Evidence map›Paper›PMID 38329937›Full record

ArticlePLoS neglected tropical diseases2024

Detection of Salmonella Typhi bacteriophages in surface waters as a scalable approach to environmental surveillance.

Sneha Shrestha, Kesia Esther Da Silva, Jivan Shakya, Alexander T Yu, Nishan Katuwal, Rajeev Shrestha, Mudita Shakya, Sabin Bikram Shahi, Shiva Ram Naga, Christopher LeBoa and 5 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  3. Article
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  5. Genome sequences of bacteriophages that infectMicrobiology resource announcements · 2025
    Article
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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

15 authors at 6 institutions in 4 countries.

Sneha ShresthaCenter for Infectious Disease Research and Surveillance, Dhulikhel Hospital Kathmandu University Hospital, Kavre, Nepal.
Kesia Esther Da SilvaStanford University, Department of Medicine, Division of Infectious Diseases and Geographic Medicine, Stanford, California, United States of America.ORCID 0000-0001-8593-1119
Jivan ShakyaInstitute for Research in Science and Technology, Kathmandu, Nepal.
Alexander T YuStanford University, Department of Medicine, Division of Infectious Diseases and Geographic Medicine, Stanford, California, United States of America.
Nishan KatuwalCenter for Infectious Disease Research and Surveillance, Dhulikhel Hospital Kathmandu University Hospital, Kavre, Nepal.
Rajeev ShresthaCenter for Infectious Disease Research and Surveillance, Dhulikhel Hospital Kathmandu University Hospital, Kavre, Nepal.
Mudita ShakyaCenter for Infectious Disease Research and Surveillance, Dhulikhel Hospital Kathmandu University Hospital, Kavre, Nepal.
Sabin Bikram ShahiCenter for Infectious Disease Research and Surveillance, Dhulikhel Hospital Kathmandu University Hospital, Kavre, Nepal.
Shiva Ram NagaCenter for Infectious Disease Research and Surveillance, Dhulikhel Hospital Kathmandu University Hospital, Kavre, Nepal.
Christopher LeBoaUniversity of California Berkeley, Department of Environmental Health Sciences, Berkeley, California, United States of America.
Kristen AiemjoyUniversity of California Davis, School of Medicine, Department of Public Health Sciences, Davis, California, United States of America.
Isaac I BogochDepartment of Medicine, Division of Infectious Diseases, University of Toronto, Toronto, Canada.
Senjuti SahaChild Health Research Foundation, Dhaka, Bangladesh.
Dipesh TamrakarCenter for Infectious Disease Research and Surveillance, Dhulikhel Hospital Kathmandu University Hospital, Kavre, Nepal.
Jason R AndrewsStanford University, Department of Medicine, Division of Infectious Diseases and Geographic Medicine, Stanford, California, United States of America.
Dhulikhel Hospital · NPStanford Medicine · USChild Health Research Foundation · BDUniversity of California, Berkeley · USUniversity of California, Davis · USUniversity of Toronto · CA

Funding

Research Mentoring and Building Capacity of underrepresented Minority Research Scientists in India.D43TW010540 · FIC · YALE UNIVERSITY · PI MICHELE BARRY, Eva Harris · 2017 to 2026
$15.5M
FIC NIH HHS D43 TW010540
6 · The paper itself

Abstract

backgroundEnvironmental surveillance, using detection of Salmonella Typhi DNA, has emerged as a potentially useful tool to identify typhoid-endemic settings; however, it is relatively costly and requires molecular diagnostic capacity. We sought to determine whether S. Typhi bacteriophages are abundant in water sources in a typhoid-endemic setting, using low-cost assays. METHODOLOGY: We collected drinking and surface water samples from urban, peri-urban and rural areas in 4 regions of Nepal. We performed a double agar overlay with S. Typhi to assess the presence of bacteriophages. We isolated and tested phages against multiple strains to assess their host range. We performed whole genome sequencing of isolated phages, and generated phylogenies using conserved genes.

findingsS. Typhi-specific bacteriophages were detected in 54.9% (198/361) of river and 6.3% (1/16) drinking water samples from the Kathmandu Valley and Kavrepalanchok. Water samples collected within or downstream of population-dense areas were more likely to be positive (72.6%, 193/266) than those collected upstream from population centers (5.3%, 5/95) (p=0.005). In urban Biratnagar and rural Dolakha, where typhoid incidence is low, only 6.7% (1/15, Biratnagar) and 0% (0/16, Dolakha) river water samples contained phages. All S. Typhi phages were unable to infect other Salmonella and non-Salmonella strains, nor a Vi-knockout S. Typhi strain. Representative strains from S. Typhi lineages were variably susceptible to the isolated phages. Phylogenetic analysis showed that S. Typhi phages belonged to the class Caudoviricetes and clustered in three distinct groups.

conclusionsS. Typhi bacteriophages were highly abundant in surface waters of typhoid-endemic communities but rarely detected in low typhoid burden communities. Bacteriophages recovered were specific for S. Typhi and required Vi polysaccharide for infection. Screening small volumes of water with simple, low-cost (~$2) plaque assays enables detection of S. Typhi phages and should be further evaluated as a scalable tool for typhoid environmental surveillance.

Indexed as

BacteriophagesSalmonella PhagesTyphoid FeverHumansPhylogenySalmonella typhiWaterWater

Identifiers

PMID38329937
PMCPMC10852241
OpenAlexW4391657520

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.