Evidence map›Paper›PMID 40671289›Full record

ArticleThe Journal of antimicrobial chemotherapy2025

Highly drug-resistant Vibrio cholerae harbouring blaPER-7 isolated from travellers returning to England.

Satheesh Nair, Clare R Barker, Vineet Patel, Ching-Ying Poh, David R Greig, Israel Olonade, Paolo Ribeca, Claire Jenkins

Abstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Genome-wide investigation of outbreak-associatedFrontiers in microbiology · 2026
    Article
  2. Whole Genome Sequencing of Drug-ResistantPathogens (Basel, Switzerland) · 2025
    Article
  3. Cholera due to exposure in Europe associated with consumption of holy water from Ethiopia, January to February 2025.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 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

8 authors.

Satheesh NairGastrointestinal Bacteria Reference Unit, UK Health Security Agency, London NW9 5HT, UK.
Clare R BarkerGastrointestinal Bacteria Reference Unit, UK Health Security Agency, London NW9 5HT, UK.
Vineet PatelGastrointestinal Bacteria Reference Unit, UK Health Security Agency, London NW9 5HT, UK.
Ching-Ying PohGastrointestinal Bacteria Reference Unit, UK Health Security Agency, London NW9 5HT, UK.
David R GreigGastrointestinal Bacteria Reference Unit, UK Health Security Agency, London NW9 5HT, UK.
Israel OlonadeGastrointestinal Bacteria Reference Unit, UK Health Security Agency, London NW9 5HT, UK.
Paolo RibecaGastrointestinal Bacteria Reference Unit, UK Health Security Agency, London NW9 5HT, UK.ORCID 0000-0001-5599-3933
Claire JenkinsGastrointestinal Bacteria Reference Unit, UK Health Security Agency, London NW9 5HT, UK.

Funding

National Institute for Health and Care Research Health Protection Research UnitNewcastle UniversityUK Health Security AgencyUniversity of East Anglia
6 · The paper itself

Abstract

objectivesThe current, seventh cholera pandemic (7PET) is notably different from the previous six, owing to its rapid global spread and increased transmission of antimicrobial resistance. The global emergence of MDR Vibrio cholerae is a public health concern. We aimed to interrogate WGS data from V. cholerae isolates referred to the UK Health Security Agency (formerly Public Health England, PHE) for the presence of blaPER-7 encoding resistance to the extended-spectrum cephalosporins.

methodsWe reviewed 161 genomes of V. cholerae isolated between 2019 and 2024 from travellers returning to the UK, screening this dataset for resistance to the extended-spectrum cephalosporins encoded by blaPER-7.

resultsWe identified 3/51 V. cholerae O1 ST69 isolates and 1/110 non-O1 isolate belonging to ST555, harbouring blaPER-7 alongside mph(A), encoding azithromycin resistance. Long-read sequencing confirmed that both these genes were on a YemVchMDR1 element, that also possessed an MDR island carrying genes encoding resistance to aminoglycosides, sulphonamides and florfenicol. This element was located on an IncC plasmid in the ST69 O1 isolates but had inserted into the chromosome of the non-O1 isolate.

conclusionsPublic health institutions have the ability and responsibility to monitor the burden and spread of highly drug-resistant V. cholerae via passive surveillance, informing clinical guidance, empirical treatment and travel advice.

Indexed as

Anti-Bacterial Agentsbeta-LactamasesCholeraDrug Resistance, Multiple, BacterialVibrio choleraeCephalosporinsEnglandGenome, BacterialHumansMicrobial Sensitivity TestsPlasmidsTravelWhole Genome SequencingAnti-Bacterial Agentsbeta-LactamasesCephalosporins

Identifiers

PMID40671289
PMCPMC12404714

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.