Evidence map›Paper›PMID 39881516›Full record

ArticleThe Journal of antimicrobial chemotherapy2025

One day in Denmark: whole-genome sequence-based analysis of Escherichia coli isolates from clinical settings.

Ana Rita Rebelo, Valeria Bortolaia, Pimlapas Leekitcharoenphon, Dennis Schrøder Hansen, Hans Linde Nielsen, Svend Ellermann-Eriksen, Michael Kemp, Bent Løwe Røder, Niels Frimodt-Møller, Turid Snekloth Søndergaard and 4 more

Abstract read
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Article in The Journal of antimicrobial chemotherapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

14 authors.

Ana Rita RebeloTechnical University of Denmark, National Food Institute, Kongens Lyngby, Denmark.ORCID 0000-0002-9338-9697
Valeria BortolaiaTechnical University of Denmark, National Food Institute, Kongens Lyngby, Denmark.
Pimlapas LeekitcharoenphonTechnical University of Denmark, National Food Institute, Kongens Lyngby, Denmark.ORCID 0000-0002-5674-0142
Dennis Schrøder HansenDepartment of Clinical Microbiology, Herlev and Gentofte Hospital, Herlev, Denmark.
Hans Linde NielsenDepartment of Clinical Microbiology, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0002-2370-417X
Svend Ellermann-EriksenDepartment of Clinical Microbiology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0001-9324-911X
Michael KempDepartment of Clinical Microbiology, Odense University Hospital, Odense, Denmark.
Bent Løwe RøderDepartment of Clinical Microbiology, Slagelse Hospital, Slagelse, Denmark.
Niels Frimodt-MøllerDepartment of Clinical Microbiology, Rigshospitalet, København, Denmark.
Turid Snekloth SøndergaardDepartment of Clinical Microbiology, Hospital of Southern Jutland, Sønderborg, Denmark.
John Eugenio CoiaDepartment of Clinical Microbiology, Hospital of South West Jutland, Esbjerg, Denmark.
Claus ØstergaardDepartment of Clinical Microbiology, Vejle Hospital, Vejle, Denmark.
Henrik WesthDepartment of Clinical Microbiology, Hvidovre Hospital, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark.
Frank M AarestrupTechnical University of Denmark, National Food Institute, Kongens Lyngby, Denmark.ORCID 0000-0002-7116-2723

Funding

Global Surveillance of Antimicrobial Resistance and the H2020 project VEO 874735Novo Nordisk Foundation NNF16OC0021856The Novo Nordisk Foundation NNF16OC0021856
6 · The paper itself

Abstract

backgroundWGS can potentially be routinely used in clinical microbiology settings, especially with the increase in sequencing accuracy and decrease in cost. Escherichia coli is the most common bacterial species analysed in those settings, thus fast and accurate diagnostics can lead to reductions in morbidity, mortality and healthcare costs.

objectivesTo evaluate WGS for diagnostics and surveillance in a collection of clinical E. coli; to examine the pool of antimicrobial resistance (AMR) determinants circulating in Denmark and the most frequent STs; and to evaluate core-genome MLST (cgMLST) and SNP-based clustering approaches for detecting genetically related isolates.

methodsWe analysed the genomes of 699 E. coli isolates collected throughout all Danish Clinical Microbiology Laboratories. We used rMLST and KmerFinder for species identification, ResFinder for prediction of AMR, and PlasmidFinder for plasmid identification. We used Center for Genomic Epidemiology MLST, cgMLSTFinder and CSI Phylogeny to perform typing and clustering analysis.

resultsGenetic AMR determinants were detected in 56.2% of isolates. We identified 182 MLSTs, most frequently ST-69, ST-73, ST-95 and ST-131. Using a maximum 15-allele difference as the threshold for genetic relatedness, we identified 23 clusters. SNP-based phylogenetic analysis within clusters revealed from 0 to 13 SNPs, except two cases with 111 and 461 SNPs.

conclusionsWGS data are useful to characterize clinical E. coli isolates, including predicting AMR profiles and subtyping in concordance with surveillance data. We have shown that it is possible to adequately cluster isolates through a cgMLST approach, but it remains necessary to define proper interpretative criteria.

Indexed as

Escherichia coliEscherichia coli InfectionsGenome, BacterialWhole Genome SequencingAnti-Bacterial AgentsCluster AnalysisDenmarkDrug Resistance, BacterialGenotypeHumansMicrobial Sensitivity TestsMolecular EpidemiologyMultilocus Sequence TypingPhylogenyPlasmidsPolymorphism, Single NucleotideAnti-Bacterial Agents

Identifiers

PMID39881516
PMCPMC11962386

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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.