Evidence map›Paper›PMID 35790903›Full record

ArticleBMC infectious diseases2022

Characterisation of Staphylococci species from neonatal blood cultures in low- and middle-income countries.

Kirsty Sands, Maria J Carvalho, Owen B Spiller, Edward A R Portal, Kathryn Thomson, William John Watkins, Jordan Mathias, Calie Dyer, Chinenye Akpulu, Robert Andrews and 26 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.8field-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

21 citing papers in PubMed, 30 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

36 authors at 14 institutions in 9 countries.

Kirsty SandsDepartment of Medical Microbiology, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK. kirsty.sands@zoo.ox.ac.uk.ORCID http://orcid.org/0000-0001-5049-4481
Maria J CarvalhoDepartment of Medical Microbiology, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
Owen B SpillerDepartment of Medical Microbiology, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
Edward A R PortalDepartment of Medical Microbiology, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
Kathryn ThomsonDepartment of Medical Microbiology, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
William John WatkinsDepartment of Medical Microbiology, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
Jordan MathiasDepartment of Medical Microbiology, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
Calie DyerDepartment of Medical Microbiology, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
Chinenye AkpuluDepartment of Medical Microbiology, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
Robert AndrewsDepartment of Medical Microbiology, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
Ana FerreiraDepartment of Medical Microbiology, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
Thomas HenderDepartment of Medical Microbiology, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
Rebecca MiltonDepartment of Medical Microbiology, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
Maria NietoDepartment of Medical Microbiology, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
Rabaab ZahraDepartment of Microbiology, Quaid-I-Azam University, Islamabad, Pakistan.
Haider ShiraziPakistan Institute of Medical Sciences, Islamabad, Pakistan.
Adil MuhammadDepartment of Microbiology, Quaid-I-Azam University, Islamabad, Pakistan.
Shermeen AkifDepartment of Microbiology, Quaid-I-Azam University, Islamabad, Pakistan.
Muhammad Hilal JanDepartment of Microbiology, Quaid-I-Azam University, Islamabad, Pakistan.
Kenneth IregbuNational Hospital Abuja, Abuja, Nigeria.
Fatima ModibboMurtala Muhammad Specialist Hospital, Kano, Nigeria.
Stella UwaezuokeFederal Medical Centre Jabi, Abuja, Nigeria.
Grace J ChanDivision of Medical Critical Care, Boston Children's Hospital, Boston, MA, USA.
Delayehu BekeleDepartment of Obstetrics and Gynecology, St Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Semaria SolomonDepartment of Microbiology, Immunology and Parasitology, St Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Sulagna BasuDivision of Bacteriology, ICMR-National Institute of Cholera and Enteric Diseases Beliaghata, Kolkata, India.
Ranjan Kumar NandyDivision of Bacteriology, ICMR-National Institute of Cholera and Enteric Diseases Beliaghata, Kolkata, India.
Sharmi NahaDivision of Bacteriology, ICMR-National Institute of Cholera and Enteric Diseases Beliaghata, Kolkata, India.
Jean-Baptiste MazaratiRwanda Biomedical Centre, The National Reference Laboratory, Kigali, Rwanda.
Aniceth RucogozaRwanda Biomedical Centre, The National Reference Laboratory, Kigali, Rwanda.
Lucie GajuRwanda Biomedical Centre, The National Reference Laboratory, Kigali, Rwanda.
Shaheen MehtarUnit of IPC, Stellenbosch University, Cape Town, South Africa.
Andre N H BulabulaInfection Control Africa Network, Cape Town, South Africa.
Andrew WhitelawDivision of Medical Microbiology, Stellenbosch University, Cape Town, South Africa.
BARNARDS Group
Timothy R WalshDepartment of Medical Microbiology, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
Cardiff University · GBQuaid-i-Azam University · PKIneos (United Kingdom) · GBNational Institute of Cholera and Enteric Diseases · INRwanda Biomedical Center · RWNational Hospital Abuja · NGStellenbosch University · ZASt. Paul's Hospital Millennium Medical College · ETBoston Children's Hospital · USFederal Medical Centre · NGNational Health Laboratory Service · ZAOxford Research Group · GBPakistan Institute of Medical Sciences · PKUniversity of Aveiro · PT

Funding

Bill and Melinda Gates Foundation OPP1119772
6 · The paper itself

Abstract

backgroundIn low- and middle-income countries (LMIC) Staphylococcus aureus is regarded as one of the leading bacterial causes of neonatal sepsis, however there is limited knowledge on the species diversity and antimicrobial resistance caused by Gram-positive bacteria (GPB).

methodsWe characterised GPB isolates from neonatal blood cultures from LMICs in Africa (Ethiopia, Nigeria, Rwanda, and South Africa) and South-Asia (Bangladesh and Pakistan) between 2015-2017. We determined minimum inhibitory concentrations and performed whole genome sequencing (WGS) on Staphylococci isolates recovered and clinical data collected related to the onset of sepsis and the outcome of the neonate up to 60 days of age.

resultsFrom the isolates recovered from blood cultures, Staphylococci species were most frequently identified. Out of 100 S. aureus isolates sequenced, 18 different sequence types (ST) were found which unveiled two small epidemiological clusters caused by methicillin resistant S. aureus (MRSA) in Pakistan (ST8) and South Africa (ST5), both with high mortality (n = 6/17). One-third of S. aureus was MRSA, with methicillin resistance also detected in Staphylococcus epidermidis, Staphylococcus haemolyticus and Mammaliicoccus sciuri. Through additional WGS analysis we report a cluster of M. sciuri in Pakistan identified between July-November 2017.

conclusionsIn total we identified 14 different GPB bacterial species, however Staphylococci was dominant. These findings highlight the need of a prospective genomic epidemiology study to comprehensively assess the true burden of GPB neonatal sepsis focusing specifically on mechanisms of resistance and virulence across species and in relation to neonatal outcome.

Indexed as

Methicillin-Resistant Staphylococcus aureusNeonatal SepsisBlood CultureDeveloping CountriesEthiopiaHumansInfant, NewbornProspective StudiesStaphylococcus aureusEarly onsetEpidemiologyGenomicsLate onsetLMICMammaliicocciMortalityNeonatal sepsisStaphylococci

Identifiers

PMID35790903
PMCPMC9254428
OpenAlexW4283812454

What OpenQuestion holds

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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.