Evidence map›Paper›PMID 28945190›Full record

ArticleJournal of medical microbiology2017

Clonality, virulence and antimicrobial resistance of enteroaggregative Escherichia coli from Mirzapur, Bangladesh.

Marie Anne Chattaway, Michaela Day, Julia Mtwale, Emma White, James Rogers, Martin Day, David Powell, Marwa Ahmad, Ross Harris, Kaisar Ali Talukder and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical microbiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. EnteroaggregativeEcoSal Plus · 2025
    Review
  2. Article
  3. Comparative Genetic Characterization of PathogenicAnimals : an open access journal from MDPI · 2023
    Article
  4. Article
  5. Characterization of UropathogenicMicroorganisms · 2022
    Article
  6. Adhesin related genes as potential markers for the enteroaggregativeFrontiers in cellular and infection microbiology · 2022
    Article
  7. EnteroaggregativePeerJ · 2021
    Article
  8. Article
  9. Frontiers in cellular and infection microbiology · 2020
    Review
  10. Article
  11. Characterization of Diarrheagenic EnteroaggregativeFrontiers in cellular and infection microbiology · 2018
    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

13 authors at 5 institutions in 3 countries.

Marie Anne ChattawayGastrointestinal Bacteria Reference Unit, Public Health England, London, UK.
Michaela DayAntimicrobial Resistance and Healthcare Associated Infections, Public Health England, London, UK.
Julia MtwaleGastrointestinal Bacteria Reference Unit, Public Health England, London, UK.
Emma WhiteGastrointestinal Bacteria Reference Unit, Public Health England, London, UK.
James RogersGastrointestinal Bacteria Reference Unit, Public Health England, London, UK.
Martin DayGastrointestinal Bacteria Reference Unit, Public Health England, London, UK.
David PowellGastrointestinal Bacteria Reference Unit, Public Health England, London, UK.
Marwa AhmadDepartment of Microbiology and Infection Control, Technical University of Denmark, Denmark.
Ross HarrisStatistics, Modelling and Economics Department, Public Health England, London, UK.
Kaisar Ali TalukderCentre for Food and Water Borne Diseases, International Centre for Diarrhoeal Disease Research, Bangladesh.
John WainNorwich Medical School, University of East Anglia, Norwich, UK.
Claire JenkinsGastrointestinal Bacteria Reference Unit, Public Health England, London, UK.
Alejandro CraviotoCentre for Food and Water Borne Diseases, International Centre for Diarrhoeal Disease Research, Bangladesh.
Public Health England · GBInternational Centre for Diarrhoeal Disease Research · BDRoyal Free London NHS Foundation Trust · GBTechnical University of Denmark · DKUniversity of East Anglia · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study investigates the virulence and antimicrobial resistance in association with common clonal complexes (CCs) of enteroaggregative Escherichia coli (EAEC) isolated from Bangladesh. The aim was to determine whether specific CCs were more likely to be associated with putative virulence genes and/or antimicrobial resistance. METHODOLOGY: The presence of 15 virulence genes (by PCR) and susceptibility to 18 antibiotics were determined for 151 EAEC isolated from cases and controls during an intestinal infectious disease study carried out between 2007-2011 in the rural setting of Mirzapur, Bangladesh (Kotloff KL, Blackwelder WC, Nasrin D, Nataro JP, Farag TH et al.Clin Infect Dis 2012;55:S232-S245). These data were then analysed in the context of previously determined serotypes and clonal complexes defined by multi-locus sequence typing.

resultsOverall there was no association between the presence of virulence or antimicrobial resistance genes in isolates of EAEC from cases versus controls. However, when stratified by clonal complex (CC) one CC associated with cases harboured more virulence factors (CC40) and one CC harboured more resistance genes (CC38) than the average. There was no direct link between the virulence gene content and antibiotic resistance. Strains within a single CC had variable virulence and resistance gene content indicating independent and multiple gene acquisitions over time.

conclusionIn Bangladesh, there are multiple clonal complexes of EAEC harbouring a variety of virulence and resistance genes. The emergence of two of the most successful clones appeared to be linked to either increased virulence (CC40) or antimicrobial resistance (CC38), but increased resistance and virulence were not found in the same clonal complexes.

Indexed as

Drug Resistance, BacterialAnti-Bacterial AgentsBangladeshEscherichia coliEscherichia coli InfectionsGenetic MarkersHumansVirulenceVirulence FactorsAnti-Bacterial AgentsGenetic MarkersVirulence FactorsBangladeshEAECenteroaggregative E. coliMLSTresistancevirulence

Identifiers

PMID28945190
PMCPMC5845566
OpenAlexW2757179643

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.