Evidence map›Paper›PMID 23673583›Full record

ReviewCanadian family physician Medecin de famille canadien2013

Recreational water-related illness: office management and prevention.

Margaret Sanborn, Tim Takaro

Abstract readCase ReportsReview
In one paragraph

Review in Canadian family physician Medecin de famille canadien, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Assessing Recreational Safety of Urban Marine Waters: Long-Term Coliform and Enterococcus Analysis.Water environment research : a research publication of the Water Environment Federation · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Climate Change, Drought and Human Health in Canada.International journal of environmental research and public health · 2015
    Review
  12. Health and safety in recreational waters.Bulletin of the World Health Organization · 2014
    Article
  13. A little deeper.Canadian family physician Medecin de famille canadien · 2013
    Article
  14. The fine things on earth.Canadian family physician Medecin de famille canadien · 2013
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Margaret SanbornDepartment of Family Medicine, McMaster University, Canada. msanborn@bmts.com
Tim Takaro
McMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo review the risk factors, management, and prevention of recreational water-related illness in family practice. SOURCES OF INFORMATION: Original and review articles from January 1998 to February 2012 were identified using PubMed and the search terms water-related illness, recreational water illness, and swimmer illness. MAIN MESSAGE: There is a 3% to 8% risk of acute gastrointestinal illness (AGI) after swimming. The high-risk groups for AGI are children younger than 5 years, especially if they have not been vaccinated for rotavirus, and elderly and immunocompromised patients. Children are at higher risk because they swallow more water when swimming, stay in the water longer, and play in the shallow water and sand, which are more contaminated. Participants in sports with a lot of water contact like triathlon and kite surfing are also at high risk, and even activities involving partial water contact like boating and fishing carry a 40% to 50% increase in risk of AGI compared with nonwater recreational activities. Stool cultures should be done when a recreational water illness is suspected, and the clinical dehydration scale is a useful clinical tool for assessing the treatment needs of affected children.

conclusionRecreational water illness is the main attributable cause of AGI during swimming season. Recognition that swimming is a substantial source of illness can help prevent recurrent and secondary cases. Rotavirus vaccine is highly recommended for children who will swim frequently.

Indexed as

RecreationSwimming PoolsWater MicrobiologyCanadaChild, PreschoolFamily PracticeFemaleFresh WaterGastroenteritisHumansRisk FactorsRotavirus VaccinesSwimmingWater PollutionRotavirus Vaccines

Identifiers

PMID23673583
PMCPMC3653650
OpenAlexW2156058958

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.