Evidence map›Paper›PMID 25452595›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2015

Whole-genome sequencing and epidemiological analysis do not provide evidence for cross-transmission of mycobacterium abscessus in a cohort of pediatric cystic fibrosis patients.

Kathryn A Harris, Anthony Underwood, Dervla T D Kenna, Anthony Brooks, Ema Kavaliunaite, Georgia Kapatai, Rediat Tewolde, Paul Aurora, Garth Dixon

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

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0cells of the map it votes in
58citing 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

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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

58 citing papers in PubMed.

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  3. Infection by Clonally RelatedAmerican journal of respiratory and critical care medicine · 2025
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  6. Genomic epidemiology ofERJ open research · 2024
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  7. Genome-Scale Characterization ofInternational journal of molecular sciences · 2023
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  10. Review
  11. Mutation rates and adaptive variation among the clinically dominant clusters ofProceedings of the National Academy of Sciences of the United States of America · 2023
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  12. Molecular Epidemiologic Investigation ofAnnals of the American Thoracic Society · 2023
    Article
  13. Article
  14. Observational
  15. Article
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  17. Article
  18. Article
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

9 authors.

Kathryn A HarrisDepartment of Microbiology, Virology and Infection Control, Great Ormond Street Hospital NHS Foundation Trust National Institute for Health Research Biomedical Research Centre at Great Ormond Street Hospital for Children NHS Foundation Trust and University College London.
Anthony UnderwoodBioinformatics Unit, Infectious Disease Informatics, Microbiology Services (Colindale), Public Health England.
Dervla T D KennaAntimicrobial Resistance and Healthcare Associated Infections Reference Unit, Reference Microbiology Services, Public Health England.
Anthony BrooksUCL Genomics, University College London, Institute of Child Health.
Ema KavaliunaitePaediatric Respiratory Medicine and Lung Transplantation, Great Ormond Street Hospital NHS Foundation Trust, London, United Kingdom.
Georgia KapataiBioinformatics Unit, Infectious Disease Informatics, Microbiology Services (Colindale), Public Health England.
Rediat TewoldeBioinformatics Unit, Infectious Disease Informatics, Microbiology Services (Colindale), Public Health England.
Paul AuroraPaediatric Respiratory Medicine and Lung Transplantation, Great Ormond Street Hospital NHS Foundation Trust, London, United Kingdom.
Garth DixonDepartment of Microbiology, Virology and Infection Control, Great Ormond Street Hospital NHS Foundation Trust National Institute for Health Research Biomedical Research Centre at Great Ormond Street Hospital for Children NHS Foundation Trust and University College London.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMycobacterium abscessus has emerged as a major pathogen in cystic fibrosis (CF) patients and has been associated with poor clinical outcomes, particularly following lung transplant. We investigated the acquisition of this bacterium in a cohort of pediatric CF patients.

methodsDemographic and patient location data were used to uncover epidemiological links between patients with genetically related strains of M. abscessus that had been previously typed by variable-number tandem repeat profiling. Whole-genome sequencing was applied to 27 M. abscessus isolates from the 20 patients in this cohort to provide definitive data on the genetic relatedness of strains.

resultsWhole-genome sequencing data demonstrated that M. abscessus isolates from 16 patients were unrelated, differing by at least 34 single-nucleotide polymorphisms (SNPs) from any other isolate, suggesting that independent acquisition events have occurred. Only 2 clusters of very closely related (<25 SNPs) isolates from different patients were seen. The first cluster contained 8 isolates, differing by a maximum of 17 SNPs, from a sibling pair who had intense exposure to each other both inside and outside the hospital. The second cluster contained 3 isolates, differing by a maximum of 24 SNPs, from 2 individuals with no apparent epidemiological links.

conclusionsWe have not demonstrated cross-transmission of M. abscessus within our hospital, except between 1 sibling pair. Alternative routes of acquisition of M. abscessus infection, in particular the environment, require further investigation.

Indexed as

Epidemiologic MethodsAdolescentChildChild, PreschoolCluster AnalysisCohort StudiesCystic FibrosisFemaleHospitals, PediatricHumansMaleMolecular TypingMycobacteriumMycobacterium Infections, NontuberculousRespiratory Tract InfectionsSequence Homologycross-transmissioncystic fibrosisMycobacterium abscessusVNTRwhole-genome sequencing

Identifiers

PMID25452595
PMCPMC4357290

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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.