Evidence map›Paper›PMID 25658641›Full record

ArticlePLoS neglected tropical diseases2015

Genetic diversity of Staphylococcus aureus in Buruli ulcer.

Nana Ama Amissah, Corinna Glasner, Anthony Ablordey, Caitlin S Tetteh, Nana Konama Kotey, Isaac Prah, Tjip S van der Werf, John W Rossen, Jan Maarten van Dijl, Ymkje Stienstra

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% of its field
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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Mupirocin-resistantAntimicrobial resistance and infection control · 2018
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  2. Pooled it
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  5. A One-Health Perspective onEnvironmental health insights · 2026
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  8. Gold Panning-Related Chronic Cutaneous Ulcers in Guinea, West Africa.The American journal of tropical medicine and hygiene · 2023
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  9. Review
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  12. Article
  13. Pharmacologic management ofExpert review of clinical pharmacology · 2020
    Review
  14. Article
  15. Article
  16. Article
  17. Article
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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 at 5 institutions in 2 countries.

Nana Ama AmissahDepartment of Internal Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands; Department of Bacteriology, Noguchi Memorial Institute for Medical Research, University of Ghana, Legon, Ghana.
Corinna GlasnerDepartment of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Anthony AblordeyDepartment of Bacteriology, Noguchi Memorial Institute for Medical Research, University of Ghana, Legon, Ghana.
Caitlin S TettehDepartment of Bacteriology, Noguchi Memorial Institute for Medical Research, University of Ghana, Legon, Ghana.
Nana Konama KoteyPakro Health Centre, Ghana Health Service, Pakro, Ghana.
Isaac PrahDepartment of Bacteriology, Noguchi Memorial Institute for Medical Research, University of Ghana, Legon, Ghana.
Tjip S van der WerfDepartment of Internal Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
John W RossenDepartment of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Jan Maarten van DijlDepartment of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Ymkje StienstraDepartment of Internal Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
University Medical Center Groningen · NLUniversity of Ghana · GHUniversity of Groningen · NLGhana Health Service · GHNoguchi Memorial Institute for Medical Research · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBuruli ulcer (BU) is a necrotizing skin disease caused by Mycobacterium ulcerans. Previous studies have shown that wounds of BU patients are colonized with M. ulcerans and several other microorganisms, including Staphylococcus aureus, which may interfere with wound healing. The present study was therefore aimed at investigating the diversity and topography of S. aureus colonizing BU patients during treatment. METHODOLOGY: We investigated the presence, diversity, and spatio-temporal distribution of S. aureus in 30 confirmed BU patients from Ghana during treatment. S. aureus was isolated from nose and wound swabs, and by replica plating of wound dressings collected bi-weekly from patients. S. aureus isolates were characterized by multiple-locus variable number tandem repeat fingerprinting (MLVF) and spa-typing, and antibiotic susceptibility was tested. PRINCIPAL

findingsNineteen (63%) of the 30 BU patients tested positive for S. aureus at least once during the sampling period, yielding 407 S. aureus isolates. Detailed analysis of 91 isolates grouped these isolates into 13 MLVF clusters and 13 spa-types. Five (26%) S. aureus-positive BU patients carried the same S. aureus genotype in their anterior nares and wounds. S. aureus isolates from the wounds of seven (37%) patients were distributed over two different MLVF clusters. Wounds of three (16%) patients were colonized with isolates belonging to two different genotypes at the same time, and five (26%) patients were colonized with different S. aureus types over time. Five (17%) of the 30 included BU patients tested positive for methicillin-resistant S. aureus (MRSA). CONCLUSION/SIGNIFICANCE: The present study showed that the wounds of many BU patients were contaminated with S. aureus, and that many BU patients from the different communities carried the same S. aureus genotype during treatment. This calls for improved wound care and hygiene.

Indexed as

AdultBacterial Typing TechniquesBuruli UlcerCoinfectionFemaleGenetic VariationGhanaHumansMaleMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsMinisatellite RepeatsMycobacterium ulceransNoseStaphylococcal Infections

Identifiers

PMID25658641
PMCPMC4319846
OpenAlexW2092127374

What OpenQuestion holds

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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.