Evidence map›Paper›PMID 37974294›Full record

ArticleGut pathogens2023

Strain-resolved metagenomic analysis of the gut as a reservoir for bloodstream infection pathogens among premature infants in Singapore.

Sarah M Heston, Charis Shu En Lim, Chengsi Ong, Mei Chien Chua, Matthew S Kelly, Kee Thai Yeo

Open access · goldAbstract read
In one paragraph

Article in Gut pathogens, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Gut microbes · 2025
    Article
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  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Understanding the influence of the microbiome on childhood infections.Expert review of anti-infective therapy · 2024
    Review
  10. 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

6 authors at 3 institutions in 2 countries.

Sarah M HestonDivision of Pediatric Infectious Diseases, Duke University School of Medicine, Durham, NC, USA.
Charis Shu En LimDepartment of Neonatology, KK Women's and Children's Hospital, Singapore, Singapore.
Chengsi OngDepartment of Neonatology, KK Women's and Children's Hospital, Singapore, Singapore.
Mei Chien ChuaDepartment of Neonatology, KK Women's and Children's Hospital, Singapore, Singapore.
Matthew S Kelly *Division of Pediatric Infectious Diseases, Duke University School of Medicine, Durham, NC, USA.
Kee Thai Yeo *Department of Neonatology, KK Women's and Children's Hospital, Singapore, Singapore. yeo.kee.thai@singhealth.com.sg.
Duke-NUS Medical School · SGDuke University · USKK Women's and Children's Hospital · SG

Funding

Duke Center for Advancement of Child Health (CAtCH)K12HD105253 · NICHD · DUKE UNIVERSITY · PI Corinne Mary Linardic, Ann M. Reed · 2021 to 2026
$1.5M
Nasopharyngeal Microbiome and Risk of Bacterial Pathogen Colonization in InfantsK23AI135090 · NIAID · DUKE UNIVERSITY · PI KELLY, MATTHEW SCOTT · 2018 to 2022
$860k
NIAID NIH HHS K23 AI135090NICHD NIH HHS K12 HD105253NIH HHS K23-AI135090
6 · The paper itself

Abstract

backgroundGut dysbiosis contributes to the high risk of bloodstream infection (BSI) among premature infants. Most prior studies of the premature infant gut microbiota were conducted in Western countries and prior to development of current tools for strain-resolved analysis.

methodsWe performed metagenomic sequencing of weekly fecal samples from 75 premature infants at a single hospital in Singapore. We evaluated associations between clinical factors and gut microbiota composition using PERMANOVA and mixed effects linear regression. We used inStrain to perform strain-level analyses evaluating for gut colonization by BSI-causing strains.

resultsMedian (interquartile range) gestation was 27 (25, 29) weeks, and 63% of infants were born via Cesarean section. Antibiotic exposures (PERMANOVA; R

conclusionsAntibiotic exposures were the dominant modifiable factor affecting gut microbiota composition in a large cohort of premature infants from South-East Asia. Strain-resolved analyses indicate that the gut is an important reservoir for organisms causing BSI among premature infants.

Indexed as

Early-onset sepsisinStrainIntestinal microbiomeLate-onset sepsisPreterm neonates

Identifiers

PMID37974294
PMCPMC10652614
OpenAlexW4388724680

What OpenQuestion holds

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LicenceCC BY
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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.