Evidence map›Paper›PMID 42368926›Full record

ArticleFrontiers in public health2026

Antimicrobial resistance in nontyphoidal

Marisa Wong, Laura Ford, G Sean Stapleton, Meseret G Birhane, Louise K Francois Watkins, Zachary Ellison, Justin Kim, Jason P Folster, Hayat Caidi, Megin Nichols and 2 more

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Marisa WongDivision of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Laura FordDivision of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
G Sean StapletonDivision of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Meseret G BirhaneDivision of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Louise K Francois WatkinsDivision of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Zachary EllisonDivision of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Justin KimDivision of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Jason P FolsterDivision of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Hayat CaidiDivision of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Megin NicholsDivision of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Cary KrugDivision of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Allison E JamesDivision of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: State and local health departments and the Centers for Disease Control and Prevention (CDC) routinely investigate multistate outbreaks of salmonellosis associated with backyard poultry (BYP). Here, we describe antimicrobial resistance in multistate outbreaks of nontyphoidal salmonellosis associated with BYP from 2018 to 2023. Methods: We analyzed patient and outbreak data from CDC's National Antimicrobial Resistance Monitoring System and System for Enteric Disease Response, Investigation, and Coordination databases. Isolate resistance was determined by antimicrobial susceptibility testing or predicted by whole genome sequencing. We classified isolates as resistant, multi-drug resistant (MDR; resistant to ≥3 antimicrobial classes), or having clinically relevant resistance (CRR; resistant to ampicillin, azithromycin, ceftriaxone, or trimethoprim-sulfamethoxazole; or nonsusceptibility to ciprofloxacin), and outbreaks as resistant, MDR, or CRR if ≥3 isolates and ≥10% of isolates met the corresponding resistance definitions. Statistical analyses comparing patient variables, outbreak size, and annual number of outbreaks with resistance status were performed. Results: Among 78 multistate BYP-associated salmonellosis outbreaks, 36 (46%) exhibited resistance, 10 (13%) were classified as MDR, and 12 (15%) were classified as CRR. Enteritidis was the most frequent serotype, causing 22 (28%) outbreaks; three were resistant (two CRR only outbreaks, one CRR and MDR outbreak). Among the 6,262 patient isolates included in multistate BYP-associated salmonellosis outbreaks, 2,248 (36%) were resistant, 209 (3%) were MDR, and 395 (6%) were CRR. Discussion: Although nearly half of BYP-associated salmonellosis outbreaks and one-third of outbreak isolates were resistant, CRR and MDR outbreaks and isolates were infrequent. Continued monitoring for antimicrobial resistance is warranted because of the persistence of BYP-associated salmonellosis and the potential for BYP to serve as a reservoir for resistant

Indexed as

Anti-Bacterial AgentsDisease OutbreaksDrug Resistance, Multiple, BacterialPoultryPoultry DiseasesSalmonellaSalmonella InfectionsSalmonella Infections, AnimalAnimalsHumansMicrobial Sensitivity TestsUnited StatesAnti-Bacterial Agentsantimicrobial resistancebackyard poultryOne HealthSalmonellazoonotic disease

Identifiers

PMID42368926
PMCPMC13303768

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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.