Evidence map›Paper›PMID 25749411›Full record

ArticlePLoS neglected tropical diseases2015

Molecular characterization of Cryptosporidium spp. among children in rural Ghana.

Daniel Eibach, Ralf Krumkamp, Hassan M Al-Emran, Nimako Sarpong, Ralf Matthias Hagen, Yaw Adu-Sarkodie, Egbert Tannich, Jürgen May

Abstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  9. Molecular characterization and zoonotic risk assessment ofOne health (Amsterdam, Netherlands) · 2024
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  14. An update onJournal of parasitic diseases : official organ of the Indian Society for Parasitology · 2022
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Transmission of Cryptosporidium Species Among Human and Animal Local Contact Networks in Sub-Saharan Africa: A Multicountry Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 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.

Daniel EibachBernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany; German Center for Infection Research (DZIF), partner site Hamburg-Borstel-Lübeck, Germany.
Ralf KrumkampBernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany; German Center for Infection Research (DZIF), partner site Hamburg-Borstel-Lübeck, Germany.
Hassan M Al-EmranBernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany.
Nimako SarpongKumasi Centre for Collaborative Research in Tropical Medicine (KCCR), Kumasi, Ghana.
Ralf Matthias HagenDepartment of Tropical Medicine at the BNITM, German Armed Forces Hospital of Hamburg, Hamburg, Germany.
Yaw Adu-SarkodieKwame Nkrumah University of Science and Technology (KNUST), Kumasi, Ghana.
Egbert TannichBernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany; German Center for Infection Research (DZIF), partner site Hamburg-Borstel-Lübeck, Germany.
Jürgen MayBernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany; German Center for Infection Research (DZIF), partner site Hamburg-Borstel-Lübeck, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relevance of Cryptosporidium infections for the burden of childhood diarrhoea in endemic settings has been shown in recent years. This study describes Cryptosporidium subtypes among symptomatic and asymptomatic children in rural Ghana to analyse subtype-specific demographic, geographical, seasonal and clinical differences in order to inform appropriate control measures in endemic areas. METHODOLOGY/PRINCIPAL

findingsStool samples were collected from 2232 children below 14 years of age presenting with and without gastrointestinal symptoms at the Agogo Presbyterian Hospital in the rural Ashanti region of Ghana between May 2007 and September 2008. Samples were screened for Cryptosporidium spp. by PCR and isolates were classified into subtypes based on sequence differences in the gp60 gene. Subtype specific frequencies for age, sex, location and season have been determined and associations with disease symptoms have been analysed within a case-control study. Cryptosporidium infections were diagnosed in 116 of 2232 (5.2%) stool samples. Subtyping of 88 isolates revealed IIcA5G3 (n = 26, 29.6%), IbA13G3 (n = 17, 19.3%) and IaA21R3 (n = 12, 13.6%) as the three most frequent subtypes of the two species C. hominis and C. parvum, known to be transmitted anthroponotically. Infections peak at early rainy season with 67.9% and 50.0% of infections during the months April, May and June for 2007 and 2008 respectively. C. hominis infection was mainly associated with diarrhoea (odds ratio [OR] = 2.4; 95% confidence interval [CI]: 1.2-4.9) whereas C. parvum infection was associated with both diarrhoea (OR = 2.6; CI: 1.2-5.8) and vomiting (OR = 3.1; 95% CI: 1.5-6.1). CONCLUSIONS/SIGNIFICANCE: Cryptosporidiosis is characterized by seasonal anthroponotic transmission of strains typically found in Sub-Saharan Africa. The infection mainly affects young infants, with vomiting and diarrhoea being one of the leading symptoms in C. parvum infection. Combining molecular typing and clinical data provides valuable information for physicians and is able to track sources of infections.

Indexed as

AnimalsCase-Control StudiesChildChild, PreschoolCryptosporidiosisCryptosporidiumFemaleGhanaHumansInfantMalePhylogenyRural Population

Identifiers

PMID25749411
PMCPMC4352007

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