Evidence map›Paper›PMID 31225586›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020

Cross-transmission Is Not the Source of New Mycobacterium abscessus Infections in a Multicenter Cohort of Cystic Fibrosis Patients.

Ronan M Doyle, Marc Rubio, Garth Dixon, John Hartley, Nigel Klein, Pere Coll, Kathryn A Harris

Abstract readMulticenter Study
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing 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

40 citing papers in PubMed.

  1. Article
  2. Canada communicable disease report = Releve des maladies transmissibles au Canada · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Genomic epidemiology ofERJ open research · 2024
    Article
  7. Journal of clinical microbiology · 2024
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Mutation rates and adaptive variation among the clinically dominant clusters ofProceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  15. Molecular Epidemiologic Investigation ofAnnals of the American Thoracic Society · 2023
    Article
  16. Frontiers in microbiology · 2023
    Article
  17. Observational
  18. Article
  19. Article
  20. Review
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

7 authors.

Ronan M DoyleDepartment of Microbiology, Virology and Infection Control, Great Ormond Street Hospital National Health Service Foundation Trust.
Marc RubioDepartament de Genètica i Microbiologia, Universitat Autònoma de Barcelona, Bellaterra, Spain.
Garth DixonDepartment of Microbiology, Virology and Infection Control, Great Ormond Street Hospital National Health Service Foundation Trust.
John HartleyDepartment of Microbiology, Virology and Infection Control, Great Ormond Street Hospital National Health Service Foundation Trust.
Nigel KleinNational Institute for Health Research Biomedical Research Centre at Great Ormond Street Hospital for Children National Health Service Foundation Trust and University College London, United Kingdom.
Pere CollDepartament de Genètica i Microbiologia, Universitat Autònoma de Barcelona, Bellaterra, Spain.
Kathryn A HarrisDepartment of Microbiology, Virology and Infection Control, Great Ormond Street Hospital National Health Service Foundation Trust.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMycobacterium abscessus is an extensively drug-resistant pathogen that causes pulmonary disease, particularly in cystic fibrosis (CF) patients. Identifying direct patient-to-patient transmission of M. abscessus is critically important in directing an infection control policy for the management of risk in CF patients. A variety of clinical labs have used molecular epidemiology to investigate transmission. However, there is still conflicting evidence as to how M. abscessus is acquired and whether cross-transmission occurs. Recently, labs have applied whole-genome sequencing (WGS) to investigate this further and, in this study, we investigated whether WGS can reliably identify cross-transmission in M. abscessus.

methodsWe retrospectively sequenced the whole genomes of 145 M. abscessus isolates from 62 patients, seen at 4 hospitals in 2 countries over 16 years.

resultsWe have shown that a comparison of a fixed number of core single nucleotide variants alone cannot be used to infer cross-transmission in M. abscessus but does provide enough information to replace multiple existing molecular assays. We detected 1 episode of possible direct patient-to-patient transmission in a sibling pair. We found that patients acquired unique M. abscessus strains even after spending considerable time on the same wards with other M. abscessus-positive patients.

conclusionsThis novel analysis has demonstrated that the majority of patients in this study have not acquired M. abscessus through direct patient-to-patient transmission or a common reservoir. Tracking transmission using WGS will only realize its full potential with proper environmental screening, as well as patient sampling.

Indexed as

Cystic FibrosisMycobacterium abscessusMycobacterium Infections, NontuberculousCohort StudiesHumansRetrospective Studiescystic fibrosisnontuberculous mycobacteriaphylogenomicstransmissionwhole-genome sequencing

Identifiers

PMID31225586
PMCPMC7156781

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.