Evidence map›Paper›PMID 29932391›Full record

ArticleMicrobial genomics2018

Genetic analysis of invasive Escherichia coli in Scotland reveals determinants of healthcare-associated versus community-acquired infections.

Cosmika Goswami, Stephen Fox, Matthew Holden, Martin Connor, Alistair Leanord, Thomas J Evans

Open access · goldAbstract read
In one paragraph

Article in Microbial genomics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

20 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
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  6. Pan-Resistome Characterization of UropathogenicAntibiotics (Basel, Switzerland) · 2021
    Article
  7. Ten Years of Population-Level Genomic Escherichia coli and Klebsiella pneumoniae Serotype Surveillance Informs Vaccine Development for Invasive Infections.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  8. Alterations in chromosomal genesMicrobial genomics · 2021
    Article
  9. Article
  10. Novel chromosomal insertions of ISEcp1-blaAntimicrobial resistance and infection control · 2021
    Article
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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

6 authors at 3 institutions in 1 country.

Cosmika Goswami1​Institute of Infection, Immunity and Inflammation, University of Glasgow, Glasgow, UK.
Stephen Fox1​Institute of Infection, Immunity and Inflammation, University of Glasgow, Glasgow, UK.
Matthew Holden2​University of St Andrews, UK.
Martin Connor3​Dumfries and Galloway Royal Infirmary, UK.
Alistair Leanord1​Institute of Infection, Immunity and Inflammation, University of Glasgow, Glasgow, UK.
Thomas J Evans1​Institute of Infection, Immunity and Inflammation, University of Glasgow, Glasgow, UK.
University of Glasgow · GBDumfries and Galloway Royal Infirmary · GBUniversity of St Andrews · GB

Funding

Chief Scientist Office
6 · The paper itself

Abstract

Bacteraemia caused by Escherichia coli is a growing problem with a significant mortality. The factors that influence the acquisition and outcome of these infections are not clear. Here, we have linked detailed genetic data from the whole-genome sequencing of 162 bacteraemic isolates collected in Scotland, UK, in 2013-2015, with clinical data in order to delineate bacterial and host factors that influence the acquisition in hospital or the community, outcome and antibiotic resistance. We identified four major sequence types (STs) in these isolates: ST131, ST69, ST73 and ST95. Nearly 50 % of the bacteraemic isolates had a urinary origin. ST69 was genetically distinct from the other STs, with significantly less sharing of accessory genes and with a distinct plasmid population. Virulence genes were widespread and diversely distributed between the dominant STs. ST131 was significantly associated with hospital-associated infections (HAIs), and ST69 with those from the community. However, there was no association of ST with outcome, although patients with HAI had a higher immediate mortality compared to those with community-associated infections (CAIs). Genome-wide association studies revealed genes involved in antibiotic persistence as significantly associated with HAIs and those encoding elements of a type VI secretion system with CAIs. Antibiotic resistance was common, and there were networks of correlated resistance genes and phenotypic antibiotic resistance. This study has revealed the complex interactions between the genotype of E. coli and its ability to cause bacteraemia, and some of the determinants influencing hospital or community acquisition. In part, these are shaped by antibiotic usage, but strain-specific factors are also important.

Indexed as

Escherichia coliGenotypeBacteremiaCommunity-Acquired InfectionsCross InfectionEscherichia coli InfectionsGenome-Wide Association StudyHumansScotlandantibiotic resistancebacteraemiagenome sequencinggenome-wide association study

Identifiers

PMID29932391
PMCPMC6096937
OpenAlexW2809309706

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.