Evidence map›Paper›PMID 30457532›Full record

ArticleEmerging infectious diseases2018

Highly Pathogenic Clone of Shiga Toxin-Producing Escherichia coli O157:H7, England and Wales.

Lisa Byrne, Timothy J Dallman, Natalie Adams, Amy F W Mikhail, Noel McCarthy, Claire Jenkins

Open access · diamondAbstract read
In one paragraph

Article in Emerging infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

27 citing papers in PubMed, 43 citations in OpenAlex.

  1. Mind the gap! TypingMicrobial genomics · 2026
    Article
  2. Article
  3. Article
  4. An outbreak of Shiga toxin-producingEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Analysis ofMicrobial genomics · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. The epidemiology of Shiga toxin-producingEpidemiology and infection · 2022
    Article
  14. Review
  15. The emerging importance of Shiga toxin-producingJournal of medical microbiology · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. Comparative Whole Genome Analysis ofFrontiers in microbiology · 2021
    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

6 authors at 2 institutions in 1 country.

Lisa Byrne
Timothy J Dallman
Natalie Adams
Amy F W Mikhail
Noel McCarthy
Claire Jenkins
Public Health England · GBUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We used whole-genome sequencing to investigate the evolutionary context of an emerging highly pathogenic strain of Shiga toxin-producing Escherichia coli (STEC) O157:H7 in England and Wales. A timed phylogeny of sublineage IIb revealed that the emerging clone evolved from a STEC O157:H7 stx-negative ancestor ≈10 years ago after acquisition of a bacteriophage encoding Shiga toxin (stx) 2a, which in turn had evolved from a stx2c progenitor ≈20 years ago. Infection with the stx2a clone was a significant risk factor for bloody diarrhea (OR 4.61, 95% CI 2.24-9.48; p<0.001), compared with infection with other strains within sublineage IIb. Clinical symptoms of cases infected with sublineage IIb stx2c and stx-negative clones were comparable, despite the loss of stx2c. Our analysis highlighted the highly dynamic nature of STEC O157:H7 Stx-encoding bacteriophages and revealed the evolutionary history of a highly pathogenic clone emerging within sublineage IIb, a sublineage not previously associated with severe clinical symptoms.

Indexed as

EnglandEscherichia coli InfectionsEscherichia coli O157Evolution, MolecularFemaleGenome, BacterialGenomicsHumansMalePhylogenyPolymorphism, Single NucleotideSeverity of Illness IndexWalesbacteriaEnglandenteric infectionsevolutionShiga toxin–producing Escherichia coliSTECUnited KingdomvirulenceWaleswhole-genome sequencing

Identifiers

PMID30457532
PMCPMC6256402
OpenAlexW2900078210

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.