Evidence map›Paper›PMID 35402307›Full record

ArticleFrontiers in cellular and infection microbiology2022

Microbiome Characterization of Infected Diabetic Foot Ulcers in Association With Clinical Outcomes: Traditional Cultures Versus Molecular Sequencing Methods.

Hadar Mudrik-Zohar, Shaqed Carasso, Tal Gefen, Anat Zalmanovich, Michal Katzir, Yael Cohen, Yossi Paitan, Naama Geva-Zatorsky, Michal Chowers

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in cellular and infection microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05770856 (Clinical Metagenomic Next-Generation Sequencing for Microbial Infections in Trauma), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% 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.

NCT05770856 completednot on this mapstarted 2023, after this paper: background citation

Clinical Metagenomic Next-Generation Sequencing for Microbial Infections in Trauma

TypeobservationalSponsorCentre Hospitalier Intercommunal de Toulon La Seyne sur MerRan2023 to 2023Enrolled25ConditionsFractures, Bone, InfectionsArmsMetagenomic sequencing
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. A Survey of the Microbiome, Culturome and ARG Profile of a Cohort of Chronic Diabetic Foot Lesions.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2026
    Article
  7. Article
  8. Article
  9. Genome-resolved gut metagenomics identifies anFrontiers in immunology · 2026
    Article
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  12. Article
  13. Review
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  17. Direct metagenomics investigation of non-surgical hard-to-heal wounds: a review.Annals of clinical microbiology and antimicrobials · 2024
    Review
  18. Article
  19. Microbiome of limb-threatening diabetic foot ulcers indicates the association of fastidious Stenotrophomonas and major amputation.Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi · 2024
    Article
  20. 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

9 authors at 3 institutions in 2 countries.

Hadar Mudrik-ZoharDepartment of Internal Medicine A, Meir Medical Center, Kfar Saba, Israel.
Shaqed CarassoRappaport Technion Integrated Cancer Center (TICC), Department of Cell Biology and Cancer Science, Rappaport Faculty of Medicine, The Technion - Israel Institute of Technology, Haifa, Israel.
Tal GefenRappaport Technion Integrated Cancer Center (TICC), Department of Cell Biology and Cancer Science, Rappaport Faculty of Medicine, The Technion - Israel Institute of Technology, Haifa, Israel.
Anat ZalmanovichSackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Michal KatzirSackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Yael CohenDepartment of Orthopedics B, Meir Medical Center, Kfar Saba, Israel.
Yossi PaitanSackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Naama Geva-ZatorskyRappaport Technion Integrated Cancer Center (TICC), Department of Cell Biology and Cancer Science, Rappaport Faculty of Medicine, The Technion - Israel Institute of Technology, Haifa, Israel.
Michal ChowersSackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Meir Medical Center · ILTechnion – Israel Institute of Technology · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Infected diabetic foot ulcers (IDFU) are a major complication of diabetes mellitus. These potentially limb-threatening ulcers are challenging to treat due to impaired wound healing characterizing diabetic patients and the complex microbial environment of these ulcers. Aim: To analyze the microbiome of IDFU in association with clinical outcomes. Methods: Wound biopsies from IDFU were obtained from hospitalized patients and were analyzed using traditional microbiology cultures, 16S rRNA sequencing and metagenomic sequencing. Patients' characteristics, culture-based results and sequencing data were analyzed in association with clinical outcomes. Results: A total of 31 patients were enrolled. Gram-negative bacteria dominated the IDFU samples (79%, 59% and 54% of metagenomics, 16S rRNA and cultures results, respectively, p<0.001). 16S rRNA and metagenomic sequencing detected significantly more anaerobic bacteria, as compared to conventional cultures (59% and 76%, respectively vs. 26% in cultures, p=0.001). Culture-based results showed that Conclusion: Sequencing tools uncover the complex biodiversity of IDFU and emphasize the high prevalence of anaerobes and Gram-negative bacteria in these ulcers. Furthermore, sequencing results highlight possible associations among certain genera, species, and bacterial functional genes to clinical outcomes.

Indexed as

Diabetes MellitusDiabetic FootMicrobiotaHumansMetagenomeMetagenomicsRNA, Ribosomal, 16SRNA, Ribosomal, 16S16S rRNAamputationdiabetic foot ulcermetagenomicsmicrobiome

Identifiers

PMID35402307
PMCPMC8987016
OpenAlexW4220992320

What OpenQuestion holds

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Registered trials

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.