Evidence map›Paper›PMID 26833141›Full record

Trial reportEpidemiology and infection2016

Whole genome sequencing reveals extensive community-level transmission of group A Streptococcus in remote communities.

A C Bowen, T Harris, D C Holt, P M Giffard, J R Carapetis, P T Campbell, J McVERNON, S Y C Tong

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Epidemiology and infection, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
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  6. Wellcome open research · 2023
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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

8 authors.

A C BowenMenzies School of Health Research,Charles Darwin University,Darwin,NT,Australia.
T HarrisMenzies School of Health Research,Charles Darwin University,Darwin,NT,Australia.
D C HoltMenzies School of Health Research,Charles Darwin University,Darwin,NT,Australia.
P M GiffardMenzies School of Health Research,Charles Darwin University,Darwin,NT,Australia.
J R CarapetisPrincess Margaret Hospital for Children,Perth,WA,Australia.
P T CampbellUniversity of Melbourne,Melbourne,VIC,Australia.
J McVERNONUniversity of Melbourne,Melbourne,VIC,Australia.
S Y C TongMenzies School of Health Research,Charles Darwin University,Darwin,NT,Australia.ORCID 0000-0002-1368-8356

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Impetigo is common in remote Indigenous children of northern Australia, with the primary driver in this context being Streptococcus pyogenes [or group A Streptococcus (GAS)]. To reduce the high burden of impetigo, the transmission dynamics of GAS must be more clearly elucidated. We performed whole genome sequencing on 31 GAS isolates collected in a single community from children in 11 households with ⩾2 GAS-infected children. We aimed to determine whether transmission was occurring principally within households or across the community. The 31 isolates were represented by nine multilocus sequence types and isolates within each sequence type differed from one another by only 0-3 single nucleotide polymorphisms. There was evidence of extensive transmission both within households and across the community. Our findings suggest that strategies to reduce the burden of impetigo in this setting will need to extend beyond individual households, and incorporate multi-faceted, community-wide approaches.

Indexed as

Disease Transmission, InfectiousGenome, BacterialGenotypeSequence Analysis, DNAAustraliaChildChild, PreschoolFamily CharacteristicsFemaleGenetic VariationHumansImpetigoMaleMolecular EpidemiologyMultilocus Sequence TypingPolymorphism, Single NucleotideImpetigoinfectious disease epidemiologyStreptococcus pyogenestransmission

Identifiers

PMID26833141
PMCPMC9150617

What OpenQuestion holds

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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.