Evidence map›Paper›PMID 32667914›Full record

ArticlePLoS neglected tropical diseases2020

Viability PCR shows that non-ocular surfaces could contribute to transmission of Chlamydia trachomatis infection in trachoma.

Bart Versteeg, Hristina Vasileva, Joanna Houghton, Anna Last, Oumer Shafi Abdurahman, Virginia Sarah, David Macleod, Anthony W Solomon, Martin J Holland, Nicholas Thomson and 1 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 12% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Trachoma.Lancet (London, England) · 2025
    Review
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  19. Association ofFrontiers in cellular and infection microbiology · 2023
    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

11 authors at 2 institutions in 2 countries.

Bart VersteegClinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID 0000-0003-2606-8057
Hristina VasilevaClinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Joanna HoughtonClinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID 0000-0001-9820-8122
Anna LastClinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Oumer Shafi AbdurahmanClinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID 0000-0001-5415-2403
Virginia SarahThe Fred Hollows Foundation, London, United Kingdom.
David MacleodDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID 0000-0002-2371-5709
Anthony W SolomonClinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID 0000-0001-7101-6649
Martin J HollandClinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID 0000-0002-5828-6318
Nicholas ThomsonClinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Matthew J BurtonClinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID 0000-0003-1872-9169
London School of Hygiene & Tropical Medicine · GBWellcome Sanger Institute · GB

Funding

Medical Research Council MR/R010161/1Wellcome Trust 206275/Z/17/Z
6 · The paper itself

Abstract

backgroundThe presence of Chlamydia trachomatis (Ct) DNA at non-ocular sites suggests that these sites may represent plausible routes of Ct transmission in trachoma. However, qPCR cannot discriminate between DNA from viable and non-viable bacteria. Here we use a propodium monoazide based viability PCR to investigate how long Ct remains viable at non-ocular sites under laboratory-controlled conditions.

methodsCultured Ct stocks (strain A2497) were diluted to final concentrations of 1000, 100, 10 and 1 omcB copies/μL and applied to plastic, woven mat, cotton cloth and pig skin. Swabs were then systemically collected from each surface and tested for the presence Ct DNA using qPCR. If Ct DNA was recovered, Ct viability was assessed over time by spiking multiple areas of the same surface type with the same final concentrations. Swabs were collected from each surface at 0, 2, 4, 6, 8 and 24 hours after spiking. Viability PCR was used to determine Ct viability at each timepoint.

resultsWe were able to detect Ct DNA on all surfaces except the woven mat. Total Ct DNA remained detectable and stable over 24 hours for all concentrations applied to plastic, pig skin and cotton cloth. The amount of viable Ct decreased over time. For plastic and skin surfaces, only those where concentrations of 100 or 1000 omcB copies/μL were applied still had viable loads detectable after 24 hours. Cotton cloth showed a more rapid decrease and only those where concentrations of 1000 omcB copies/μL were applied still had viable DNA detectable after 24 hours.

conclusionPlastic, cotton cloth and skin may contribute to transmission of the Ct strains that cause trachoma, by acting as sites where reservoirs of bacteria are deposited and later collected and transferred mechanically into previously uninfected eyes.

Indexed as

Chlamydia trachomatisDNA, BacterialFomitesHumansPolymerase Chain ReactionTrachomaDNA, Bacterial

Identifiers

PMID32667914
PMCPMC7384675
OpenAlexW3043411225

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.