Evidence map›Paper›PMID 42376575›Full record

ArticleFrontiers in microbiology2026

Detection and characterization of

Cesar Nadala, Eni Themeli, Fereidoun Forghani, Youngsil Ha, Sukkyun Han, Anna Shapovalova, John Roach, Seong Hong Kim, Jennifer L M Thorson, Joo-Young Lee and 5 more

Abstract read
In one paragraph

Article in Frontiers in microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Cesar NadalaIEH Laboratories and Consulting Group, Lake Forest Park, WA, United States.
Eni ThemeliIEH Laboratories and Consulting Group, Lake Forest Park, WA, United States.
Fereidoun ForghaniIEH Laboratories and Consulting Group, Lake Forest Park, WA, United States.
Youngsil HaIEH Laboratories and Consulting Group, Lake Forest Park, WA, United States.
Sukkyun HanIEH Laboratories and Consulting Group, Lake Forest Park, WA, United States.
Anna ShapovalovaIEH Laboratories and Consulting Group, Lake Forest Park, WA, United States.
John RoachIEH Laboratories and Consulting Group, Lake Forest Park, WA, United States.
Seong Hong KimIEH Laboratories and Consulting Group, Lake Forest Park, WA, United States.
Jennifer L M ThorsonIEH Laboratories and Consulting Group, Lake Forest Park, WA, United States.
Joo-Young LeeIEH Laboratories and Consulting Group, Lake Forest Park, WA, United States.
Matthew SpearIEH Laboratories and Consulting Group, Lake Forest Park, WA, United States.
Benjamin BuhrmanIEH Laboratories and Consulting Group, Lake Forest Park, WA, United States.
Kevin ChiuIEH Laboratories and Consulting Group, Lake Forest Park, WA, United States.
Niall MullaneByHeart, New York, NY, United States.
Mansour SamadpourIEH Laboratories and Consulting Group, Lake Forest Park, WA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: As a part of an ongoing investigation of the 2025 multistate outbreak of infant botulism linked to consumption of powdered infant formula (PIF), various samples - including unopened containers of PIF and base powder (bulk PIF before packaging) - were analyzed for the presence of Methods: Samples were screened using a tiered analytical approach: anaerobic enrichment followed by real-time PCR targeting botulinum neurotoxin-associated genes, confirmatory PCR, amplicon sequencing, colony isolation, and whole-genome sequencing (WGS). Results: Genomic analysis revealed genetic identity between isolates from one finished product lot and a base powder, while an isolate from another lot was distinct. Importantly, detection occurred in samples with non-detectable sulfite-reducing clostridia (SRC). Conclusion: Results of this study demonstrate that indicator-based screening (such as SRC enumeration) even if it had been in place before the outbreak, would not have prevented its occurrence. Positive linkage of an infant botulism outbreak to PIF should compel manufacturers to recognize

Indexed as

Clostridium botulinumfood safetyinfant botulismoutbreak investigationpowdered infant formula (PIF)sulfite-reducing clostridia (SRC)whole-genome sequencing (WGS)

Identifiers

PMID42376575
PMCPMC13311007

What OpenQuestion holds

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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.