Evidence map›Paper›PMID 29084588›Full record

ArticleGenome medicine2017

Public health surveillance in the UK revolutionises our understanding of the invasive Salmonella Typhimurium epidemic in Africa.

Philip M Ashton, Siân V Owen, Lukeki Kaindama, Will P M Rowe, Chris R Lane, Lesley Larkin, Satheesh Nair, Claire Jenkins, Elizabeth M de Pinna, Nicholas A Feasey and 2 more

Open access · goldAbstract read
In one paragraph

Article in Genome medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
12.8field-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

52 citing papers in PubMed, 88 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. AfricanmBio · 2025
    Article
  5. Genomic diversity of non-typhoidalMicrobial genomics · 2025
    Article
  6. International journal of molecular sciences · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Genomic analysis of almost 8,000Microbiology spectrum · 2023
    Article
  12. BMJ open · 2023
    Article
  13. Tropical medicine and infectious disease · 2023
    Review
  14. Review
  15. Invasive Non-TyphoidalInfection and immunity · 2023
    Article
  16. Article
  17. Review
  18. The Role of the COVID-19 Crisis in Shaping Urban Planning for Improved Public Health: A Triangulated Study.International journal of environmental research and public health · 2023
    Article
  19. Article
  20. 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

12 authors at 3 institutions in 1 country.

Philip M AshtonGastrointestinal Bacteria Reference Unit, Public Health England, 61 Colindale Avenue, London, NW9 5HT, UK.
Siân V OwenInstitute of Integrative Biology, University of Liverpool, Liverpool, UK.
Lukeki KaindamaGastrointestinal and Emerging Zoonotic Infections, Public Health England, 61 Colindale Avenue, London, NW9 5HT, UK.
Will P M RoweInstitute of Integrative Biology, University of Liverpool, Liverpool, UK.
Chris R LaneGastrointestinal and Emerging Zoonotic Infections, Public Health England, 61 Colindale Avenue, London, NW9 5HT, UK.
Lesley LarkinGastrointestinal and Emerging Zoonotic Infections, Public Health England, 61 Colindale Avenue, London, NW9 5HT, UK.
Satheesh NairGastrointestinal Bacteria Reference Unit, Public Health England, 61 Colindale Avenue, London, NW9 5HT, UK.
Claire JenkinsGastrointestinal Bacteria Reference Unit, Public Health England, 61 Colindale Avenue, London, NW9 5HT, UK.
Elizabeth M de PinnaGastrointestinal Bacteria Reference Unit, Public Health England, 61 Colindale Avenue, London, NW9 5HT, UK.
Nicholas A FeaseyLiverpool School of Tropical Medicine, Liverpool, UK.
Jay C D HintonInstitute of Integrative Biology, University of Liverpool, Liverpool, UK. jay.hinton@liverpool.ac.uk.
Timothy J DallmanGastrointestinal Bacteria Reference Unit, Public Health England, 61 Colindale Avenue, London, NW9 5HT, UK.
Public Health England · GBUniversity of Liverpool · GBLiverpool School of Tropical Medicine · GB

Funding

Wellcome TrustWellcome Trust 106914/Z/15/Z
6 · The paper itself

Abstract

backgroundThe ST313 sequence type of Salmonella Typhimurium causes invasive non-typhoidal salmonellosis and was thought to be confined to sub-Saharan Africa. Two distinct phylogenetic lineages of African ST313 have been identified.

methodsWe analysed the whole genome sequences of S. Typhimurium isolates from UK patients that were generated following the introduction of routine whole-genome sequencing (WGS) of Salmonella enterica by Public Health England in 2014.

resultsWe found that 2.7% (84/3147) of S. Typhimurium from patients in England and Wales were ST313 and were associated with gastrointestinal infection. Phylogenetic analysis revealed novel diversity of ST313 that distinguished UK-linked gastrointestinal isolates from African-associated extra-intestinal isolates. The majority of genome degradation of African ST313 lineage 2 was conserved in the UK-ST313, but the African lineages carried a characteristic prophage and antibiotic resistance gene repertoire. These findings suggest that a strong selection pressure exists for certain horizontally acquired genetic elements in the African setting. One UK-isolated lineage 2 strain that probably originated in Kenya carried a chromosomally located bla

conclusionsThe discovery of ST313 isolates responsible for gastroenteritis in the UK reveals new diversity in this important sequence type. This study highlights the power of routine WGS by public health agencies to make epidemiologically significant deductions that would be missed by conventional microbiological methods. We speculate that the niche specialisation of sub-Saharan African ST313 lineages is driven in part by the acquisition of accessory genome elements.

Indexed as

EpidemicsPublic Health SurveillanceSalmonella typhimuriumAdultAfrica South of the SaharaAnimalsDogsDrug Resistance, BacterialDrug Resistance, MultipleGenome, BacterialHumansMalePhylogenyPseudogenesSalmonella InfectionsTravel

Identifiers

PMID29084588
PMCPMC5663059
OpenAlexW2765301755

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.