Evidence map›Paper›PMID 39849445›Full record

ArticleBMC endocrine disorders2025

Application of metagenomic next-generation sequencing (mNGS) to describe the microbial characteristics of diabetic foot ulcers at a tertiary medical center in South China.

Hongteng Xie, Zhaohong Chen, Guohua Wu, Pei Wei, Teng Gong, Shun Chen, Zhaorong Xu

Abstract read
In one paragraph

Article in BMC endocrine disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. 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

7 authors.

Hongteng XieBurn and Wound Repair Department, Fujian Medical University Union Hospital, Fuzhou, China.
Zhaohong ChenBurn and Wound Repair Department, Fujian Medical University Union Hospital, Fuzhou, China.
Guohua WuBurn and Wound Repair Department, Fujian Medical University Union Hospital, Fuzhou, China.
Pei WeiBurn and Wound Repair Department, Fujian Medical University Union Hospital, Fuzhou, China.
Teng GongBurn and Wound Repair Department, Fujian Medical University Union Hospital, Fuzhou, China.
Shun ChenBurn and Wound Repair Department, Fujian Medical University Union Hospital, Fuzhou, China. fjchenshun@126.com.
Zhaorong XuBurn and Wound Repair Department, Fujian Medical University Union Hospital, Fuzhou, China. 234828306@qq.com.

Funding

Fujian Provincial Natural Science Foundation of China 2022J01243Fujian Provincial Natural Science Foundation of China 2023J01692National Natural Science Foundation of China 82002034the High-level Hospital and Clinical Specialty Discipline Construction Programme for Fujian Medical Development, China [2021]76the Joint Funds for the innovation of science and Technology,Fujian province, China 2020Y9094the Joint Funds for the innovation of science and Technology,Fujian province, China 2021Y9068the Joint Funds for the innovation of science and Technology,Fujian province, China 2023Y9213
6 · The paper itself

Abstract

backgroundDiabetic foot ulcers (DFUs) are characterized by dynamic wound microbiome, the timely and accurate identification of pathogens in the clinic is required to initiate precise and individualized treatment. Metagenomic next-generation sequencing (mNGS) has been a useful supplement to routine culture method for the etiological diagnosis of DFUs. In this study, we utilized a routine culture method and mNGS to analyze the same DFU wound samples and the results were compared.

methodsForty samples from patients with DFUs at a tertiary medical center in South China were collected, the microorganisms were identified with mNGS and routine culture method simultaneously.

resultsThe results showed that the positive detection rate of microorganisms in DFUs with mNGS was much higher (95% vs. 60%). Thirteen strains of microorganisms were detected with routine culture method, and seventy-seven strains were detected with mNGS. Staphylococcus aureus was the most common microorganism detected with culture method, while Enterococcus faecalis was the most common microorganism detected with mNGS. The false negative rate of the culture method was 35%, that was, 14 samples with negative results with culture method were found to be positive with mNGS.

conclusionThe mNGS method had a higher positive detection rate and identified a broader spectrum of microorganisms in DFUs, thus, mNGS provided a more comprehensive understanding of the microbiome of DFUs to facilitate the development of timely and optimal treatment.

trial registrationThe study was conducted in accordance with the Declaration of Helsinki and approved by the Ethical Review Committee of the Fujian Medical University Union Hospital (approval number 2021KY054).

Indexed as

BacteriaDiabetic FootHigh-Throughput Nucleotide SequencingMetagenomicsMicrobiotaAdultAgedChinaFemaleFollow-Up StudiesHumansMaleMiddle AgedTertiary Care CentersDiabetic foot ulcerMetagenomic next-generation sequencingMicroorganism cultureWound microbiome

Identifiers

PMID39849445
PMCPMC11758752

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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.