Evidence map›Paper›PMID 35660421›Full record

ArticleAmerican journal of ophthalmology2022

Deep Metagenomic Sequencing for Endophthalmitis Pathogen Detection Using a Nanopore Platform.

Liying Low, Kenji Nakamichi, Lakshmi Akileswaran, Cecilia S Lee, Aaron Y Lee, George Moussa, Philip I Murray, Graham R Wallace, Russell N Van Gelder, Saaeha Rauz and 1 more

Open access · hybridAbstract read
In one paragraph

Article in American journal of ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.7field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Areas of uncertainty in endophthalmitis care.World journal of clinical cases · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Review
  13. Article
  14. Metagenomic sequencing for investigation of a national keratoconjunctivitis outbreak, Israel, 2022.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Article
  15. Article
  16. Article
  17. Review
  18. Article
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  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

11 authors at 3 institutions in 2 countries.

Liying LowFrom the Academic Unit of Ophthalmology, Institute of Inflammation and Ageing, University of Birmingham, United Kingdom (L.L, P.I.M, G.R.W, S.R); Birmingham and Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, United Kingdom (L.L, G.M, P.I.M, S.R).
Kenji NakamichiDepartment of Ophthalmology, University of Washington School of Medicine, Seattle, Washington, USA (K.N, L.A, C.S.L, A.Y.L, R.N.VG, S.R).
Lakshmi AkileswaranDepartment of Ophthalmology, University of Washington School of Medicine, Seattle, Washington, USA (K.N, L.A, C.S.L, A.Y.L, R.N.VG, S.R).
Cecilia S LeeDepartment of Ophthalmology, University of Washington School of Medicine, Seattle, Washington, USA (K.N, L.A, C.S.L, A.Y.L, R.N.VG, S.R).
Aaron Y LeeDepartment of Ophthalmology, University of Washington School of Medicine, Seattle, Washington, USA (K.N, L.A, C.S.L, A.Y.L, R.N.VG, S.R).
George MoussaBirmingham and Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, United Kingdom (L.L, G.M, P.I.M, S.R).
Philip I MurrayFrom the Academic Unit of Ophthalmology, Institute of Inflammation and Ageing, University of Birmingham, United Kingdom (L.L, P.I.M, G.R.W, S.R); Birmingham and Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, United Kingdom (L.L, G.M, P.I.M, S.R).
Graham R WallaceFrom the Academic Unit of Ophthalmology, Institute of Inflammation and Ageing, University of Birmingham, United Kingdom (L.L, P.I.M, G.R.W, S.R).
Russell N Van GelderDepartment of Ophthalmology, University of Washington School of Medicine, Seattle, Washington, USA (K.N, L.A, C.S.L, A.Y.L, R.N.VG, S.R); Roger and Angie Karalis Retina Center at University of Washington.
Saaeha RauzFrom the Academic Unit of Ophthalmology, Institute of Inflammation and Ageing, University of Birmingham, United Kingdom (L.L, P.I.M, G.R.W, S.R); Birmingham and Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, United Kingdom (L.L, G.M, P.I.M, S.R). Electronic address: s.rauz@bham.ac.uk.
West Midlands Collaborative Ophthalmology Network for Clinical Effectiveness & Research by Trainees (WM CONCERT)
University of Washington · USSandwell & West Birmingham Hospitals NHS Trust · GBUniversity of Birmingham · GB

Funding

Translational pharmacoepidemiology: neuroprotection and neurotoxicity of antihypertensives and strong anticholinergicsU19AG066567 · NIA · KAISER FOUNDATION RESEARCH INSTITUTE · PI Paul K Crane, Andrea Z. LaCroix · 2021 to 2026
$80.4M
Aging eyes and aging brains in studying alzheimer's disease: Modern ophthalmic data collection in the adult changes in thought (ACT) studyR01AG060942 · NIA · WASHINGTON UNIVERSITY · PI Cecilia Sungmin Lee · 2019 to 2026
$39.4M
Epidemiology and clinical outcomes of diabetic macular edemaK23EY029246 · NEI · UNIVERSITY OF WASHINGTON · PI LEE, AARON · 2018 to 2022
$1.1M
Department of HealthMedical Research Council MR/N019016/1NEI NIH HHS K23 EY029246NIA NIH HHS R01 AG060942NIA NIH HHS U19 AG066567
6 · The paper itself

Abstract

purposeTo evaluate the utility of nanopore sequencing for identifying potential causative pathogens in endophthalmitis, comparing culture results against full-length 16S rRNA nanopore sequencing (16S Nanopore), whole genome nanopore sequencing (Nanopore WGS), and Illumina (Illumina WGS).

designCross-sectional diagnostic comparison.

methodsPatients with clinically suspected endophthalmitis underwent intraocular vitreous biopsy as per standard care. Clinical samples were cultured by conventional methods, together with full-length 16S rRNA and WGS using nanopore and Illumina sequencing platforms.

resultsOf 23 patients (median age 68.5 years [range 47-88]; 14 males [61%]), 18 cases were culture-positive. Nanopore sequencing identified the same cultured organism in all of the culture-positive cases and identified potential pathogens in two culture-negative cases (40%). Nanopore WGS was able to additionally detect the presence of bacteriophages in three samples. The agreements at genus level between culture and 16S Nanopore, Nanopore WGS, and Illumina WGS were 75%, 100%, and 78%, respectively.

conclusionsWhole genome sequencing has higher sensitivity and provides a viable alternative to culture and 16S sequencing for detecting potential pathogens in endophthalmitis. Moreover, WGS has the ability to detect other potential pathogens in culture-negative cases. Whilst Nanopore and Illumina WGS provide comparable data, nanopore sequencing provides potential for cost-effective point-of-care diagnostics.

Indexed as

EndophthalmitisNanoporesAgedAged, 80 and overCross-Sectional StudiesHumansMaleMetagenomicsMiddle AgedRNA, Ribosomal, 16SRNA, Ribosomal, 16S

Identifiers

PMID35660421
PMCPMC9850836
OpenAlexW4281670023

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.