↓ Skip to main content

Investigating the impact of poverty on colonization and infection with drug-resistant organisms in humans: a systematic review

Overview of attention for article published in Infectious Diseases of Poverty, August 2018
Altmetric Badge

Mentioned by

blogs
1 blog
twitter
56 X users

Readers on

mendeley
247 Mendeley
You are seeing a free-to-access but limited selection of the activity Altmetric has collected about this research output. Click here to find out more.
Title
Investigating the impact of poverty on colonization and infection with drug-resistant organisms in humans: a systematic review
Published in
Infectious Diseases of Poverty, August 2018
DOI 10.1186/s40249-018-0459-7
Pubmed ID
Authors

Vivian Alividza, Victor Mariano, Raheelah Ahmad, Esmita Charani, Timothy M. Rawson, Alison H. Holmes, Enrique Castro-Sánchez

Abstract

Poverty increases the risk of contracting infectious diseases and therefore exposure to antibiotics. Yet there is lacking evidence on the relationship between income and non-income dimensions of poverty and antimicrobial resistance. Investigating such relationship would strengthen antimicrobial stewardship interventions. A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed, Ovid, MEDLINE, EMBASE, Scopus, CINAHL, PsychINFO, EBSCO, HMIC, and Web of Science databases were searched in October 2016. Prospective and retrospective studies reporting on income or non-income dimensions of poverty and their influence on colonisation or infection with antimicrobial-resistant organisms were retrieved. Study quality was assessed with the Integrated quality criteria for review of multiple study designs (ICROMS) tool. Nineteen articles were reviewed. Crowding and homelessness were associated with antimicrobial resistance in community and hospital patients. In high-income countries, low income was associated with Streptococcus pneumoniae and Acinetobacter baumannii resistance and a seven-fold higher infection rate. In low-income countries the findings on this relation were contradictory. Lack of education was linked to resistant S. pneumoniae and Escherichia coli. Two papers explored the relation between water and sanitation and antimicrobial resistance in low-income settings. Despite methodological limitations, the results suggest that addressing social determinants of poverty worldwide remains a crucial yet neglected step towards preventing antimicrobial resistance.

X Demographics

X Demographics

The data shown below were collected from the profiles of 56 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 247 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 247 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 34 14%
Student > Master 32 13%
Student > Ph. D. Student 16 6%
Student > Bachelor 16 6%
Other 13 5%
Other 46 19%
Unknown 90 36%
Readers by discipline Count As %
Medicine and Dentistry 35 14%
Immunology and Microbiology 14 6%
Agricultural and Biological Sciences 13 5%
Social Sciences 12 5%
Unspecified 12 5%
Other 64 26%
Unknown 97 39%