Evidence map›Paper›PMID 35695507›Full record

ArticlemSystems2022

Genomic Diversity of Hospital-Acquired Infections Revealed through Prospective Whole-Genome Sequencing-Based Surveillance.

Mustapha M Mustapha, Vatsala R Srinivasa, Marissa P Griffith, Shu-Ting Cho, Daniel R Evans, Kady Waggle, Chinelo Ezeonwuka, Daniel J Snyder, Jane W Marsh, Lee H Harrison and 2 more

Open access · goldAbstract read
In one paragraph

Article in mSystems, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.7field-weighted citation impact, top 8% 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

33 citing papers in PubMed, 40 citations in OpenAlex.

  1. Pangenome ofEcology and evolution · 2026
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  8. Real-Time Genomic Surveillance for Enhanced Healthcare Outbreak Detection and Control: Clinical and Economic Impact.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
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  13. The changing epidemiology and long-term outcomes of patients with CRE infections.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Genetic Characteristics ofPathogens (Basel, Switzerland) · 2025
    Article
  19. Article
  20. Review
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

12 authors at 1 institution in 1 country.

Mustapha M Mustapha *Division of Infectious Diseases, University of Pittsburgh School of Medicinegrid.471408.e, Pittsburgh, Pennsylvania, USA.
Vatsala R Srinivasa *Division of Infectious Diseases, University of Pittsburgh School of Medicinegrid.471408.e, Pittsburgh, Pennsylvania, USA.
Marissa P GriffithDivision of Infectious Diseases, University of Pittsburgh School of Medicinegrid.471408.e, Pittsburgh, Pennsylvania, USA.
Shu-Ting ChoDivision of Infectious Diseases, University of Pittsburgh School of Medicinegrid.471408.e, Pittsburgh, Pennsylvania, USA.
Daniel R EvansDivision of Infectious Diseases, University of Pittsburgh School of Medicinegrid.471408.e, Pittsburgh, Pennsylvania, USA.
Kady WaggleDivision of Infectious Diseases, University of Pittsburgh School of Medicinegrid.471408.e, Pittsburgh, Pennsylvania, USA.
Chinelo EzeonwukaDivision of Infectious Diseases, University of Pittsburgh School of Medicinegrid.471408.e, Pittsburgh, Pennsylvania, USA.
Daniel J SnyderDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicinegrid.471408.e, Pennsylvania, USA.
Jane W MarshDivision of Infectious Diseases, University of Pittsburgh School of Medicinegrid.471408.e, Pittsburgh, Pennsylvania, USA.
Lee H HarrisonDivision of Infectious Diseases, University of Pittsburgh School of Medicinegrid.471408.e, Pittsburgh, Pennsylvania, USA.
Vaughn S CooperDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicinegrid.471408.e, Pennsylvania, USA.ORCID 0000-0001-7726-0765
Daria Van TyneDivision of Infectious Diseases, University of Pittsburgh School of Medicinegrid.471408.e, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-7284-0103
University of Pittsburgh · US

Funding

Institutional Career Development CoreKL2TR001856 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAY, KRISTIN N, RUBIO, DORIS M · 2016 to 2025
$13.8M
Predicting the emergence of antibiotic resistance through multi-omics approaches and Immune System-surveillanU01AI124302 · NIAID · BOSTON COLLEGE · PI BENTO, JOSE, COOPER, VAUGHN · 2016 to 2020
$10.2M
Enhanced Detection System for Healthcare-Associated Transmission of InfectionR01AI127472 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HARRISON, LEE H · 2016 to 2025
$7.6M
HHS | NIH | National Institute of Allergy and Infectious Diseases (NIAID) R21Al109459NCATS NIH HHS KL2 TR001856NIAID NIH HHS R01 AI127472NIAID NIH HHS U01 AI124302
6 · The paper itself

Abstract

Healthcare-associated infections (HAIs) cause mortality, morbidity, and waste of health care resources. HAIs are also an important driver of antimicrobial resistance, which is increasing around the world. Beginning in November 2016, we instituted an initiative to detect outbreaks of HAIs using prospective whole-genome sequencing-based surveillance of bacterial pathogens collected from hospitalized patients. Here, we describe the diversity of bacteria sampled from hospitalized patients at a single center, as revealed through systematic analysis of bacterial isolate genomes. We sequenced the genomes of 3,004 bacterial isolates from hospitalized patients collected over a 25-month period. We identified bacteria belonging to 97 distinct species, which were distributed among 14 groups of related species. Within these groups, isolates could be distinguished from one another by both average nucleotide identity (ANI) and principal-component analysis of accessory genes (PCA-A). Core genome genetic distances and rates of evolution varied among species, which has practical implications for defining shared ancestry during outbreaks and for our broader understanding of the origins of bacterial strains and species. Finally, antimicrobial resistance genes and putative mobile genetic elements were frequently observed, and our systematic analysis revealed patterns of occurrence across the different species sampled from our hospital. Overall, this study shows how understanding the population structure of diverse pathogens circulating in a single health care setting can improve the discriminatory power of genomic epidemiology studies and can help define the processes leading to strain and species differentiation.

Indexed as

Genome, BacterialGenomicsAnti-Bacterial AgentsHospitalsHumansWhole Genome SequencingAnti-Bacterial Agentsantimicrobial resistancebacterial evolutionhorizontal gene transferhospital-acquired infectionspangenomewhole-genome sequencing

Identifiers

PMID35695507
PMCPMC9238379
OpenAlexW4282822588

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.