Evidence map›Paper›PMID 34437549›Full record

ReviewPLoS neglected tropical diseases2021

Understanding the transmission of Mycobacterium ulcerans: A step towards controlling Buruli ulcer.

Anthony J Muleta, Rachael Lappan, Timothy P Stinear, Chris Greening

Abstract readReview
In one paragraph

Review in PLoS neglected tropical diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Life (Basel, Switzerland) · 2025
    Review
  6. Article
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  8. A low-cost and versatile paramagnetic bead DNA extraction method forApplied and environmental microbiology · 2024
    Article
  9. Article
  10. Activation of host nucleic acid sensors byCritical reviews in microbiology · 2024
    Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. 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

4 authors.

Anthony J MuletaDepartment of Microbiology, Monash Biomedicine Discovery Institute, Monash University, Clayton, Australia.ORCID 0000-0003-1241-8036
Rachael LappanDepartment of Microbiology, Monash Biomedicine Discovery Institute, Monash University, Clayton, Australia.ORCID 0000-0002-3543-8243
Timothy P StinearDepartment of Microbiology and Immunology, Doherty Institute for Infection and Immunity, University of Melbourne, Melbourne, Australia.
Chris GreeningDepartment of Microbiology, Monash Biomedicine Discovery Institute, Monash University, Clayton, Australia.ORCID 0000-0001-7616-0594

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mycobacterium ulcerans is the causative agent of Buruli ulcer, a rare but chronic debilitating skin and soft tissue disease found predominantly in West Africa and Southeast Australia. While a moderate body of research has examined the distribution of M. ulcerans, the specific route(s) of transmission of this bacterium remain unknown, hindering control efforts. M. ulcerans is considered an environmental pathogen given it is associated with lentic ecosystems and human-to-human spread is negligible. However, the pathogen is also carried by various mammals and invertebrates, which may serve as key reservoirs and mechanical vectors, respectively. Here, we examine and review recent evidence from these endemic regions on potential transmission pathways, noting differences in findings between Africa and Australia, and summarising the risk and protective factors associated with Buruli ulcer transmission. We also discuss evidence suggesting that environmental disturbance and human population changes precede outbreaks. We note five key research priorities, including adoption of One Health frameworks, to resolve transmission pathways and inform control strategies to reduce the spread of Buruli ulcer.

Indexed as

AnimalsBuruli UlcerCommunicable Disease ControlEcosystemEnvironmentHumansMycobacterium ulceransOne Health

Identifiers

PMID34437549
PMCPMC8389476

What OpenQuestion holds

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LicenceCC BY
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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.