A

STROBE-metagenomics: a STROBE extension statement to guide the reporting of metagenomics studies

The Lancet Infectious Diseases, vol. 20, pp. e251–e260

Abstract

The term metagenomics refers to the use of sequencing methods to simultaneously identify genomic material from all organisms present in a sample, with the advantage of greater taxonomic resolution than culture or other methods. Applications include pathogen detection and discovery, species characterisation, antimicrobial resistance detection, virulence profiling, and study of the microbiome and microecological factors affecting health. However, metagenomics involves complex and multistep processes and there are important technical and methodological challenges that require careful consideration to support valid inference. We co-ordinated a multidisciplinary, international expert group to establish reporting guidelines that address specimen processing, nucleic acid extraction, sequencing platforms, bioinformatics considerations, quality assurance, limits of detection, power and sample size, confirmatory testing, causality criteria, cost, and ethical issues. The guidance recognises that metagenomics research requires pragmatism and caution in interpretation, and that this field is rapidly evolving.

Authors 27

  1. Tehmina Bharucha corresponding

    Mahosot Hospital · University of Oxford · Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit

    Affiliation as printed

    Department of Biochemistry, University of Oxford, Oxford, UK; Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos. Electronic address: t.bharucha@doctors.org.uk

    Department of Biochemistry, University of Oxford, Oxford, UK

    Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos

  2. University College London

    Affiliation as printed

    Centre for Molecular Epidemiology and Translational Research, University College London, London, UK

  3. University College London

    Affiliation as printed

    UCL Genetics Institute, University College London, London, UK

  4. Great Ormond Street Hospital

    Affiliation as printed

    Microbiology, Virology and Infection Prevention and Control, Great Ormond Street Hospital for Children, London, UK

  5. Leiden University Medical Center

    Affiliation as printed

    Department of Medical Microbiology, Leiden University Medical Center, Leiden, Netherlands

  6. Public Health England

    Affiliation as printed

    Statistics, Modelling and Economics Department, Public Health England, London, UK

  7. University of California, San Francisco

    Affiliation as printed

    Department of Laboratory Medicine, University of California San Francisco, San Francisco, CA, USA

  8. Leiden University Medical Center

    Affiliation as printed

    Department of Medical Microbiology, Leiden University Medical Center, Leiden, Netherlands

  9. University of Cambridge · Wellcome Sanger Institute

    Affiliation as printed

    Wellcome Sanger Institute, Hinxton, UK; Department of Veterinary Medicine, University of Cambridge, Cambridge, UK

    Department of Veterinary Medicine, University of Cambridge, Cambridge, UK

    Wellcome Sanger Institute, Hinxton, UK

  10. Leiden University Medical Center

    Affiliation as printed

    Department of Medical Microbiology, Leiden University Medical Center, Leiden, Netherlands

  11. Institut Pasteur

    Affiliation as printed

    Pathogen Discovery Laboratory, Institut Pasteur, Paris, France

  12. The Royal Free Hospital · Public Health England

    Affiliation as printed

    Healthcare-Associated Infection and Antimicrobial Resistance, Public Health England, London, UK; Infectious Diseases Unit, Royal Free Hospital, London, UK

    Healthcare-Associated Infection and Antimicrobial Resistance, Public Health England, London, UK

    Infectious Diseases Unit, Royal Free Hospital, London, UK

  13. LGC · University of Surrey

    Affiliation as printed

    National Measurement Laboratory, LGC, Teddington, UK; School of Biosciences & Medicine, Faculty of Health & Medical Sciences, University of Surrey, Guildford, UK

    National Measurement Laboratory, LGC, Teddington, UK

    School of Biosciences & Medicine, Faculty of Health & Medical Sciences, University of Surrey, Guildford, UK

  14. Centers for Disease Control and Prevention

    Affiliation as printed

    Office of Advanced Molecular Detection, Centers for Disease Control and Prevention, Atlanta, GA, USA

  15. University College London

    Affiliation as printed

    Division of Infection and Immunity, University College London, London, UK

  16. National Institutes of Health

    Affiliation as printed

    Section of Infections of the Nervous System, National Institutes of Health, Bethesda, MD, USA

  17. LGC

    Affiliation as printed

    National Measurement Laboratory, LGC, Teddington, UK

  18. National Institutes of Health

    Affiliation as printed

    Section of Infections of the Nervous System, National Institutes of Health, Bethesda, MD, USA

  19. University of Oxford

    Affiliation as printed

    Nuffield Department of Medicine, University of Oxford, Oxford, UK

  20. Leiden University Medical Center

    Affiliation as printed

    Department of Medical Microbiology, Leiden University Medical Center, Leiden, Netherlands

  21. Johns Hopkins University · Johns Hopkins Medicine

    Affiliation as printed

    Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA

  22. Oxford University Clinical Research Unit

    Affiliation as printed

    Emerging Infections Group, Oxford University Clinical Research Unit, Ho Chi Minh city, Vietnam

  23. MRC University of Glasgow Centre for Virus Research

    Affiliation as printed

    MRC-University of Glasgow Centre for Virus Research, University of Glasgow, Glasgow, UK

  24. University College London

    Affiliation as printed

    UCL Genetics Institute, University College London, London, UK

  25. University of California, San Francisco

    Affiliation as printed

    Weill Institute for Neurosciences and Department of Neurology, University of California, San Francisco, CA, USA

  26. Great Ormond Street Hospital · University College London

    Affiliation as printed

    Division of Infection and Immunity, University College London, London, UK; Great Ormond Street Hospital for Children, London, UK

    Division of Infection and Immunity, University College London, London, UK

    Great Ormond Street Hospital for Children, London, UK

  27. University College London

    Affiliation as printed

    Centre for Molecular Epidemiology and Translational Research, University College London, London, UK

Cited by 75 stored of 74

No patents citing this paper on Lens.org (checked 2026-10-11).

References 102