Evidence map›Paper›PMID 28489855›Full record

ArticlePLoS neglected tropical diseases2017

Haemophilus ducreyi DNA is detectable on the skin of asymptomatic children, flies and fomites in villages of Papua New Guinea.

Wendy Houinei, Charmie Godornes, August Kapa, Sascha Knauf, Eric Q Mooring, Camila González-Beiras, Ronald Watup, Raymond Paru, Paul Advent, Sivauk Bieb and 5 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

23 citing papers in PubMed, 38 citations in OpenAlex.

  1. A Class IInfection and immunity · 2019
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  4. High Prevalence of Haemophilus ducreyi Among Patients With Suspected Primary syphilis in Malawi, 2019-2022.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
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  7. The protein degradation system encoded byInfection and immunity · 2025
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  10. Infections caused byClinical microbiology reviews · 2024
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  11. AInfection and immunity · 2024
    Article
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  13. High prevalence and genetic diversity ofMicrobiology spectrum · 2024
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  19. Interactions of the Skin PathogenFrontiers in immunology · 2020
    Review
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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

15 authors at 10 institutions in 6 countries.

Wendy HouineiDisease Control Branch, National Department of Health, Port Moresby, Papua New Guinea.
Charmie GodornesDepartment of Medicine, University of Washington, Seattle, Washington, United States of America.
August KapaLihir Medical Centre- International SOS, Newcrest Mining, Lihir Island, Papua New Guinea.
Sascha KnaufGerman Primate Center, Leibniz-Institute for Primate Research, Pathology Unit, Working Group Neglected Tropical Diseases, Göttingen, Germany.
Eric Q MooringDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States of America.
Camila González-BeirasGlobal Public Health PhD Programme, Nova University of Lisbon, Lisbon, Portugal.
Ronald WatupLihir Medical Centre- International SOS, Newcrest Mining, Lihir Island, Papua New Guinea.
Raymond ParuLihir Medical Centre- International SOS, Newcrest Mining, Lihir Island, Papua New Guinea.
Paul AdventLihir Medical Centre- International SOS, Newcrest Mining, Lihir Island, Papua New Guinea.
Sivauk BiebDisease Control Branch, National Department of Health, Port Moresby, Papua New Guinea.
Sergi SanzBarcelona Institute for Global Health (ISGlobal), Hospital Clinic-University of Barcelona, Barcelona, Spain.
Quique BassatBarcelona Institute for Global Health (ISGlobal), Hospital Clinic-University of Barcelona, Barcelona, Spain.
Stanley M SpinolaDepartments of Microbiology and Immunology, Medicine, and Pathology and Laboratory Medicine Indiana University School of Medicine, Indianapolis, Indiana, United States of America.
Sheila A LukehartDepartment of Medicine, University of Washington, Seattle, Washington, United States of America.
Oriol MitjàLihir Medical Centre- International SOS, Newcrest Mining, Lihir Island, Papua New Guinea.ORCID http://orcid.org/0000-0003-3266-8868
Papua New Guinea Institute of Medical Research · PGNational Department of Health · PGUniversity of Washington · USBarcelona Institute for Global Health · ESGerman Primate Center · DEHarvard University · USIndiana University School of MedicineInstitució Catalana de Recerca i Estudis Avançats · ESUniversity of Lisbon · PTUniversity of Papua New Guinea · PG

Funding

TREPONEMA PALLIDUM PATHOGENESIS ASSOCIATED MOLECULESR01AI042143 · NIAID · UNIVERSITY OF WASHINGTON · PI LUKEHART, SHEILA A. · 1998 to 2015
$5.4M
Epidemiology of Infectious Diseases and BiodefenseT32AI007535 · NIAID · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI GRAD, YONATAN H, MURRAY, MEGAN B · 1998 to 2025
$4.8M
NIAID NIH HHS R01 AI042143NIAID NIH HHS T32 AI007535
6 · The paper itself

Abstract

backgroundHaemophilus ducreyi and Treponema pallidum subsp. pertenue are major causes of leg ulcers in children in Africa and the Pacific Region. We investigated the presence of DNA (PCR positivity) from these bacteria on asymptomatic people, flies, and household linens in an endemic setting. METHODOLOGY/PRINCIPAL

findingsWe performed a cross-sectional study in rural villages of Lihir Island, Papua New Guinea during a yaws elimination campaign. Participants were asymptomatic subjects recruited from households with cases of leg ulcers, and from households without cases of leg ulcers. We rubbed swabs on the intact skin of the leg of asymptomatic individuals, and collected flies and swabs of environmental surfaces. All specimens were tested by PCR for H. ducreyi and T. p. pertenue DNA. Of 78 asymptomatic participants that had an adequate specimen for DNA detection, H. ducreyi-PCR positivity was identified in 16 (21%) and T. p. pertenue-PCR positivity in 1 (1%). In subgroup analyses, H. ducreyi-PCR positivity did not differ in participants exposed or not exposed to a case of H. ducreyi ulcer in the household (24% vs 18%; p = 0.76). Of 17 cultures obtained from asymptomatic participants, 2 (12%) yielded a definitive diagnosis of H. ducreyi, proving skin colonization. Of 10 flies tested, 9 (90%) had H. ducreyi DNA and 5 (50%) had T. p. pertenue DNA. Of 6 bed sheets sampled, 2 (33%) had H. ducreyi DNA and 1 (17%) had T. p. pertenue DNA. CONCLUSIONS/SIGNIFICANCE: This is the first time that H. ducreyi DNA and colonization has been demonstrated on the skin of asymptomatic children and that H. ducreyi DNA and T. p. pertenue DNA has been identified in flies and on fomites. The ubiquity of H. ducreyi in the environment is a contributing factor to the spread of the organism.

Indexed as

AdolescentAnimalsAnti-Bacterial AgentsAsymptomatic DiseasesAzithromycinChancroidChildChild, PreschoolCross-Sectional StudiesDipteraDNA, BacterialFemaleFomitesHaemophilus ducreyiHumansLeg UlcerAnti-Bacterial AgentsAzithromycinDNA, Bacterial

Identifiers

PMID28489855
PMCPMC5425006
OpenAlexW2613577574

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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.