Evidence map›Paper›PMID 1659953›Full record

Trial reportBulletin of the World Health Organization1991

Etiology of acute diarrhoea among children in developing countries: a multicentre study in five countries.

S Huilan, L G Zhen, M M Mathan, M M Mathew, J Olarte, R Espejo, U Khin Maung, M A Ghafoor, M A Khan, Z Sami

Registry-linked trialAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Bulletin of the World Health Organization, 1991. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00368316 (Phase 3 Study), which is not on this map. Cited by 67 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 4 pooled it
3.6field-weighted citation impact, top 8% of its field
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.

NCT00368316 phase3completednot on this mapstarted 2003, after this paper: background citation

Phase 3 Study (Safety, Immunogenicity and Efficacy) of Improved Shigella Conjugate Vaccines in 1-4 Year Olds in Israel

TypeinterventionalSponsorEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)Ran2003 to 2009Enrolled2,799ConditionsShigellosisArmsShigella conjugate vaccines
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 4 syntheses or guidelines pooled it, 223 citations in OpenAlex.

  1. Pooled it
  2. A systematic review and meta-analysis of the association between Giardia lamblia and endemic pediatric diarrhea in developing countries.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2012
    Pooled it
  3. Oral vaccines for preventing cholera.The Cochrane database of systematic reviews · 2011
    Pooled it
  4. Probiotics for treating acute infectious diarrhoea.The Cochrane database of systematic reviews · 2010
    Pooled it
  5. ExploringVaccine: X · 2023
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7 more citing papers are in PubMed but not listed here.

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

10 authors at 1 institution in 1 country.

S HuilanShanghai Hygiene and Anti-epidemic Centre, China.
L G Zhen
M M Mathan
M M Mathew
J Olarte
R Espejo
U Khin Maung
M A Ghafoor
M A Khan
Z Sami
Provincial Institute for Hygiene · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 2-year etiological survey of acute diarrhoea in children aged 0-35 months who were attending treatment facilities was carried out using a standardized protocol in five hospitals in China, India, Mexico, Myanmar, and Pakistan. A total of 3640 cases of diarrhoea and 3279 age- and sex-matched controls were studied; about 60% of the patients were aged less than 1 year and 60% were male. An enteric pathogen was detected in 68% of the cases and in 30% of the controls. In all the study centres, the pathogens most strongly associated with disease were rotavirus (16% of cases, 2% of controls), Shigella spp. (11% of cases, 1% of controls) and enterotoxigenic Escherichia coli (16% of cases, 5% of controls). Rotavirus was commonest among 6-11-month-olds, accounting for 20% of all cases in this age group; 71% of all rotavirus episodes occurred during the first year of life. Shigella spp. were commonest among those aged 12-23 months and 24-35 months, accounting for 22% and 27% of the cases, respectively. The proportion of cases that yielded no pathogen was inversely related to age, being highest (41%) among infants below 6 months of age and lowest (19%) among those aged 24-35 months. These results suggest that microbe-specific intervention strategies for the control of childhood diarrhoeal diseases in developing countries should focus on rotavirus, Shigella spp. and enterotoxigenic E. coli.

Indexed as

Developing CountriesChild, PreschoolDiarrhea, InfantileEscherichia coliFemaleHumansInfantInfant, NewbornMaleRotavirusShigella

Identifiers

PMID1659953
PMCPMC2393250
OpenAlexW1622938183

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.