Evidence map›Paper›PMID 36961866›Full record

ArticleeLife2023

Enterobacterales plasmid sharing amongst human bloodstream infections, livestock, wastewater, and waterway niches in Oxfordshire, UK.

William Matlock, Samuel Lipworth, Kevin K Chau, Manal AbuOun, Leanne Barker, James Kavanagh, Monique Andersson, Sarah Oakley, Marcus Morgan, Derrick W Crook and 5 more

Abstract read
In one paragraph

Article in eLife, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Article
  2. Article
  3. TheMicrobial genomics · 2026
    Article
  4. Review
  5. Review
  6. Comparative metagenomics using pan-metagenomic graphs.bioRxiv : the preprint server for biology · 2025
    Article
  7. ACCIO: An Assembly-Based Tool Enabling Plasmid Detection.medRxiv : the preprint server for health sciences · 2025
    Article
  8. Article
  9. Plasmid genomic epidemiology ofMicrobial genomics · 2025
    Article
  10. Co-carriage of diverse vancomycin-resistantJAC-antimicrobial resistance · 2025
    Article
  11. Article
  12. Review
  13. Integration sites ofFrontiers in microbiology · 2025
    Article
  14. Surveillance ofInternational journal of food science · 2025
    Article
  15. Article
  16. Towards quantifying plasmid similarity.Microbial genomics · 2024
    Review
  17. Article
  18. Article
  19. Article
  20. 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

15 authors.

William Matlock *Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.ORCID 0000-0001-5608-0423
Samuel Lipworth *Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Kevin K ChauNuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Manal AbuOunAnimal and Plant Health Agency, Addlestone, United Kingdom.
Leanne BarkerNuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
James KavanaghNuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Monique AnderssonOxford University Hospitals NHS Trust, Oxford, United Kingdom.
Sarah OakleyOxford University Hospitals NHS Trust, Oxford, United Kingdom.
Marcus MorganOxford University Hospitals NHS Trust, Oxford, United Kingdom.
Derrick W CrookNuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.ORCID 0000-0002-0590-2850
Daniel S ReadCentre for Ecology and Hydrology, Wallingford, United Kingdom.
Muna AnjumAnimal and Plant Health Agency, Addlestone, United Kingdom.
Liam P Shaw *Department of Biology, University of Oxford, Oxford, United Kingdom.
Nicole Stoesser *Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.ORCID 0000-0002-4508-7969
REHAB Consortium

Funding

MRF MRF-145-0004-TPG-AVISOMRF_ MRF-145-0004-TPG-AVISOWellcome TrustWellcome Trust 203141/Z/16/ZWellcome Trust 220422/Z/20/Z
6 · The paper itself

Abstract

Plasmids enable the dissemination of antimicrobial resistance (AMR) in common Enterobacterales pathogens, representing a major public health challenge. However, the extent of plasmid sharing and evolution between Enterobacterales causing human infections and other niches remains unclear, including the emergence of resistance plasmids. Dense, unselected sampling is essential to developing our understanding of plasmid epidemiology and designing appropriate interventions to limit the emergence and dissemination of plasmid-associated AMR. We established a geographically and temporally restricted collection of human bloodstream infection (BSI)-associated, livestock-associated (cattle, pig, poultry, and sheep faeces, farm soils) and wastewater treatment work (WwTW)-associated (influent, effluent, waterways upstream/downstream of effluent outlets) Enterobacterales. Isolates were collected between 2008 and 2020 from sites <60 km apart in Oxfordshire, UK. Pangenome analysis of plasmid clusters revealed shared 'backbones', with phylogenies suggesting an intertwined ecology where well-conserved plasmid backbones carry diverse accessory functions, including AMR genes. Many plasmid 'backbones' were seen across species and niches, raising the possibility that plasmid movement between these followed by rapid accessory gene change could be relatively common. Overall, the signature of identical plasmid sharing is likely to be a highly transient one, implying that plasmid movement might be occurring at greater rates than previously estimated, raising a challenge for future genomic One Health studies.

Indexed as

GammaproteobacteriaSepsisAnimalsAnti-Bacterial Agentsbeta-LactamasesCattleEscherichia coliHumansKlebsiella pneumoniaeLivestockMicrobial Sensitivity TestsPlasmidsSheepSwineUnited KingdomWastewaterAnti-Bacterial Agentsbeta-LactamasesWastewaterantimicrobial resistancebloodstream infectionsE. coliEnterobacteralesgeneticsgenomic epidemiologygenomicsinfectious diseaseK. pneumoniaemicrobiologyOne Healthplasmid

Identifiers

PMID36961866
PMCPMC10703447

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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.