Evidence map›Paper›PMID 22972830›Full record

ArticleJournal of clinical microbiology2012

Enteroaggregative Escherichia coli O78:H10, the cause of an outbreak of urinary tract infection.

Bente Olesen, Flemming Scheutz, Rebecca L Andersen, Megan Menard, Nadia Boisen, Brian Johnston, Dennis S Hansen, Karen A Krogfelt, James P Nataro, James R Johnson

Abstract read
In one paragraph

Article in Journal of clinical microbiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
–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

53 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. EnteroaggregativeEcoSal Plus · 2025
    Review
  3. Article
  4. Genomic Dissection of an EnteroaggregativeInternational journal of molecular sciences · 2024
    Article
  5. Detection and characterization of potentially hybrid enteroaggregative Escherichia coli (EAEC) strains isolated from urinary tract infection.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Characterization of UropathogenicMicroorganisms · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Frequency and Diversity of HybridMicroorganisms · 2021
    Article
  16. Review
  17. EnteroaggregativePeerJ · 2021
    Article
  18. Article
  19. Journal of clinical microbiology · 2020
    Article
  20. 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

10 authors.

Bente OlesenDepartment of Clinical Microbiology, Hillerød Hospital, Hillerød, Denmark. benol@hih.regionh.dk
Flemming Scheutz
Rebecca L Andersen
Megan Menard
Nadia Boisen
Brian Johnston
Dennis S Hansen
Karen A Krogfelt
James P Nataro
James R Johnson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 1991, multiresistant Escherichia coli O78:H10 strains caused an outbreak of urinary tract infections in Copenhagen, Denmark. The phylogenetic origin, clonal background, and virulence characteristics of the outbreak isolates, and their relationship to nonoutbreak O78:H10 strains according to these traits and resistance profiles, are unknown. Accordingly, we extensively characterized 51 archived E. coli O78:H10 isolates (48 human isolates from seven countries, including 19 Copenhagen outbreak isolates, and 1 each of calf, avian, and unknown-source isolates), collected from 1956 through 2000. E. coli O78:H10 was clonally heterogeneous, comprising one dominant clonal group (61% of isolates, including all 19 outbreak isolates) from ST10 (phylogenetic group A) plus several minor clonal groups (phylogenetic groups A and D). All ST10 isolates, versus 25% of non-ST10 isolates, were identified by molecular methods as enteroaggregative E. coli (EAEC) (P < 0.001). Genes present in >90% of outbreak isolates included fimH (type 1 fimbriae; ubiquitous in E. coli); fyuA, traT, and iutA (associated with extraintestinal pathogenic E. coli [ExPEC]); and sat, pic, aatA, aggR, aggA, ORF61, aaiC, aap, and ORF3 (associated with EAEC). An outbreak isolate was lethal in a murine subcutaneous sepsis model and exhibited characteristic EAEC "stacked brick" adherence to cultured epithelial cells. Thus, the 1991 Copenhagen outbreak was caused by a tight, non-animal-associated subset within a broadly disseminated O78:H10 clonal group (ST10; phylogenetic group A), members of which exhibit both ExPEC and EAEC characteristics, whereas O78:H10 isolates overall are phylogenetically diverse. Whether ST10 O78:H10 EAEC strains are both uropathogenic and diarrheagenic warrants further investigation.

Indexed as

Disease OutbreaksMolecular TypingAnimalsChildCluster AnalysisDenmarkDisease Models, AnimalDrug Resistance, Multiple, BacterialEscherichia coliEscherichia coli InfectionsGenetic VariationGenotypeHumansInfant, NewbornMiceMolecular Epidemiology

Identifiers

PMID22972830
PMCPMC3486220

What OpenQuestion holds

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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.