Evidence map›Paper›PMID 34276599›Full record

ArticleFrontiers in microbiology2021

Using Whole Genome Sequences to Investigate Adenovirus Outbreaks in a Hematopoietic Stem Cell Transplant Unit.

Chloe E Myers, Charlotte J Houldcroft, Sunando Roy, Ben K Margetts, Timothy Best, Cristina Venturini, Jose A Guerra-Assunção, Charlotte A Williams, Rachel Williams, Helen Dunn and 4 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed, 17 citations in OpenAlex.

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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

14 authors at 6 institutions in 1 country.

Chloe E MyersCambridge Clinical Microbiology and Public Health Laboratory, Public Health England, Cambridge, United Kingdom.
Charlotte J HouldcroftDepartment of Medicine, University of Cambridge, Cambridge, United Kingdom.
Sunando RoyDivision of Infection and Immunity, University College London, London, United Kingdom.
Ben K MargettsDivision of Infection, Immunity and Inflammation, Great Ormond Street Institute of Child Health, University College London, London, United Kingdom.
Timothy BestDepartment of Microbiology, Virology and Infection Prevention and Control, Great Ormond Street Hospital for Children National Health Service Foundation Trust, London, United Kingdom.
Cristina VenturiniDivision of Infection and Immunity, University College London, London, United Kingdom.
Jose A Guerra-AssunçãoDivision of Infection and Immunity, University College London, London, United Kingdom.
Charlotte A WilliamsDivision of Infection and Immunity, University College London, London, United Kingdom.
Rachel WilliamsDivision of Infection and Immunity, University College London, London, United Kingdom.
Helen DunnDepartment of Microbiology, Virology and Infection Prevention and Control, Great Ormond Street Hospital for Children National Health Service Foundation Trust, London, United Kingdom.
John C HartleyDepartment of Microbiology, Virology and Infection Prevention and Control, Great Ormond Street Hospital for Children National Health Service Foundation Trust, London, United Kingdom.
Kanchan RaoDepartment of Microbiology, Virology and Infection Prevention and Control, Great Ormond Street Hospital for Children National Health Service Foundation Trust, London, United Kingdom.
Kathryn J RolfeCambridge Clinical Microbiology and Public Health Laboratory, Public Health England, Cambridge, United Kingdom.
Judith BreuerDivision of Infection and Immunity, University College London, London, United Kingdom.
University College London · GBGreat Ormond Street Hospital for Children NHS Foundation Trust · GBNational Health Service · GBPublic Health England · GBGreat Ormond Street Hospital · GBUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A recent surge in human mastadenovirus (HAdV) cases, including five deaths, amongst a haematopoietic stem cell transplant population led us to use whole genome sequencing (WGS) to investigate. We compared sequences from 37 patients collected over a 20-month period with sequences from GenBank and our own database of HAdVs. Maximum likelihood trees and pairwise differences were used to evaluate genotypic relationships, paired with the epidemiological data from routine infection prevention and control (IPC) records and hospital activity data. During this time period, two formal outbreaks had been declared by IPC, while WGS detected nine monophyletic clusters, seven were corroborated by epidemiological evidence and by comparison of single-nucleotide polymorphisms. One of the formal outbreaks was confirmed, and the other was not. Of the five HAdV-associated deaths, three were unlinked and the remaining two considered the source of transmission. Mixed infection was frequent (10%), providing a sentinel source of recombination and superinfection. Immunosuppressed patients harboring a high rate of HAdV positivity require comprehensive surveillance. As a consequence of these findings, HAdV WGS is being incorporated routinely into clinical practice to influence IPC policy contemporaneously.

Indexed as

adenovirusepidemiologynosocomial transmissionpediatric infectious diseasewhole genome sequencing

Identifiers

PMID34276599
PMCPMC8284422
OpenAlexW3183573083

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.