Evidence map›Paper›PMID 40307838›Full record

Observational studyCritical care (London, England)2025

Elevated antibiotic resistance gene abundance of ICU healthcare workers, a multicentre, cross-sectional study.

Lingtong Huang, Kangchen Li, Chen Peng, Silan Gu, Xiaohan Huang, Chunhua Gao, Xindie Ren, Minghui Cheng, Guojun He, Yinghe Xu and 12 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Critical care (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06228248 (Characterizing the Differences in Gut Microbiome Antibiotics Resistance Gene Between Healthcare Workers and the Healthy Population), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT06228248 completednot on this map

Characterizing the Differences in Gut Microbiome Antibiotics Resistance Gene Between Healthcare Workers and the Healthy Population

Typeobservational_patient_registrySponsorFirst Affiliated Hospital of Zhejiang UniversityRan2024 to 2024Enrolled250ConditionsMultidrug Resistant Bacterial InfectionArmsmetagenomics
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

22 authors.

Lingtong Huang *Department of Critical Care Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. lingtonghuang@zju.edu.cn.
Kangchen Li *Department of Critical Care Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Chen Peng *MOE Key Laboratory of Biosystems Homeostasis & Protection, and Zhejiang Provincial Key Laboratory of Cancer Molecular Cell Biology, Life Sciences Institute, Zhejiang University, Hangzhou, 310030, Zhejiang, China.
Silan Gu *State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Xiaohan Huang *Department of Critical Care Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Chunhua Gao *Department of Critical Care Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Xindie RenDepartment of Critical Care Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Minghui ChengMOE Key Laboratory of Biosystems Homeostasis & Protection, and Zhejiang Provincial Key Laboratory of Cancer Molecular Cell Biology, Life Sciences Institute, Zhejiang University, Hangzhou, 310030, Zhejiang, China.
Guojun HeDepartment of Critical Care Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Yinghe XuDepartment of Critical Care Medicine, Taizhou Hospital of Zhejiang Province Affiliated with Wenzhou Medical University, Taizhou, China.
Yongpo JiangDepartment of Critical Care Medicine, Taizhou Hospital of Zhejiang Province Affiliated with Wenzhou Medical University, Taizhou, China.
Hongyu WangDepartment of Emergency Intensive Care Unit, The Fifth Clinical Medical College of Henan University of Chinese Medicine, Zhengzhou, China.
Mingqiang WangHenan Key Laboratory for Critical Care Medicine, Zhengzhou Key Laboratory for Critical Care Medicine, Department of Critical Care Medicine Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, Zhengzhou, China.
Peng ShenDepartment of Critical Care Medicine, The First Hospital of Jiaxing, Jiaxing, China.
Qianqian WangDepartment of Critical Care Medicine, The First Hospital of Jiaxing, Jiaxing, China.
Xuwei HeDepartment of Critical Care Medicine, Lishui People's Hospital, Lishui, China.
Lin ZhongDepartment of Critical Care Medicine, The First People's Hospital of Pinghu, Pinghu, China.
Shengfeng WangDepartment of Critical Care Medicine, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Nan WangDepartment of Critical Care Medicine, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Gensheng ZhangDepartment of Critical Care Medicine, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. genshengzhang@zju.edu.cn.
Hongliu CaiDepartment of Critical Care Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. 1193001@zju.edu.cn.
Chao JiangMOE Key Laboratory of Biosystems Homeostasis & Protection, and Zhejiang Provincial Key Laboratory of Cancer Molecular Cell Biology, Life Sciences Institute, Zhejiang University, Hangzhou, 310030, Zhejiang, China. jiang_chao@zju.edu.cn.

Funding

National Health Commission Scientific Research Fund - Zhejiang Provincial Health Major Science and Technology Plan Project WKJ-ZJ-2526National Key Research and Development Program 2021YFA1301001National Natural Science Foundation of China 82202356, 82341109, and 82173645"Pioneer" and "Leading Goose" R&D Program of Zhejiang 2025C02090Zhejiang Provincial Natural Science Fund LTGY24H190001
6 · The paper itself

Abstract

objectiveStudies suggest that the colonization of multidrug-resistant organism in the gut of healthcare workers is similar to that of healthy individuals. However, due to exposure to medical environments, is the abundance of antibiotic resistance genes (ARG) in the gut of ICU healthcare workers higher than that of healthy individuals?

designProspective, multicentre, cross-sectional study.

settingEight medical centers in China, recruiting from January 2024 to February 2024.

participants303 Healthy people (201 ICU healthcare workers and 103 healthy controls) were screened and 290 Healthy people (191 ICU healthcare workers and 99 healthy controls) were included in analysis.

main outcome measuresFecal samples were collected and subjected to metagenomic sequencing. We compared the total ARG abundance, ARG diversity, and gut microbiome composition between the two groups.

resultsAfter adjusting for age, sex, and body mass index, ICU healthcare workers exhibited a significantly higher total ARG abundance compared to healthy controls (fold change = 1.22, 95% CI: 1.12-1.34, p < 0.001). The β-diversity of ARG between the two groups differed significantly (p = 0.001). No significant linear or nonlinear relationship was observed between the duration of ICU occupational exposure and ARG abundance (p for overall = 0.96, p for nonlinear = 0.84).

conclusionIn this prospective, multicenter study, we found that ICU healthcare workers exhibit significantly higher gut ARGs abundance compared to healthy controls. Meanwhile, ICU healthcare workers, including physicians, nurses, and nursing assistants, have a different composition of gut ARGs compared to healthy individuals.

trial registrationNCT06228248.

Indexed as

Drug Resistance, MicrobialHealth PersonnelAdultChinaCross-Sectional StudiesFecesFemaleGastrointestinal MicrobiomeHumansIntensive Care UnitsMaleMiddle AgedProspective StudiesAntibiotic resistance genesARGESKAPEHealthcare worker

Identifiers

PMID40307838
PMCPMC12042561

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LicenceCC BY-NC-ND
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Registered trials

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.