclineErythromycinTrimethoprim, Sulfamethoxazole Drug CombinationAntibiotic resistanceEnvironmental V. cholerae O1/O139Systematic review and meta-analysis

Identifiers

PMID35468830
PMCPMC9036709
OpenAlexW4224315244

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.