Evidence map›Paper›PMID 40055469›Full record

ArticleScientific reports2025

Genomic relatedness of colonizing and invasive disease Klebsiella pneumoniae isolates in South African infants.

Courtney P Olwagen, Alane Izu, Shama Khan, Lara Van der Merwe, Nicholas J Dean, Fikile C Mabena, Stephanie Jones, Gaurav Kwatra, Lubomira Andrew, Urvi Rajyaguru and 12 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Genomic Characterization ofOpen forum infectious diseases · 2026
    Article
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

22 authors.

Courtney P OlwagenSouth Africa Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, Faculty of Health Science, University of the Witwatersrand, Johannesburg, South Africa. Courtney.olwagen@wits-vida.org.
Alane IzuSouth Africa Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, Faculty of Health Science, University of the Witwatersrand, Johannesburg, South Africa.
Shama KhanSouth Africa Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, Faculty of Health Science, University of the Witwatersrand, Johannesburg, South Africa.
Lara Van der MerweSouth Africa Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, Faculty of Health Science, University of the Witwatersrand, Johannesburg, South Africa.
Nicholas J DeanSouth Africa Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, Faculty of Health Science, University of the Witwatersrand, Johannesburg, South Africa.
Fikile C MabenaSouth Africa Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, Faculty of Health Science, University of the Witwatersrand, Johannesburg, South Africa.
Stephanie JonesSouth Africa Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, Faculty of Health Science, University of the Witwatersrand, Johannesburg, South Africa.
Gaurav KwatraSouth Africa Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, Faculty of Health Science, University of the Witwatersrand, Johannesburg, South Africa.
Lubomira AndrewVaccine Research and Development, Pfizer, Pearl River, NY, USA.
Urvi RajyaguruVaccine Research and Development, Pfizer, Pearl River, NY, USA.
Robert G K DonaldVaccine Research and Development, Pfizer, Pearl River, NY, USA.
Raphael SimonVaccine Research and Development, Pfizer, Pearl River, NY, USA.
Mohamed SaidDepartment of Medical Microbiology, University of Pretoria, Pretoria, South Africa.
Firdose L NakwaDepartment of Paediatrics and Child Health, Chris Hani Baragwanath Academic Hospital, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Jeannette WadulaDepartment of Clinical Microbiology & Infectious Diseases, National Health Laboratory Services, Faculty of Health Science, University of Witwatersrand, Johannesburg, South Africa.
Renate StrehlauWits VIDA Nkanyezi research unit, Department of Paediatrics and Child Health, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa.
Anika M van NiekerkMowbray Maternity Hospital. Division of Neonatal Medicine, Department of Paediatrics, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Niree NaidooDepartment of Clinical Microbiology & Infectious Diseases, National Health Laboratory Services, Faculty of Health Science, University of Witwatersrand, Johannesburg, South Africa.
Yogandree RamsamyAntimicrobial Research Unit, University of KwaZulu-Natal, South Africa, Durban, South Africa.
Sithembiso C VelaphiDepartment of Paediatrics and Child Health, Chris Hani Baragwanath Academic Hospital, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Ziyaad DangorSouth Africa Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, Faculty of Health Science, University of the Witwatersrand, Johannesburg, South Africa.
Shabir A MadhiSouth Africa Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, Faculty of Health Science, University of the Witwatersrand, Johannesburg, South Africa.

Funding

Bill and Melinda Gates Foundation INV-062172
6 · The paper itself

Abstract

Klebsiella pneumoniae (KPn) colonizes multiple anatomical sites and is a leading cause of invasive disease and death in African children; however, there is no comparative genomic analysis between colonizing and invasive strains. This study investigated the genomic relatedness of KPn colonizing and invasive isolates in South African infants; and evaluated the relative invasiveness of KPn isolates based on sequence types (ST), capsular (KL), and lipopolysaccharide (O) loci by calculating case-carrier ratios (CCRs). There was less genomic diversity amongst invasive (22 ST, 17 K-loci) than colonizing isolates (31 ST, 29 K-loci), with invasive isolates being 8.59-fold and 3.49-fold more likely to harbour genes encoding for multi-drug resistance and yersiniabactin production compared with colonizing isolates. The CCRs for KL102 and O1/O2v2 were > 1, and < 1 for KL8, ST1414, and O1O2v1. Identifying high-risk strains, including KL102 and O1O2v2, that may have a higher potential to cause invasive disease, could enhance risk assessment and management strategies in vulnerable populations.

Indexed as

Genome, BacterialKlebsiella InfectionsKlebsiella pneumoniaeDrug Resistance, Multiple, BacterialFemaleGenetic VariationGenomicsHumansInfantMaleSouth AfricaAfricaColonizationInvasive diseaseInvasive disease potentialKlebsiella pneumonaie

Identifiers

PMID40055469
PMCPMC11889247

What OpenQuestion holds

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LicenceCC BY
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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.