Factors Associated with Antimicrobial Resistant Enterococci in North American Beef Cattle: A Scoping Review Protocol
Creators: name: Strong, Kayla
name: Marasco, Kaitlin
name: Invik, Jesse
name: Ganshorn, Heather
name: Reid-Smith, Richard
name: Waldner, Cheryl
name: Otto, Simon
name: Chapman, Brennan
name: Checkley, Sylvia
Publisher: name: Veterinary Medicine
Year: 2021
Subjects: Enterococcus
Beef
Beef Cattle
iAM.AMR
Scoping Review
Protocol

description: Scoping Review Protocol
description: Introduction: Enterococcus spp. is a commensal gram-positive bacterium routinely found in humans and bovines' intestinal tracts; however, it can lead to infection when found outside the intestinal tract.1 There is increasing difficulty in treating Enterococcal infections due to a rise in resistance, particularly multidrug resistance.2 The rise of antimicrobial resistance is a One Health problem resulting from antimicrobial use in human health, animal health, and the environment.3 This research focuses on the connection between animal and human health, and considers the epidemiology of antimicrobial resistance within the North American beef cattle production system. The research will identify factors associated with antimicrobial resistance in Enterococcus spp. from cow-calf operations up to but not including human beef consumption. This project is a component of the broader iAM.AMR initiative. Objectives: The primary objective is to identify what factors increase or decrease the prevalence of antimicrobial resistance in Enterococcus spp. within the North American Beef Cattle Industry, from cow-calf operations to the retail setting. The results will populate a component of an integrated assessment model as a component of the Integrated Assessment Model on Antimicrobial Resistance (iAM.AMR) project, built using Analytica software (Educational Professional license, Lumina) Methods: A double-blinded scoping review following PRISMA guidelines will examine five databases (MEDLINE, BIOSIS Previews, the Web of Science Science Citation Index and Emerging Sources Citation Index, Embase, and CAB Abstracts). The search will consider Enterococcus spp., Antimicrobials, Resistance, beef cattle, and search term variants. Articles identified will be screened at three primary stages: bibliography, title and abstract, and full text. The authors will exclude articles published before 1984 (Enterococcus spp. was designated a species in 1984), journals specific to a livestock species that is not beef cattle, and non-English articles. Articles that are solely In vitro, specific to fermented meat, opinion-based, or not applicable to the North American context will also be excluded. Articles will be included if there is an intervention identified and the AMR impact of the intervention measured. Article information will be charted in an excel spreadsheet. Following the charting process, authors will identify articles to be included in the iAM.AMR Collection of Epidemiologically Derived Associations with Resistance (CEDARS) database. These articles must have an extractable "factor" associated with AMR Enterococcus spp, presented as an odds ratio or prevalence comparison (in text or graph) specific to an "intervention" and "control." The study must use non-selective media and have the total (N) provided for the intervention and control. Relevant data will be collected and coded into an Access (V2103, Microsoft) database. Meta-analysis will occur if two articles examine the same factor and are comparable in the research design and study population.