Evidence map›Paper›PMID 29351771›Full record

ArticleBMC infectious diseases2018

Characterization of Salmonella enterica from invasive bloodstream infections and water sources in rural Ghana.

Denise Dekker, Ralf Krumkamp, Daniel Eibach, Nimako Sarpong, Kennedy Gyau Boahen, Michael Frimpong, Elina Fechtner, Sven Poppert, Ralf Matthias Hagen, Norbert Georg Schwarz and 6 more

Abstract read
In one paragraph

Article in BMC infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Intestinal carriage of invasive non-typhoidalFrontiers in microbiology · 2023
    Article
  10. Genomic analysis ofFrontiers in microbiology · 2023
    Article
  11. Prevalence and genomic characterization ofFrontiers in microbiology · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Observational
  17. Article
  18. Characterization ofFrontiers in veterinary science · 2020
    Article
  19. Bacteremia Among Febrile Patients Attending Selected Healthcare Facilities in Ibadan, Nigeria.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    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

16 authors.

Denise DekkerInfectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine (BNITM), Bernhard-Nocht-Str. 74, D-20359, Hamburg, Germany. dekker@bnitm.de.ORCID 0000-0001-5432-3217
Ralf KrumkampInfectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine (BNITM), Bernhard-Nocht-Str. 74, D-20359, Hamburg, Germany.
Daniel EibachInfectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine (BNITM), Bernhard-Nocht-Str. 74, D-20359, Hamburg, Germany.
Nimako SarpongKumasi Centre for Collaborative Research in Tropical Medicine (KCCR), Kumasi, Ghana.
Kennedy Gyau BoahenKumasi Centre for Collaborative Research in Tropical Medicine (KCCR), Kumasi, Ghana.
Michael FrimpongKumasi Centre for Collaborative Research in Tropical Medicine (KCCR), Kumasi, Ghana.
Elina FechtnerInfectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine (BNITM), Bernhard-Nocht-Str. 74, D-20359, Hamburg, Germany.
Sven PoppertInfectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine (BNITM), Bernhard-Nocht-Str. 74, D-20359, Hamburg, Germany.
Ralf Matthias HagenBundeswehr Hospital of Hamburg, Germany, Department of Tropical Medicine at the Bernhard Nocht Institute, Bernhard-Nocht-Str. 74, D-20359, Hamburg, Germany.
Norbert Georg SchwarzInfectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine (BNITM), Bernhard-Nocht-Str. 74, D-20359, Hamburg, Germany.
Yaw Adu-SarkodieKwame Nkrumah University of Science and Technology (KNUST), Kumasi, Ghana.
Ellis Owusu-DaboKumasi Centre for Collaborative Research in Tropical Medicine (KCCR), Kumasi, Ghana.
Justin ImEpidemiology Unit, International Vaccine Institute (IVI), Seoul, Republic of Korea.
Florian MarksEpidemiology Unit, International Vaccine Institute (IVI), Seoul, Republic of Korea.
Hagen FrickmannBundeswehr Hospital of Hamburg, Germany, Department of Tropical Medicine at the Bernhard Nocht Institute, Bernhard-Nocht-Str. 74, D-20359, Hamburg, Germany.
Jürgen MayInfectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine (BNITM), Bernhard-Nocht-Str. 74, D-20359, Hamburg, Germany.

Funding

Bill and Melinda Gates Foundation OPPGH5231German Armed Forces 03K2-S-450709
6 · The paper itself

Abstract

backgroundNon-typhoidal Salmonella (NTS) cause the majority of bloodstream infections in Ghana, however the mode of transmission and source of invasive NTS in Africa are poorly understood. This study compares NTS from water sources and invasive bloodstream infections in rural Ghana.

methodsBlood from hospitalised, febrile children and samples from drinking water sources were analysed for Salmonella spp. Strains were serotyped to trace possible epidemiological links between human and water-derived isolates.. Antibiotic susceptibility testing was performed,

resultsIn 2720 blood culture samples, 165 (6%) NTS were isolated. S. Typhimurium (70%) was the most common serovar followed by S. Enteritidis (8%) and S. Dublin (8%). Multidrug resistance (MDR) was found in 95 (58%) NTS isolates, including five S. Enteritidis. One S. Typhimurium showed reduced fluroquinolone susceptibility. In 511 water samples, 19 (4%) tested positive for S. enterica with two isolates being resistant to ampicillin and one isolate being resistant to cotrimoxazole. Serovars from water samples were not encountered in any of the clinical specimens.

conclusionWater analyses demonstrated that common drinking water sources were contaminated with S. enterica posing a potential risk for transmission. However, a link between S. enterica from water sources and patients could not be established, questioning the ability of water-derived serovars to cause invasive bloodstream infections.

Indexed as

AmpicillinAnti-Bacterial AgentsBacteremiaChildDrinking WaterDrug Resistance, Multiple, BacterialGhanaHumansMicrobial Sensitivity TestsRural HealthRural PopulationSalmonella entericaSalmonella InfectionsTrimethoprim, Sulfamethoxazole Drug CombinationWater MicrobiologyAmpicillinAnti-Bacterial AgentsDrinking WaterTrimethoprim, Sulfamethoxazole Drug Combinationinvasive non-typhoidal Salmonellatransmission reservoirwater sources

Identifiers

PMID29351771
PMCPMC5775569

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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.