Evidence map›Paper›PMID 36483409›Full record

ReviewAntimicrobial stewardship & healthcare epidemiology : ASHE2022

Whole-genome sequencing surveillance and machine learning for healthcare outbreak detection and investigation: A systematic review and summary.

Alexander J Sundermann, Jieshi Chen, James K Miller, Elise M Martin, Graham M Snyder, Daria Van Tyne, Jane W Marsh, Artur Dubrawski, Lee H Harrison

Abstract readReview
In one paragraph

Review in Antimicrobial stewardship & healthcare epidemiology : ASHE, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

  1. Article
  2. 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
  3. Article
  4. Article
  5. Article
  6. Article
  7. Persistent multispecies dissemination ofJournal of clinical microbiology · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Genomic Surveillance for Enhanced Healthcare Outbreak Detection and Control.medRxiv : the preprint server for health sciences · 2024
    Article
  12. Observational
  13. Real-time genomic epidemiologic investigation of a multispecies plasmid-associated hospital outbreak of NDM-5-producing Enterobacterales infections.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. The future of automated infection detection: Innovation to transform practice (Part III/III).Antimicrobial stewardship & healthcare epidemiology : ASHE · 2023
    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

9 authors.

Alexander J SundermannMicrobial Genomic Epidemiology Laboratory, Center for Genomic Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Jieshi ChenAuton Lab, Carnegie Mellon University, Pittsburgh, Pennsylvania.ORCID https://orcid.org/0000-0003-2660-4913
James K MillerAuton Lab, Carnegie Mellon University, Pittsburgh, Pennsylvania.ORCID https://orcid.org/0000-0002-7001-6660
Elise M MartinDivision of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.ORCID https://orcid.org/0000-0001-5106-1864
Graham M SnyderDivision of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.ORCID https://orcid.org/0000-0001-5562-8880
Daria Van TyneDivision of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.ORCID https://orcid.org/0000-0001-7284-0103
Jane W MarshMicrobial Genomic Epidemiology Laboratory, Center for Genomic Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Artur DubrawskiAuton Lab, Carnegie Mellon University, Pittsburgh, Pennsylvania.ORCID https://orcid.org/0000-0002-2372-0831
Lee H HarrisonMicrobial Genomic Epidemiology Laboratory, Center for Genomic Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Whole-genome sequencing (WGS) has traditionally been used in infection prevention to confirm or refute the presence of an outbreak after it has occurred. Due to decreasing costs of WGS, an increasing number of institutions have been utilizing WGS-based surveillance. Additionally, machine learning or statistical modeling to supplement infection prevention practice have also been used. We systematically reviewed the use of WGS surveillance and machine learning to detect and investigate outbreaks in healthcare settings. Methods: We performed a PubMed search using separate terms for WGS surveillance and/or machine-learning technologies for infection prevention through March 15, 2021. Results: Of 767 studies returned using the WGS search terms, 42 articles were included for review. Only 2 studies (4.8%) were performed in real time, and 39 (92.9%) studied only 1 pathogen. Nearly all studies (n = 41, 97.6%) found genetic relatedness between some isolates collected. Across all studies, 525 outbreaks were detected among 2,837 related isolates (average, 5.4 isolates per outbreak). Also, 35 studies (83.3%) only utilized geotemporal clustering to identify outbreak transmission routes. Of 21 studies identified using the machine-learning search terms, 4 were included for review. In each study, machine learning aided outbreak investigations by complementing methods to gather epidemiologic data and automating identification of transmission pathways. Conclusions: WGS surveillance is an emerging method that can enhance outbreak detection. Machine learning has the potential to identify novel routes of pathogen transmission. Broader incorporation of WGS surveillance into infection prevention practice has the potential to transform the detection and control of healthcare outbreaks.

Identifiers

PMID36483409
PMCPMC9726481

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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.