Evidence map›Paper›PMID 38775752›Full record

ArticleThe Journal of antimicrobial chemotherapy2024

Azithromycin resistance in Escherichia coli and Salmonella from food-producing animals and meat in Europe.

Mirena Ivanova, Armen Ovsepian, Pimlapas Leekitcharoenphon, Anne Mette Seyfarth, Hanne Mordhorst, Saria Otani, Sandra Koeberl-Jelovcan, Mihail Milanov, Gordan Kompes, Maria Liapi and 38 more

Abstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Antibiofilm efficacy of phage W5 against antimicrobial-resistantApplied and environmental microbiology · 2026
    Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Human-associated NDM-5-producing multidrug-resistantFrontiers in bioinformatics · 2026
    Article
  9. Article
  10. Review
  11. Emergence of carbapenem-resistantMicrobiology spectrum · 2025
    Article
  12. Article
  13. Antibiotic-ResistantAntibiotics (Basel, Switzerland) · 2025
    Article
  14. 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

48 authors.

Mirena IvanovaEuropean Union Reference Laboratory for Antimicrobial Resistance (EURL-AR), Research Group for Global Capacity Building, Technical University of Denmark, Kongens Lyngby, Denmark.
Armen OvsepianEuropean Union Reference Laboratory for Antimicrobial Resistance (EURL-AR), Research Group for Global Capacity Building, Technical University of Denmark, Kongens Lyngby, Denmark.ORCID 0000-0001-5472-3747
Pimlapas LeekitcharoenphonResearch Group for Genomic Epidemiology, Technical University of Denmark, Kongens Lyngby, Denmark.ORCID 0000-0002-5674-0142
Anne Mette SeyfarthEuropean Union Reference Laboratory for Antimicrobial Resistance (EURL-AR), Research Group for Global Capacity Building, Technical University of Denmark, Kongens Lyngby, Denmark.
Hanne MordhorstResearch Group for Genomic Epidemiology, Technical University of Denmark, Kongens Lyngby, Denmark.
Saria OtaniResearch Group for Genomic Epidemiology, Technical University of Denmark, Kongens Lyngby, Denmark.
Sandra Koeberl-JelovcanAustrian Agency for Health and Food Safety, Graz, Austria.
Mihail MilanovNational Diagnostic and Research Veterinary Institute, Sofia, Bulgaria.
Gordan KompesCroatian Veterinary Institute, Zagreb, Croatia.
Maria LiapiBacteriology Serology Laboratory, Veterinary Services, Cyprus.
Tomáš ČernýState Veterinary Institute, Prague, Czech Republic.
Camilla Thougaard VesterDanish Veterinary and Food Administration, Ringsted, Denmark.
Agnès Perrin-GuyomardFrench Agency for Food, Environmental and Occupational Health & Safety, Maisons-Alfort, France.
Jens A HammerlGerman Federal Institute for Risk Assessment, Berlin, Germany.ORCID 0000-0002-6930-4358
Mirjam GrobbelGerman Federal Institute for Risk Assessment, Berlin, Germany.
Eleni ValkanouVeterinary Laboratory of Chalkis, Chalkis, Greece.
Szilárd JánosiNational Food Chain Safety Office, Veterinary Diagnostic Directorate, Budapest, Hungary.
Rosemarie SloweyCentral Veterinary Research Laboratory, Kildare, Ireland.
Patricia AlbaIstituto Zooprofilattico Sperimentale del Lazio e della Toscana 'M. Aleandri', Rome, Italy.ORCID 0000-0002-9621-0955
Virginia CarforaIstituto Zooprofilattico Sperimentale del Lazio e della Toscana 'M. Aleandri', Rome, Italy.ORCID 0000-0002-3835-4723
Jelena AvsejenkoInstitute of Food Safety, Animal Health and Environment BIOR, Riga, Latvia.
Asta PereckieneNational Food and Veterinary Risk Assessment Institute, Vilnius, Lithuania.
Dominique ClaudeLaboratoire de Médecine Vétérinaire de l'État, Dudelange, Luxembourg.
Renato ZerafaPublic Health Laboratory, Valletta, Malta.
Kees T VeldmanWageningen Bioveterinary Research, Part of Wageningen University & Research, Lelystad, Netherlands.
Cécile BolandSciensano, Brussels, Belgium.
Cristina Garcia-GraellsSciensano, Brussels, Belgium.
Pierre WattiauSciensano, Brussels, Belgium.
Patrick ButayeDepartment of Pathobiology, Ghent University, Merelbeke, Belgium.ORCID 0000-0003-0780-6384
Magdalena ZającNational Veterinary Research Institute, Pulawy, Poland.ORCID 0000-0002-8155-7614
Ana AmaroInstituto Nacional de Investigação Agrária e Veterinária, Oeiras, Portugal.
Lurdes ClementeInstituto Nacional de Investigação Agrária e Veterinária, Oeiras, Portugal.
Angela M VaduvaInstitute for Hygiene and Veterinary Public Health, Bucharest, Romania.
Luminita-Maria RomascuInstitute for Diagnosis and Animal Health, Bucharest, Romania.
Nicoleta-Manuela MilitaInstitute for Diagnosis and Animal Health, Bucharest, Romania.
Andrea MojžišováState Veterinary and Food Institute, Dolny Kubin, Slovakia.
Irena ZdovcInstitute for Microbiology and Parasitology, Ljubljana, Slovenia.
Maria Jesús Zamora EscribanoSpanish Agency for Food Safety and Nutrition, Madrid, Spain.
Cristina De Frutos EscobarSpanish Agency for Food Safety and Nutrition, Madrid, Spain.
Gudrun OvereschVetsuisse Faculty, Institute of Veterinary Bacteriology, University of Bern, Bern, Switzerland.
Christopher TealeAnimal & Plant Health Agency, Weybridge, UK.
Guy H LoneraganSchool of Veterinary Medicine, Texas Tech University, Amarillo, TX, USA.
Beatriz GuerraEuropean Food Safety Authority, Parma, Italy.
Pierre Alexandre BeloeilEuropean Food Safety Authority, Parma, Italy.
Amanda M V BrownDepartment of Biological Sciences, Texas Tech University, Lubbock, TX, USA.
Rene S HendriksenEuropean Union Reference Laboratory for Antimicrobial Resistance (EURL-AR), Research Group for Global Capacity Building, Technical University of Denmark, Kongens Lyngby, Denmark.
Valeria BortolaiaEuropean Union Reference Laboratory for Antimicrobial Resistance (EURL-AR), Research Group for Global Capacity Building, Technical University of Denmark, Kongens Lyngby, Denmark.
Jette Sejer KjeldgaardEuropean Union Reference Laboratory for Antimicrobial Resistance (EURL-AR), Research Group for Global Capacity Building, Technical University of Denmark, Kongens Lyngby, Denmark.

