Evidence map›Paper›PMID 37978428›Full record

ArticleBMC microbiology2023

Wastewater from healthcare centers in Burkina Faso is a source of ESBL, AmpC-β-lactamase and carbapenemase-producing Escherichia coli and Klebsiella pneumoniae.

Zakaria Garba, Isidore O J Bonkoungou, Nadège O Millogo, H Magloire Natama, Pingdwendé A P Vokouma, Massa Dit A Bonko, Ibrahima Karama, Lagmêyesgo A W Tiendrebeogo, Kaisa Haukka, Halidou Tinto and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC microbiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 8% 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, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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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

12 authors at 3 institutions in 2 countries.

Zakaria GarbaDepartment of Biochemistry and Microbiology, Université Joseph KI-ZERBO, Ouagadougou, Burkina Faso. garbazakaria@gmail.com.
Isidore O J BonkoungouDepartment of Biochemistry and Microbiology, Université Joseph KI-ZERBO, Ouagadougou, Burkina Faso.
Nadège O MillogoClinical Research Unit of Nanoro, Institut de Recherche en Sciences de La Santé, Nanoro, Burkina Faso.
H Magloire NatamaClinical Research Unit of Nanoro, Institut de Recherche en Sciences de La Santé, Nanoro, Burkina Faso.
Pingdwendé A P VokoumaClinical Research Unit of Nanoro, Institut de Recherche en Sciences de La Santé, Nanoro, Burkina Faso.
Massa Dit A BonkoClinical Research Unit of Nanoro, Institut de Recherche en Sciences de La Santé, Nanoro, Burkina Faso.
Ibrahima KaramaClinical Research Unit of Nanoro, Institut de Recherche en Sciences de La Santé, Nanoro, Burkina Faso.
Lagmêyesgo A W TiendrebeogoClinical Research Unit of Nanoro, Institut de Recherche en Sciences de La Santé, Nanoro, Burkina Faso.
Kaisa HaukkaDepartment of Microbiology and Human Microbiome Research Program, University of Helsinki, Helsinki, Finland.
Halidou TintoClinical Research Unit of Nanoro, Institut de Recherche en Sciences de La Santé, Nanoro, Burkina Faso.
Lassana SangaréDepartment of Health Sciences, Université Joseph KI-ZERBO, Ouagadougou, Burkina Faso.
Nicolas BarroDepartment of Biochemistry and Microbiology, Université Joseph KI-ZERBO, Ouagadougou, Burkina Faso.
Institut de Recherche en Sciences de la Santé · BFUniversité Joseph Ki-Zerbo · BFUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtended-spectrum β-lactamase (ESBL), plasmid-mediated AmpC-β-lactamase and carbapenemase-producing Escherichia coli and Klebsiella pneumoniae have spread into the environment worldwide posing a potential public health threat. However, the prevalence data for low- and middle-income countries are still scarce. The aim of this study was to evaluate the presence of ESBL, AmpC-β-lactamase and carbapenemase-producing and multidrug-resistant E. coli and K. pneumoniae in wastewaters from healthcare centers in Burkina Faso.

resultsEighty-four (84) wastewater samples were collected from five healthcare centers and plated on selective ESBL ChromAgar. E. coli and Klebsiella pneumoniae isolates were identified using API20E. ESBL-producing bacteria were detected in 97.6% of the samples and their average concentration per hospital ranged from 1.10 × 10

conclusionsThis study showed that wastewater from healthcare centers constitutes a reservoir of multidrug-resistant bacteria in Burkina Faso, including carbapenemase producers. Untreated healthcare wastewater entering the environment exposes people and animals to infections caused by these multi-resistant bacteria, which are difficult to treat, especially in the resource-poor settings.

Indexed as

Carbapenem-Resistant EnterobacteriaceaeEscherichia coli InfectionsAnimalsAnti-Bacterial AgentsBacteriaBacterial Proteinsbeta-LactamasesBurkina FasoEscherichia coliHumansKlebsiella pneumoniaeMicrobial Sensitivity TestsWastewaterAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasescarbapenemaseWastewaterAmpC-β-lactamaseBurkina FasoCarbapenemasesE. coliESBLHospital wastewaterKlebsiella pneumoniaeMultidrug-resistance

Identifiers

PMID37978428
PMCPMC10655474
OpenAlexW4388765031

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.