Evidence map›Paper›PMID 40170057›Full record

ArticleInfectious diseases of poverty2025

Factors associated with clinical antimicrobial resistance in China: a nationwide analysis.

Wenyong Zhou, Zexuan Wen, Wenlong Zhu, Jiali Gu, Jing Wei, Haiyan Xiong, Weibing Wang

Abstract read
In one paragraph

Article in Infectious diseases of poverty, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Climate change and antimicrobial resistance.Nature reviews. Microbiology · 2026
    Review
  2. Article
  3. Review
  4. AnalyzingInfection and drug resistance · 2025
    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

7 authors.

Wenyong Zhou *Shanghai Institute of Infectious Disease and Biosecurity, School of Public Health, Fudan University, Shanghai, 200032, China.
Zexuan Wen *Shanghai Institute of Infectious Disease and Biosecurity, School of Public Health, Fudan University, Shanghai, 200032, China.
Wenlong Zhu *Fuwai Yunnan Hospital, Chinese Academy of Medical Sciences, Affiliated Cardiovascular Hospital of Kunming Medical University, Kunming, China.
Jiali GuSchool of Software Engineering, University of Science and Technology of China, Hefei, 230051, China.
Jing WeiDepartment of Atmospheric and Oceanic Science, Earth System Science Interdisciplinary Center, University of Maryland, College Park, MD, USA.
Haiyan XiongKey Laboratory of Health Technology Assessment, National Health and Family Planning Commission of the People'S Republic of China, Fudan University, Shanghai, 200032, China. haiyanxiong@fudan.edu.cn.
Weibing WangShanghai Institute of Infectious Disease and Biosecurity, School of Public Health, Fudan University, Shanghai, 200032, China. wwb@fudan.edu.cn.ORCID http://orcid.org/0000-0002-4497-5251

Funding

National Natural Science Foundation of China 82073612the Three-year Action Program of Shanghai Municipality for Strengthening the Construction of Public Health System (2023-2025) GWVI-11.1-03
6 · The paper itself

Abstract

backgroundAntimicrobial resistance (AMR) represents a critical global health threat, necessitating the identification of factors that contribute to its emergence and proliferation. We used a "One Health" perspective to evaluate the association of human and veterinary antibiotic usage, environmental factors, socio-economic factors, and health care factors with clinical AMR in China.

methodsWe analyzed data from 31 provincial-level administrative divisions in China, encompassing 20,762,383 bacterial isolates sourced from the China Antimicrobial Resistance Surveillance System dataset between 2014 and 2022. A

resultsAMR had positive associations with human antibiotic usage, veterinary antibiotic usage, particulate matter smaller than 2.5 µm (PM

conclusionsThe study highlights the complex and multi-dimensional nature of AMR in China and finds PM

Indexed as

Anti-Bacterial AgentsBacteriaDrug Resistance, BacterialAnimalsChinaHumansSocioeconomic FactorsAnti-Bacterial AgentsAntimicrobial resistanceChinaInfluencing factorOne Health

Identifiers

PMID40170057
PMCPMC11959846

What OpenQuestion holds

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LicenceCC BY
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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.