Evidence map›Paper›PMID 38383544›Full record

ArticleNature communications2024

The plasmidome associated with Gram-negative bloodstream infections: A large-scale observational study using complete plasmid assemblies.

Samuel Lipworth, William Matlock, Liam Shaw, Karina-Doris Vihta, Gillian Rodger, Kevin Chau, Leanne Barker, Sophie George, James Kavanagh, Timothy Davies and 10 more

Erratum issuedAbstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Article
  2. Antimicrobial Resistance Gene Profiles inPathogens (Basel, Switzerland) · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. ACCIO: An Assembly-Based Tool Enabling Plasmid Detection.medRxiv : the preprint server for health sciences · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Samuel Lipworth *Nuffield Department of Medicine, University of Oxford, Oxford, UK. samuel.lipworth@ndm.ox.ac.uk.ORCID 0000-0001-5872-9214
William Matlock *Nuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID 0000-0001-5608-0423
Liam ShawDepartment of Zoology, University of Oxford, South Parks Road, Oxford, UK.ORCID 0000-0001-7332-0820
Karina-Doris VihtaDepartment of Engineering Science, University of Oxford, Oxford, UK.ORCID 0000-0002-4111-7577
Gillian RodgerNuffield Department of Medicine, University of Oxford, Oxford, UK.
Kevin ChauNuffield Department of Medicine, University of Oxford, Oxford, UK.
Leanne BarkerNuffield Department of Medicine, University of Oxford, Oxford, UK.
Sophie GeorgeNuffield Department of Medicine, University of Oxford, Oxford, UK.
James KavanaghNuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID 0000-0003-1495-0843
Timothy DaviesNuffield Department of Medicine, University of Oxford, Oxford, UK.
Alison VaughanNuffield Department of Medicine, University of Oxford, Oxford, UK.
Monique AnderssonOxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID 0000-0003-0619-1074
Katie JefferyOxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID 0000-0002-6506-2689
Sarah OakleyOxford University Hospitals NHS Foundation Trust, Oxford, UK.
Marcus MorganOxford University Hospitals NHS Foundation Trust, Oxford, UK.
Susan HopkinsNational Infection Service, United Kingdom Health Security Agency, Colindale, London, UK.
Timothy PetoNuffield Department of Medicine, University of Oxford, Oxford, UK.
Derrick CrookNuffield Department of Medicine, University of Oxford, Oxford, UK.
A Sarah WalkerNuffield Department of Medicine, University of Oxford, Oxford, UK.
Nicole StoesserNuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID 0000-0002-4508-7969

Funding

Medical Research Council MR/T001151/1Wellcome Trust
6 · The paper itself

Abstract

Plasmids carry genes conferring antimicrobial resistance and other clinically important traits, and contribute to the rapid dissemination of such genes. Previous studies using complete plasmid assemblies, which are essential for reliable inference, have been small and/or limited to plasmids carrying antimicrobial resistance genes (ARGs). In this study, we sequenced 1,880 complete plasmids from 738 isolates from bloodstream infections in Oxfordshire, UK. The bacteria had been originally isolated in 2009 (194 isolates) and 2018 (368 isolates), plus a stratified selection from intervening years (176 isolates). We demonstrate that plasmids are largely, but not entirely, constrained to a single host species, although there is substantial overlap between species of plasmid gene-repertoire. Most ARGs are carried by a relatively small number of plasmid groups with biological features that are predictable. Plasmids carrying ARGs (including those encoding carbapenemases) share a putative 'backbone' of core genes with those carrying no such genes. These findings suggest that future surveillance should, in addition to tracking plasmids currently associated with clinically important genes, focus on identifying and monitoring the dissemination of high-risk plasmid groups with the potential to rapidly acquire and disseminate these genes.

Indexed as

Anti-Bacterial AgentsGram-Negative BacteriaGram-Negative Bacterial InfectionsSepsisHumansPlasmidsAnti-Bacterial Agents

Identifiers

PMID38383544
PMCPMC10881496

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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.