Evidence map›Paper›PMID 38272816›Full record

ArticleInternational wound journal2024

Evolution of the urinary microbiota in spinal cord injury patients with decubitus ulcer: A snapshot study.

Madjid Morsli, Florian Salipante, Anthony Gelis, Chloé Magnan, Ghislaine Guigon, Jean-Philippe Lavigne, Albert Sotto, Catherine Dunyach-Remy

Abstract read
In one paragraph

Article in International wound journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. The Urinary Microbiota and the Gut-Bladder Axis in Bladder Cancer.International journal of molecular sciences · 2025
    Review
  2. Review
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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

8 authors.

Madjid MorsliDepartment of Microbiology and Hospital Hygiene, CHU Nîmes, Univ Montpellier, Nîmes, France.
Florian SalipanteDepartment of Biostatistics, Epidemiology, Public Health, and Innovation in Methodology (BESPIM), CHU Nîmes, Univ Montpellier, Nîmes, France.
Anthony GelisCentre Mutualiste Neurologique Propara, Montpellier, France.
Chloé MagnanVBIC, INSERM U1047, Department of Microbiology and Hospital Hygiene, CHU Nîmes, Univ Montpellier, Nîmes, France.
Ghislaine GuigonbioMérieux SA, Marcy-l'Etoile, France.
Jean-Philippe LavigneVBIC, INSERM U1047, Department of Microbiology and Hospital Hygiene, CHU Nîmes, Univ Montpellier, Nîmes, France.
Albert SottoVBIC, INSERM U1047, Department of Infectious and Tropical Diseases, CHU Nîmes, Univ Montpellier, Nîmes, France.
Catherine Dunyach-RemyVBIC, INSERM U1047, Department of Microbiology and Hospital Hygiene, CHU Nîmes, Univ Montpellier, Nîmes, France.

Funding

Centre Hospitalier Universitaire de NîmesFrench Society of Pressure Ulcer
6 · The paper itself

Abstract

Current microbiome investigations of patients with pressure ulcers (PU) are mainly based on wound swabs and/or biopsy sequencing, leaving the colonization scenario unclear. Urinary microbiota has been never studied. As a part of the prospective ESCAFLOR study, we studied urinary microbiota of spinal cord injury (SCI) patients with PU without any urinary tract infection at the inclusion, collected at two times (at admission [D0] and after 28 days [D28]) during the patient's care, investigated by 16S rDNA metagenomics next generation sequencing. Subgroup analyses were carried out between patients with wounds showing improved evolution versus stagnated/worsened wounds at D28. Analysis was done using EPISEQ® 16S and R software. Among the 12 studied patients, the urinary microbiota of patients with improved wound evolution at D28 (n = 6) presented a significant decrease of microbial diversity. This modification was associated with the presence of Proteobacteria phylum and an increase of Escherichia-Shigella (p = 0.005), as well as the presence of probiotic anaerobic bacteria Lactobacillus and Bifidobacterium. In contrast, Proteus abundance was significantly increased in urine of patients with stagnated/worsened wound evolution (n = 6) (p = 0.003). This study proposes urinary microbiota as a complementary factor indirectly associated with the wound evolution and patient cure. It opens new perspectives for further investigations based on multiple body microbiome comparison to describe the complete scenario of the transmission dynamics of wound-colonizing microorganisms.

Indexed as

MicrobiotaPressure UlcerSpinal Cord InjuriesHumansProspective Studiesanaerobic bacteriaEPISEQ® 16Smetagenomics next-generation sequencingpressure ulcerProteus spspinal cord injuryurinary microbiotawound evolution

Identifiers

PMID38272816
PMCPMC10805533

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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.