Evidence map›Paper›PMID 23972160›Full record

ArticleBMC infectious diseases2013

Diagnosis and subtype analysis of Blastocystis sp. in 442 patients in a hospital setting in the Netherlands.

Aldert Bart, Ellen M S Wentink-Bonnema, Henk Gilis, Nienke Verhaar, Carla J A Wassenaar, Michèle van Vugt, Abraham Goorhuis, Tom van Gool

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
4.9field-weighted citation impact, top 5% 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

54 citing papers in PubMed, 111 citations in OpenAlex.

  1. Transient colonization with Blastocystis spp. after transmission via fecal microbiota transplantation.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Trial
  2. Trial
  3. Occurrence and subtyping of the intestinal protozoanFood and waterborne parasitology · 2026
    Article
  4. Parasite epidemiology and control · 2025
    Article
  5. A cross-sectional survey ofOne health (Amsterdam, Netherlands) · 2024
    Article
  6. Subtype Distribution ofMicroorganisms · 2024
    Article
  7. Epidemiology ofPathogens (Basel, Switzerland) · 2023
    Review
  8. Clinical case reports · 2023
    Article
  9. Frequency, subtypes distribution, and risk factors ofNew microbes and new infections · 2023
    Article
  10. Article
  11. Prevalence and Associated Factors ofTropical medicine and infectious disease · 2022
    Article
  12. Article
  13. Subtype distribution ofGastroenterology and hepatology from bed to bench · 2022
    Review
  14. Identification and Genetic Characterization ofInfection and drug resistance · 2022
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Frontiers in microbiology · 2021
    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

8 authors at 2 institutions in 2 countries.

Aldert BartDepartment of Medical Microbiology, Center for Infection and Immunity Amsterdam (CINIMA), Academic Medical Center, Amsterdam, The Netherlands. a.bart@amc.uva.nl
Ellen M S Wentink-Bonnema
Henk Gilis
Nienke Verhaar
Carla J A Wassenaar
Michèle van Vugt
Abraham Goorhuis
Tom van Gool
Academic Medical Center · NLUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBlastocystis sp. are among the most commonly observed intestinal parasites in routine clinical parasitology. Blastocystis in humans consists of at least 9 genetic subtypes. Different subtypes of Blastocystis may be associated with differences in pathogenicity and symptomatology.

methodsAdvanced microscopy on two samples and sequence-confirmed PCR on a third sample from the same individual were used for Blastocystis diagnosis and subtype analyses on routine clinical samples in a university hospital.

resultsWith a combined gold standard of sequence-confirmed PCR and positive advanced microscopy, 107 out of 442 (24.2%) patients were diagnosed with Blastocystis. infection, which is a high frequency of detection in comparison to previous reports from industrialized countries. The sensitivity of microscopy and sequence-confirmed PCR was 99.1% (106/107) and 96.3% (103/107), respectively.Among 103 typable samples, subtype 3 was most abundant (n = 43, 42%), followed by subtypes 1 and 2 (both n = 23, 22%), subtype 4 (n = 12, 12%), and single samples with subtypes 6 (1%) and subtype 7 (1%). The prevalence of Blastocystis infection was 38% in patients from the Department of Tropical Medicine and 18% in patients from other departments.

conclusionsA high prevalence of Blastocystis infection was found with both advanced microscopy and sequence-confirmed PCR in our patient population. Most cases were caused by subtypes ST1, ST2, ST3 and ST4. A significantly higher prevalence was found among patients with a history of recent travel to tropical countries.

Indexed as

AdolescentAdultAgedAged, 80 and overBlastocystisBlastocystis InfectionsChildChild, PreschoolFemaleHospitalsHumansInfantMaleMicroscopyMiddle AgedMolecular Epidemiology

Identifiers

PMID23972160
PMCPMC3765316
OpenAlexW2005148797

What OpenQuestion holds

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LicenceCC BY
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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.