Evidence map›Paper›PMID 27657909›Full record

ArticlePLoS neglected tropical diseases2016

Molecular Surveillance Identifies Multiple Transmissions of Typhoid in West Africa.

International Typhoid Consortium, Vanessa K Wong, Kathryn E Holt, Chinyere Okoro, Stephen Baker, Derek J Pickard, Florian Marks, Andrew J Page, Grace Olanipekun, Huda Munir and 22 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 4 pooled it
24.8field-weighted citation impact, top 1% 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

33 citing papers in PubMed, 4 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Pooled it
  2. A systematic review of antimicrobial resistance of typhoidalThe Indian journal of medical research · 2019
    Pooled it
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  8. Microbial genomics · 2026
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  14. Genomic epidemiology ofThe Lancet regional health. Western Pacific · 2022
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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

32 authors at 20 institutions in 13 countries.

International Typhoid Consortium
Vanessa K WongThe Wellcome Trust Sanger Institute, Hinxton, Cambridge, United Kingdom.
Kathryn E HoltDepartment of Biochemistry and Molecular Biology, Bio21 Molecular Science and Biotechnology Institute, University of Melbourne, Parkville, Victoria, Australia.
Chinyere OkoroThe Wellcome Trust Sanger Institute, Hinxton, Cambridge, United Kingdom.
Stephen BakerThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Derek J PickardThe Wellcome Trust Sanger Institute, Hinxton, Cambridge, United Kingdom.
Florian MarksInternational Vaccine Institute, Department of Epidemiology, Kwanak, Seoul, Republic of Korea.
Andrew J PageThe Wellcome Trust Sanger Institute, Hinxton, Cambridge, United Kingdom.
Grace OlanipekunInternational Foundation Against Infectious Diseases in Nigeria, Abuja, Nigeria.
Huda MunirDepartment of Medical Microbiology, Aminu Kano Teaching Hospital, Kano, Nigeria.
Roxanne AlterDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, Nebraska, United States of America.
Paul D FeyDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, Nebraska, United States of America.
Nicholas A FeaseyLiverpool School of Tropical Medicine, Pembroke Place, Liverpool, United Kingdom.
Francois-Xavier WeillInstitut Pasteur, Unité des Bactéries Pathogènes Entériques, Paris, France.
Simon Le HelloInstitut Pasteur, Unité des Bactéries Pathogènes Entériques, Paris, France.
Peter J HartInstitute of Biomedical Research, School of Immunity and Infection, College of Medicine and Dental Sciences, University of Birmingham, Birmingham, United Kingdom.
Samuel KariukiThe Wellcome Trust Sanger Institute, Hinxton, Cambridge, United Kingdom.
Robert F BreimanKenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Melita A GordonInstitute of Infection and Global Health, University of Liverpool, United Kingdom.
Robert S HeydermanMalawi-Liverpool-Wellcome-Trust Clinical Research Programme, College of Medicine, University of Malawi, Chichiri, Blantyre, Malawi.
Jan JacobsDepartment of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Octavie LunguyaNational Institute for Biomedical Research, Kinshasa, Democratic Republic of the Congo.
Chisomo MsefulaDivision of Infection and Immunity, University College London, London, United Kingdom.
Calman A MacLennanThe Wellcome Trust Sanger Institute, Hinxton, Cambridge, United Kingdom.
Karen H KeddyCentre for Enteric Diseases, National Institute for Communicable Diseases, Division in the National Health Laboratory Service and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Anthony M SmithCentre for Enteric Diseases, National Institute for Communicable Diseases, Division in the National Health Laboratory Service and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Robert S OnsareKenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Elizabeth De PinnaSalmonella Reference Service, Public Health England, Colindale, London, United Kingdom.
Satheesh NairSalmonella Reference Service, Public Health England, Colindale, London, United Kingdom.
Ben AmosSt Augustine's Hospital, Muheza, Tanzania.
Gordon DouganThe Wellcome Trust Sanger Institute, Hinxton, Cambridge, United Kingdom.
Stephen ObaroDivision of Pediatric Infectious Diseases, University of Nebraska Medical Center, Omaha, Nebraska, United States of America.
Wellcome Sanger Institute · GBInstitut Pasteur · FRKenya Medical Research Institute · KEMalawi-Liverpool-Wellcome Trust Clinical Research Programme · MWPublic Health England · GBUniversity of Nebraska Medical Center · USAminu Kano Teaching Hospital · NGCambridge University Hospitals NHS Foundation Trust · GBEmory Global Health InstituteInstituut voor Tropische Geneeskunde · BEInternational Vaccine Institute · KRJenner Institute · GBLiverpool School of Tropical Medicine · GBNational Health Laboratory Service · ZANational Health Service · GBNational Institute of Biomedical Research · CDNuffield Orthopaedic Centre · GBRajabu St Augustine's, Hospitali Teule · TZUniversity College London · GBUniversity of Abuja Teaching Hospital · NG

Funding

Global Genomic and Proteomic Profiling of African Children with Typhoid FeverR01AI097493 · NIAID · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI OBARO, STEPHEN · 2012 to 2015
$1.6M
Integrating geographical and genetic mapping of salmonella disease in an endemicR01AI099525 · NIAID · KENYA MEDICAL RESEARCH INSTITUTE (KEMRI) · PI GUNN, JOHN S, KARIUKI, SAMUEL M · 2013 to 2024
$1.3M
Medical Research Council G9818340NIAID NIH HHS R01 AI097493NIAID NIH HHS R01 AI099525Wellcome Trust
6 · The paper itself

Abstract

backgroundThe burden of typhoid in sub-Saharan African (SSA) countries has been difficult to estimate, in part, due to suboptimal laboratory diagnostics. However, surveillance blood cultures at two sites in Nigeria have identified typhoid associated with Salmonella enterica serovar Typhi (S. Typhi) as an important cause of bacteremia in children.

methodsA total of 128 S. Typhi isolates from these studies in Nigeria were whole-genome sequenced, and the resulting data was used to place these Nigerian isolates into a worldwide context based on their phylogeny and carriage of molecular determinants of antibiotic resistance.

resultsSeveral distinct S. Typhi genotypes were identified in Nigeria that were related to other clusters of S. Typhi isolates from north, west and central regions of Africa. The rapidly expanding S. Typhi clade 4.3.1 (H58) previously associated with multiple antimicrobial resistances in Asia and in east, central and southern Africa, was not detected in this study. However, antimicrobial resistance was common amongst the Nigerian isolates and was associated with several plasmids, including the IncHI1 plasmid commonly associated with S. Typhi.

conclusionsThese data indicate that typhoid in Nigeria was established through multiple independent introductions into the country, with evidence of regional spread. MDR typhoid appears to be evolving independently of the haplotype H58 found in other typhoid endemic countries. This study highlights an urgent need for routine surveillance to monitor the epidemiology of typhoid and evolution of antimicrobial resistance within the bacterial population as a means to facilitate public health interventions to reduce the substantial morbidity and mortality of typhoid.

Identifiers

PMID27657909
PMCPMC5033494
OpenAlexW2522677904

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.