Evidence map›Paper›PMID 18234869›Full record

ArticleJournal of clinical microbiology2008

Diagnostic approach to acute diarrheal illness in a military population on training exercises in Thailand, a region of campylobacter hyperendemicity.

David R Tribble, Shahida Baqar, Lorrin W Pang, Carl Mason, Huo-Shu H Houng, Chittima Pitarangsi, Carlos Lebron, Adam Armstrong, Orntipa Sethabutr, John W Sanders

Abstract readEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.7field-weighted citation impact, top 9% 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.

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

16 citing papers in PubMed, 33 citations in OpenAlex.

  1. Prevalence and antimicrobial resistance ofOne health (Amsterdam, Netherlands) · 2025
    Review
  2. Article
  3. Article
  4. Occupations at risk of contracting zoonoses of public health significance in Québec.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2021
    Article
  5. Article
  6. Article
  7. Travelers' Diarrhea in Thailand: A Quantitative Analysis Using TaqMan® Array Card.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Article
  8. Article
  9. The Periplasmic Chaperone Network ofFrontiers in microbiology · 2017
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Detection of Campylobacter in human faecal samples in Fiji.Western Pacific surveillance and response journal : WPSAR
    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

10 authors at 4 institutions in 2 countries.

David R TribbleInfectious Disease Clinical Research Program, Preventive Medicine & Biometrics Department, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814-5119, USA. dtribble@usuhs.mil
Shahida Baqar
Lorrin W Pang
Carl Mason
Huo-Shu H Houng
Chittima Pitarangsi
Carlos Lebron
Adam Armstrong
Orntipa Sethabutr
John W Sanders
Armed Forces Research Institute of Medical Science · THNaval Medical Research Command · USWalter Reed Army Institute of Research · USWalter Reed National Military Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High rates of Campylobacter fluoroquinolone resistance highlight the need to evaluate diagnostic strategies that can be used to assist with clinical management. Diagnostic tests were evaluated with U.S. soldiers presenting with acute diarrhea during deployment in Thailand. The results of bedside and field laboratory diagnostic tests were compared to stool microbiology findings for 182 enrolled patients. Campylobacter jejuni was isolated from 62% of the cases. Clinical and laboratory findings at the time of presentation were evaluated to determine their impact on the posttest probability, defined as the likelihood of a diagnosis of Campylobacter infection. Clinical findings, the results of tests for inflammation (stool occult blood testing [Hemoccult], fecal leukocytes, fecal lactoferrin, plasma C-reactive protein), and the numbers of Campylobacter-specific antibody-secreting cells in peripheral blood failed to increase the posttest probability above 90% in this setting of Campylobacter hyperendemicity when these findings were present. Positive results by a Campylobacter-specific commercial enzyme immunoassay (EIA) and, less so, a research PCR were strong positive predictors. The negative predictive value for ruling out Campylobacter infection, defined as a posttest probability of less than 10%, was similarly observed with these Campylobacter-specific stool-based tests as well the fecal leukocyte test. Compared to the other tests evaluated, the Campylobacter EIA is a sensitive and specific rapid diagnostic test that may assist with diagnostic evaluation, with consideration of the epidemiological setting, logistics, and cost.

Indexed as

Endemic DiseasesMilitary PersonnelReagent Kits, DiagnosticAdultCampylobacterCampylobacter InfectionsCampylobacter jejuniC-Reactive ProteinDiarrheaFecesFemaleHumansImmunoenzyme TechniquesMaleOccult BloodPolymerase Chain ReactionC-Reactive ProteinReagent Kits, Diagnostic

Identifiers

PMID18234869
PMCPMC2292976
OpenAlexW1990746539

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.