Evidence map›Paper›PMID 38272215›Full record

ArticleJournal of global antimicrobial resistance2024

Genomic resistant determinants of multidrug-resistant Campylobacter spp. isolates in Peru.

Francesca Schiaffino, Craig T Parker, Maribel Paredes Olortegui, Ben Pascoe, Katia Manzanares Villanueva, Paul F Garcia Bardales, Evangelos Mourkas, Steven Huynh, Pablo Peñataro Yori, Lucero Romaina Cachique and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of global antimicrobial resistance, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
7.0field-weighted citation impact, top 3% 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, 21 citations in OpenAlex.

  1. Enhancing surveillance of foodborne bacteria and antimicrobial resistance using a large centralized laboratory database: Case study of Campylobacter and nontyphoidal Salmonella in Peru.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026
    Article
  2. Article
  3. Article
  4. Identification of a core set ofMicrobiology (Reading, England) · 2026
    Article
  5. Phenotypic Resistance of Ciprofloxacin and Azithromycin ResistantbioRxiv : the preprint server for biology · 2026
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  6. Article
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  8. Review
  9. Pangenomic Characterization ofPathogens (Basel, Switzerland) · 2025
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  10. Article
  11. Review
  12. mBio · 2025
    Article
  13. Sharing ofmBio · 2025
    Article
  14. Mutation-based mechanism and evolution of the potent multidrug efflux pump RE-CmeABC inProceedings of the National Academy of Sciences of the United States of America · 2024
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  15. Article
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  18. Review
  19. Occurrence of Florfenicol and Linezolid Resistance and Emergence ofInternational journal of microbiology · 2024
    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 8 institutions in 3 countries.

Francesca SchiaffinoDivision of Infectious Diseases, University of Virginia, Charlottesville, Virginia; Faculty of Veterinary Medicine, Universidad Peruana Cayetano Heredia, San Martin de Porres, Lima, Peru.
Craig T ParkerAgricultural Research Service, U.S. Department of Agriculture, Produce Safety and Microbiology Research Unit, Albany, California.
Maribel Paredes OlorteguiAsociacion Benefica Prisma, Iquitos, Peru.
Ben PascoeIneos Oxford Institute for Antimicrobial Research, Department of Biology, University of Oxford, Oxford, United Kingdom; Centre for Genomic Pathogen Surveillance, Big Data Institute, University of Oxford, Oxford, United Kingdom.
Katia Manzanares VillanuevaAsociacion Benefica Prisma, Iquitos, Peru.
Paul F Garcia BardalesAsociacion Benefica Prisma, Iquitos, Peru.
Evangelos MourkasIneos Oxford Institute for Antimicrobial Research, Department of Biology, University of Oxford, Oxford, United Kingdom.
Steven HuynhAgricultural Research Service, U.S. Department of Agriculture, Produce Safety and Microbiology Research Unit, Albany, California.
Pablo Peñataro YoriDivision of Infectious Diseases, University of Virginia, Charlottesville, Virginia; Asociacion Benefica Prisma, Iquitos, Peru.
Lucero Romaina CachiqueAsociacion Benefica Prisma, Iquitos, Peru.
Hannah K GrayDepartment of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Guillermo SalvatierraSchool of Veterinary Medicine, Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas, Lima, Peru.
Hermann Silva DelgadoSchool of Medicine, Universidad Nacional de la Amazonia Peruana, Iquitos, Peru.
Samuel K SheppardIneos Oxford Institute for Antimicrobial Research, Department of Biology, University of Oxford, Oxford, United Kingdom.
Kerry K CooperSchool of Animal and Comparative Biomedical Sciences, University of Arizona, Tucson, Arizona; The BIO5 Institute, University of Arizona, Tucson, Arizona. Electronic address: kcooper@arizona.edu.
Margaret N KosekDivision of Infectious Diseases, University of Virginia, Charlottesville, Virginia; Asociacion Benefica Prisma, Iquitos, Peru. Electronic address: mkosek@virginia.edu.
Prisma · PEUniversity of Oxford · GBAgricultural Research Service · USJohns Hopkins University · USPeruvian University of Applied Sciences · PEUniversidad Nacional de la Amazonía Peruana · PEUniversidad Peruana Cayetano Heredia · PEUniversity of Arizona · US

Funding

Genomic Epidemiology of Campylobacter to Improve Disease Control in Low and Middle Income CountriesR01AI158576 · NIAID · UNIVERSITY OF VIRGINIA · PI KOSEK, MARGARET N · 2021 to 2025
$3.3M
Enabling Infectious Disease Research Capacity in the Peruvian AmazonD43TW010913 · FIC · UNIVERSITY OF VIRGINIA · PI Margaret N Kosek, MARIBEL PAREDES OLORTEGUI · 2018 to 2026
$2.8M
Genomic Epidemiology of Campylobacter in Poultry to Enable the Effective Control of Human Campylobacteriosis in a Middle Income CountryK43TW012298 · FIC · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI Francesca Schiaffino · 2022 to 2026
$811k
Genomic features of host adaptation of Campylobacter in low-income settingsR21AI163801 · NIAID · UNIVERSITY OF VIRGINIA · PI KOSEK, MARGARET N, PARKER, CRAIG THOMAS · 2022 to 2023
$378k
FIC NIH HHS D43 TW010913FIC NIH HHS K43 TW012298Medical Research Council MR/V001213/2NIAID NIH HHS R01 AI158576NIAID NIH HHS R21 AI163801
6 · The paper itself

Abstract

objectivesAntimicrobial resistant (AMR) Campylobacter is a global health threat; however, there is limited information on genomic determinants of resistance in low- and middle-income countries. We evaluated genomic determinants of AMR using a collection of whole genome sequenced Campylobacter jejuni and C. coli isolates from Iquitos, Peru.

methodsCampylobacter isolates from two paediatric cohort studies enriched with isolates that demonstrated resistance to ciprofloxacin and azithromycin were sequenced and mined for AMR determinants.

resultsThe gyrA mutation leading to the Thr86Ile amino acid change was the only gyrA mutation associated with fluoroquinolone resistance identified. The A2075G mutation in 23S rRNA was present, but three other 23S rRNA mutations previously associated with macrolide resistance were not identified. A resistant-enhancing variant of the cmeABC efflux pump genotype (RE-cmeABC) was identified in 36.1% (35/97) of C. jejuni genomes and 17.9% (12/67) of C. coli genomes. Mutations identified in the CmeR-binding site, an inverted repeat sequence in the cmeABC promoter region that increases expression of the operon, were identified in 24/97 C. jejuni and 14/67 C. coli genomes. The presence of these variants, in addition to RE-cmeABC, was noted in 18 of the 24 C. jejuni and 9 of the 14 C. coli genomes.

conclusionsBoth RE-cmeABC and mutations in the CmeR-binding site were strongly associated with the MDR phenotype in C. jejuni and C. coli. This is the first report of RE-cmeABC in Peru and suggests it is a major driver of resistance to the principal therapies used to treat human campylobacteriosis in this setting.

Indexed as

Anti-Bacterial AgentsCampylobacterChildDrug Resistance, BacterialGenomicsHumansMacrolidesPeruRNA, Ribosomal, 23SAnti-Bacterial AgentsMacrolidesRNA, Ribosomal, 23SAntibiotic resistanceCampylobacteriosisGastroenteritisIquitosWhole genome sequencing

Identifiers

PMID38272215
PMCPMC11092888
OpenAlexW4391151914

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.