Evidence map›Paper›PMID 31468702›Full record

ArticleEMBO molecular medicine2019

Diagnostic host gene signature for distinguishing enteric fever from other febrile diseases.

Christoph J Blohmke, Julius Muller, Malick M Gibani, Hazel Dobinson, Sonu Shrestha, Soumya Perinparajah, Celina Jin, Harri Hughes, Luke Blackwell, Sabina Dongol and 8 more

Open access · goldAbstract readValidation Study
In one paragraph

Article in EMBO molecular medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Typhoid fever.Nature reviews. Disease primers · 2023
    Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. The Current Status of Enteric Fever Diagnostics and Implications for Disease Control.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  16. Toward Control? The Prospects and Challenges of Typhoid Conjugate Vaccine Introduction.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Article
  17. 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

18 authors at 5 institutions in 3 countries.

Christoph J BlohmkeDepartment of Paediatrics, Centre for Clinical Vaccinology and Tropical Medicine, Oxford Vaccine Group, Oxford, UK.ORCID 0000-0002-1453-9651
Julius MullerThe Jenner Institute, University of Oxford, Oxford, UK.
Malick M GibaniDepartment of Paediatrics, Centre for Clinical Vaccinology and Tropical Medicine, Oxford Vaccine Group, Oxford, UK.
Hazel DobinsonDepartment of Paediatrics, Centre for Clinical Vaccinology and Tropical Medicine, Oxford Vaccine Group, Oxford, UK.
Sonu ShresthaDepartment of Paediatrics, Centre for Clinical Vaccinology and Tropical Medicine, Oxford Vaccine Group, Oxford, UK.
Soumya PerinparajahDepartment of Paediatrics, Centre for Clinical Vaccinology and Tropical Medicine, Oxford Vaccine Group, Oxford, UK.
Celina JinDepartment of Paediatrics, Centre for Clinical Vaccinology and Tropical Medicine, Oxford Vaccine Group, Oxford, UK.
Harri HughesDepartment of Paediatrics, Centre for Clinical Vaccinology and Tropical Medicine, Oxford Vaccine Group, Oxford, UK.
Luke BlackwellDepartment of Paediatrics, Centre for Clinical Vaccinology and Tropical Medicine, Oxford Vaccine Group, Oxford, UK.
Sabina DongolPatan Academy of Healthy Sciences, Oxford University Clinical Research Unit, Kathmandu, Nepal.
Abhilasha KarkeyPatan Academy of Healthy Sciences, Oxford University Clinical Research Unit, Kathmandu, Nepal.
Fernanda SchreiberInfection Genomics Program, The Wellcome Trust Sanger Institute, Hinxton, UK.
Derek PickardInfection Genomics Program, The Wellcome Trust Sanger Institute, Hinxton, UK.
Buddha BasnyatPatan Academy of Healthy Sciences, Oxford University Clinical Research Unit, Kathmandu, Nepal.
Gordon DouganInfection Genomics Program, The Wellcome Trust Sanger Institute, Hinxton, UK.
Stephen BakerThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Andrew J PollardDepartment of Paediatrics, Centre for Clinical Vaccinology and Tropical Medicine, Oxford Vaccine Group, Oxford, UK.
Thomas C DartonDepartment of Paediatrics, Centre for Clinical Vaccinology and Tropical Medicine, Oxford Vaccine Group, Oxford, UK.
National Institute for Health Research · GBPatan Academy of Health Sciences · NPWellcome Sanger Institute · GBOxford University Clinical Research Unit · VNUniversity of Oxford · GB

Funding

Medical Research Council MR/M00919X/1Wellcome Trust 092661
6 · The paper itself

Abstract

Misdiagnosis of enteric fever is a major global health problem, resulting in patient mismanagement, antimicrobial misuse and inaccurate disease burden estimates. Applying a machine learning algorithm to host gene expression profiles, we identified a diagnostic signature, which could distinguish culture-confirmed enteric fever cases from other febrile illnesses (area under receiver operating characteristic curve > 95%). Applying this signature to a culture-negative suspected enteric fever cohort in Nepal identified a further 12.6% as likely true cases. Our analysis highlights the power of data-driven approaches to identify host response patterns for the diagnosis of febrile illnesses. Expression signatures were validated using qPCR, highlighting their utility as PCR-based diagnostics for use in endemic settings.

Indexed as

Diagnosis, DifferentialGene Expression ProfilingHumansMachine LearningMolecular Diagnostic TechniquesNepalPolymerase Chain ReactionROC CurveTyphoid Feverbiomarkerenteric fevermachine learningtranscriptomics

Identifiers

PMID31468702
PMCPMC6783646
OpenAlexW2970821220

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.