Evidence map›Paper›PMID 28855266›Full record

ReviewClinical microbiology reviews2017

Whole-Genome Sequencing of Bacterial Pathogens: the Future of Nosocomial Outbreak Analysis.

Scott Quainoo, Jordy P M Coolen, Sacha A F T van Hijum, Martijn A Huynen, Willem J G Melchers, Willem van Schaik, Heiman F L Wertheim

Erratum issuedOpen access · bronzeAbstract readReview
In one paragraph

Review in Clinical microbiology reviews, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 247 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
247citing papers in PubMed, 2 pooled it
25.7field-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

247 citing papers in PubMed, 2 syntheses or guidelines pooled it, 443 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Antibiotic profiles and draft genome sequences of fourMicrobiology resource announcements · 2026
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  8. International journal of molecular sciences · 2026
    Review
  9. Review
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  11. Review
  12. Canada communicable disease report = Releve des maladies transmissibles au Canada · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Decoding the genome of Bacillus thuringiensis subsp. israelensis VCRC B668 to understand its mosquitocidal potential for biopesticide development.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2026
    Article
  18. Prediction of genetic relatedness ofAntimicrobial agents and chemotherapy · 2026
    Article
  19. Article
  20. Article

187 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Scott QuainooDepartment of Microbiology, Radboud University, Nijmegen, The Netherlands scott.quainoo@gmail.com.
Jordy P M CoolenDepartment of Medical Microbiology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Sacha A F T van HijumCentre for Molecular and Biomolecular Informatics, Radboud University Medical Centre, Nijmegen, The Netherlands.
Martijn A HuynenCentre for Molecular and Biomolecular Informatics, Radboud University Medical Centre, Nijmegen, The Netherlands.
Willem J G MelchersDepartment of Medical Microbiology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Willem van SchaikInstitute of Microbiology and Infection, University of Birmingham, Birmingham, United Kingdom.
Heiman F L WertheimDepartment of Medical Microbiology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Radboud University Nijmegen · NLNederlands Instituut Voor Zuivel Oonderzoek · NLRadboud University Medical Center · NLUniversity of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Outbreaks of multidrug-resistant bacteria present a frequent threat to vulnerable patient populations in hospitals around the world. Intensive care unit (ICU) patients are particularly susceptible to nosocomial infections due to indwelling devices such as intravascular catheters, drains, and intratracheal tubes for mechanical ventilation. The increased vulnerability of infected ICU patients demonstrates the importance of effective outbreak management protocols to be in place. Understanding the transmission of pathogens via genotyping methods is an important tool for outbreak management. Recently, whole-genome sequencing (WGS) of pathogens has become more accessible and affordable as a tool for genotyping. Analysis of the entire pathogen genome via WGS could provide unprecedented resolution in discriminating even highly related lineages of bacteria and revolutionize outbreak analysis in hospitals. Nevertheless, clinicians have long been hesitant to implement WGS in outbreak analyses due to the expensive and cumbersome nature of early sequencing platforms. Recent improvements in sequencing technologies and analysis tools have rapidly increased the output and analysis speed as well as reduced the overall costs of WGS. In this review, we assess the feasibility of WGS technologies and bioinformatics analysis tools for nosocomial outbreak analyses and provide a comparison to conventional outbreak analysis workflows. Moreover, we review advantages and limitations of sequencing technologies and analysis tools and present a real-world example of the implementation of WGS for antimicrobial resistance analysis. We aimed to provide health care professionals with a guide to WGS outbreak analysis that highlights its benefits for hospitals and assists in the transition from conventional to WGS-based outbreak analysis.

Indexed as

Bacterial InfectionsCross InfectionGenome, BacterialGenotypeHumansSequence Analysis, DNAbioinformaticsintensive care unitsnext-generation sequencingnosocomial infectionsoutbreak analysisoutbreak managementpathogen surveillancepoint of carewhole-genome sequencing

Identifiers

PMID28855266
PMCPMC5608882
OpenAlexW2753382261

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.