Funding

European Union Reference Laboratory for Antimicrobial Resistance
6 · The paper itself

Abstract

objectivesTo characterize the genetic basis of azithromycin resistance in Escherichia coli and Salmonella collected within the EU harmonized antimicrobial resistance (AMR) surveillance programme in 2014-18 and the Danish AMR surveillance programme in 2016-19.

methodsWGS data of 1007 E. coli [165 azithromycin resistant (MIC > 16 mg/L)] and 269 Salmonella [29 azithromycin resistant (MIC > 16 mg/L)] were screened for acquired macrolide resistance genes and mutations in rplDV, 23S rRNA and acrB genes using ResFinder v4.0, AMRFinder Plus and custom scripts. Genotype-phenotype concordance was determined for all isolates. Transferability of mef(C)-mph(G)-carrying plasmids was assessed by conjugation experiments.

resultsmph(A), mph(B), mef(B), erm(B) and mef(C)-mph(G) were detected in E. coli and Salmonella, whereas erm(C), erm(42), ere(A) and mph(E)-msr(E) were detected in E. coli only. The presence of macrolide resistance genes, alone or in combination, was concordant with the azithromycin-resistant phenotype in 69% of isolates. Distinct mph(A) operon structures were observed in azithromycin-susceptible (n = 50) and -resistant (n = 136) isolates. mef(C)-mph(G) were detected in porcine and bovine E. coli and in porcine Salmonella enterica serovar Derby and Salmonella enterica 1,4, [5],12:i:-, flanked downstream by ISCR2 or TnAs1 and associated with IncIγ and IncFII plasmids.

conclusionsDiverse azithromycin resistance genes were detected in E. coli and Salmonella from food-producing animals and meat in Europe. Azithromycin resistance genes mef(C)-mph(G) and erm(42) appear to be emerging primarily in porcine E. coli isolates. The identification of distinct mph(A) operon structures in susceptible and resistant isolates increases the predictive power of WGS-based methods for in silico detection of azithromycin resistance in Enterobacterales.

Indexed as

Anti-Bacterial AgentsAzithromycinDrug Resistance, BacterialEscherichia coliMeatMicrobial Sensitivity TestsSalmonellaAnimalsEpidemiological MonitoringEscherichia coli InfectionsEuropeGenes, BacterialGenotypeMacrolidesPlasmidsSwineAnti-Bacterial AgentsAzithromycinMacrolides

Identifiers

PMID38775752
PMCPMC11215539

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