Evidence map›Paper›PMID 26497222›Full record

ArticleBMC infectious diseases2015

The molecular characterisation of Escherichia coli K1 isolated from neonatal nasogastric feeding tubes.

Aldukali Alkeskas, Pauline Ogrodzki, Mohamed Saad, Naqash Masood, Nasreddin R Rhoma, Karen Moore, Audrey Farbos, Konrad Paszkiewicz, Stephen Forsythe

Abstract read
In one paragraph

Article in BMC infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Research Progress on perinatalFrontiers in microbiology · 2026
    Review
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  9. Antimicrobial Effect of Diphenyl Ditelluride (PhTe)Indian journal of microbiology · 2024
    Article
  10. Article
  11. Article
  12. Preclinical validation of anMicrobiology spectrum · 2024
    Article
  13. Article
  14. Phage Targeting Neonatal MeningitisInternational journal of molecular sciences · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  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

9 authors.

Aldukali AlkeskasSchool of Science and Technology, Nottingham Trent University, Clifton Lane, Nottingham, NG11 8NS, UK. dwka1970@yahoo.com.
Pauline OgrodzkiSchool of Science and Technology, Nottingham Trent University, Clifton Lane, Nottingham, NG11 8NS, UK. Pauline.ogrodzki2009@my.ntu.ac.uk.
Mohamed SaadSchool of Science and Technology, Nottingham Trent University, Clifton Lane, Nottingham, NG11 8NS, UK. Mohamed.saad2013@my.ntu.ac.uk.
Naqash MasoodSchool of Science and Technology, Nottingham Trent University, Clifton Lane, Nottingham, NG11 8NS, UK. naqash.masood2008@my.ntu.ac.uk.
Nasreddin R RhomaSchool of Science and Technology, Nottingham Trent University, Clifton Lane, Nottingham, NG11 8NS, UK. nasser_micro@yahoo.com.
Karen MooreWellcome Trust Biomedical Informatics Hub, Biosciences, Stocker Road, University of Exeter, Exeter, EX4 4QD, UK. kamoore@exeter.ac.uk.
Audrey FarbosWellcome Trust Biomedical Informatics Hub, Biosciences, Stocker Road, University of Exeter, Exeter, EX4 4QD, UK. A.Farbos@exeter.ac.uk.
Konrad PaszkiewiczWellcome Trust Biomedical Informatics Hub, Biosciences, Stocker Road, University of Exeter, Exeter, EX4 4QD, UK. K.H.Paszkiewicz@exeter.ac.uk.
Stephen ForsytheSchool of Science and Technology, Nottingham Trent University, Clifton Lane, Nottingham, NG11 8NS, UK. stephen.forsythe@ntu.ac.uk.

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundThe most common cause of Gram-negative bacterial neonatal meningitis is E. coli K1. It has a mortality rate of 10-15 %, and neurological sequelae in 30-50 % of cases. Infections can be attributable to nosocomial sources, however the pre-colonisation of enteral feeding tubes has not been considered as a specific risk factor.

methodsThirty E. coli strains, which had been isolated in an earlier study, from the residual lumen liquid and biofilms of neonatal nasogastric feeding tubes were genotyped using pulsed-field gel electrophoresis, and 7-loci multilocus sequence typing. Potential pathogenicity and biofilm associated traits were determined using specific PCR probes, genome analysis, and in vitro tissue culture assays.

resultsThe E. coli strains clustered into five pulsotypes, which were genotyped as sequence types (ST) 95, 73, 127, 394 and 2076 (Achman scheme). The extra-intestinal pathogenic E. coli (ExPEC) phylogenetic group B2 ST95 serotype O1:K1:NM strains had been isolated over a 2 week period from 11 neonates who were on different feeding regimes. The E. coli K1 ST95 strains encoded for various virulence traits associated with neonatal meningitis and extracellular matrix formation. These strains attached and invaded intestinal, and both human and rat brain cell lines, and persisted for 48 h in U937 macrophages. E. coli STs 73, 394 and 2076 also persisted in macrophages and invaded Caco-2 and human brain cells, but only ST394 invaded rat brain cells. E. coli ST127 was notable as it did not invade any cell lines.

conclusionsRoutes by which E. coli K1 can be disseminated within a neonatal intensive care unit are uncertain, however the colonisation of neonatal enteral feeding tubes may be one reservoir source which could constitute a serious health risk to neonates following ingestion.

Indexed as

AnimalsAnti-Bacterial AgentsCaco-2 CellsCell LineDNA, BacterialElectrophoresis, Gel, Pulsed-FieldEscherichia coliEscherichia coli InfectionsEscherichia coli ProteinsGenotypeHumansIntubation, GastrointestinalMeningitisMultilocus Sequence TypingPhylogenyRatsAnti-Bacterial AgentsDNA, BacterialEscherichia coli ProteinsVirulence Factors

Identifiers

PMID26497222
PMCPMC4620641

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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.