Evidence map›Paper›PMID 29743642›Full record

ArticleScientific reports2018

Genomic epidemiology of Shigella in the United Kingdom shows transmission of pathogen sublineages and determinants of antimicrobial resistance.

Kate S Baker, Timothy J Dallman, Nigel Field, Tristan Childs, Holly Mitchell, Martin Day, François-Xavier Weill, Sophie Lefèvre, Mathieu Tourdjman, Gwenda Hughes and 2 more

Abstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
–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

50 citing papers in PubMed.

  1. Investigation of an outbreak ofMicrobial genomics · 2026
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  4. Review
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  6. Genomic and epidemiological characteristics ofPathogens and global health · 2025
    Article
  7. The emergence of sexually transmissibleMicrobial genomics · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Characterization of azithromycin-resistantMicrobiology spectrum · 2024
    Article
  13. Article
  14. Article
  15. Microbiology (Reading, England) · 2024
    Article
  16. Article
  17. Article
  18. 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.

Kate S BakerInstitute for Integrative Biology, University of Liverpool, Liverpool, L69 7ZB, United Kingdom. kbaker@liverpool.ac.uk.ORCID 0000-0001-5850-1949
Timothy J DallmanGastrointestinal Bacterial Reference Unit, National Infection Service, Public Health England, London, NW9 5HT, United Kingdom.
Nigel FieldCentre for Molecular Epidemiology and Translational Research, Institute for Global Health, UCL, London, United Kingdom.
Tristan ChildsCentre for Infectious Disease Surveillance and Control, National Infection Service, Public Health England, London, NW9 5HT, United Kingdom.
Holly MitchellCentre for Molecular Epidemiology and Translational Research, Institute for Global Health, UCL, London, United Kingdom.
Martin DayGastrointestinal Bacterial Reference Unit, National Infection Service, Public Health England, London, NW9 5HT, United Kingdom.
François-Xavier WeillInstitut Pasteur, Unité des Bactéries Pathogènes Entériques, Paris, 75015, France.
Sophie LefèvreInstitut Pasteur, Unité des Bactéries Pathogènes Entériques, Paris, 75015, France.
Mathieu TourdjmanSanté Publique France, the French Public Health Agency, Saint-Maurice, France.
Gwenda HughesDepartment of HIV and STIs, National Infection Service, Public Health England, London, NW9 5HT, United Kingdom.
Claire JenkinsGastrointestinal Bacterial Reference Unit, National Infection Service, Public Health England, London, NW9 5HT, United Kingdom.
Nicholas ThomsonWellcome Trust Sanger Institute, Hinxton, CB10 1SA, United Kingdom. nrt@sanger.ac.uk.

Funding

Wellcome TrustWellcome Trust 106690/A/14/ZWellcome Trust 206194
6 · The paper itself

Abstract

Shigella are globally important diarrhoeal pathogens that are endemic in low-to-middle income nations and also occur in high income nations, typically in travellers or community-based risk-groups. Shigella phylogenetics reveals population structures that are more reliable than those built with traditional typing methods, and has identified sublineages associated with specific geographical regions or patient groups. Genomic analyses reveal temporal increases in Shigella antimicrobial resistance (AMR) gene content, which is frequently encoded on mobile genetic elements. Here, we whole genome sequenced representative subsamples of S. flexneri 2a and S. sonnei (n = 366) from the United Kingdom from 2008 to 2014, and analysed these alongside publicly available data to make qualitative insights on the genomic epidemiology of shigellosis and its AMR within the broader global context. Combined phylogenetic, epidemiological and genomic anlayses revealed the presence of domestically-circulating sublineages in patient risk-groups and the importation of travel-related sublineages from both Africa and Asia, including ciprofloxacin-resistant sublineages of both species from Asia. Genomic analyses revealed common AMR determinants among travel-related and domestically-acquired isolates, and the evolution of mutations associated with reduced quinolone susceptibility in domestically-circulating sublineages. Collectively, this study provides unprecedented insights on the contribution and mobility of endemic and travel-imported sublineages and AMR determinants responsible for disease in a high-income nation.

Indexed as

Drug Resistance, BacterialCiprofloxacinDiarrheaDysentery, BacillaryHumansPhylogenyShigellaUnited KingdomWhole Genome SequencingCiprofloxacin

Identifiers

PMID29743642
PMCPMC5943296

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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.