Evidence map›Paper›PMID 27147712›Full record

ArticleJournal of the Pediatric Infectious Diseases Society2017

Detection of 23 Gastrointestinal Pathogens Among Children Who Present With Diarrhea.

Chris Stockmann, Andrew T Pavia, Brad Graham, Mike Vaughn, Rob Crisp, Mark A Poritz, Stephanie Thatcher, E Kent Korgenski, Trenda Barney, Judy Daly and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the Pediatric Infectious Diseases Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
4.2field-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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Pooled it
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  7. Acute infectious gastroenteritis in childhood: the role of rapid multiplex molecular syndromic panels in diagnosis and clinical management.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2025
    Review
  8. Article
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  10. Detection ofInfection and drug resistance · 2025
    Article
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  12. Clinical Performance of the LiquidArrayDiagnostics (Basel, Switzerland) · 2024
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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

11 authors at 4 institutions in 1 country.

Chris StockmannDepartments of Pediatrics.
Andrew T PaviaDepartments of Pediatrics.
Brad GrahamBioFire Diagnostics, Inc.
Mike VaughnBioFire Diagnostics, Inc.
Rob CrispBioFire Diagnostics, Inc.
Mark A PoritzBioFire Diagnostics, Inc.
Stephanie ThatcherBioFire Diagnostics, Inc.
E Kent KorgenskiPrimary Children's Hospital, Intermountain Healthcare.
Trenda BarneyPrimary Children's Hospital, Intermountain Healthcare.
Judy DalyPrimary Children's Hospital, Intermountain Healthcare.
Margarita RogatchevaBioFire Diagnostics, Inc.
BioFire Diagnostics (United States) · USIntermountain Healthcare · USPediatrics and Genetics · USUniversity of Utah · US

Funding

An Automated Multi-target Diagnostic System for Gastrointestinal PathogensR01AI089489 · NIAID · BIOFIRE DEFENSE, LLC. · PI ROGATCHEVA, MARGARITA B · 2010 to 2012
$3.3M
NIAID NIH HHS R01 AI089489
6 · The paper itself

Abstract

backgroundDiarrheal diseases are a major cause of ambulatory care visits and hospitalizations among children. Because of overlapping signs and symptoms and expensive and inefficient testing methods, the etiology of pediatric diarrhea is rarely established.

methodsWe identified children <18 years of age who were evaluated for diarrhea at Primary Children's Hospital in Salt Lake City, Utah, between October 2010 and September 2012. Stool specimens submitted for testing were evaluated by using the FilmArray gastrointestinal diagnostic system, which is a rapid multiplex polymerase chain reaction platform that can simultaneously detect 23 bacterial, viral, and protozoal agents.

resultsA pathogen was detected in 561 (52%) of 1089 diarrheal episodes. The most commonly detected pathogens included toxigenic Clostridium difficile (16%), diarrheagenic Escherichia coli (15%), norovirus GI/GII (11%), and adenovirus F 40/41 (7%). Shiga toxin-producing E coli were detected in 43 (4%) specimens. Multiple pathogens were identified in 160 (15%) specimens. Viral pathogens (norovirus, adenovirus, rotavirus, and sapovirus) were more common among children <5 years old than among those 5 to 17 years old (38% vs 16%, respectively; P < .001). Bacterial pathogens were identified most commonly in children 2 to 4 years of age. Children with 1 or more underlying chronic medical conditions were less likely to have a pathogen identified than those without a chronic medical condition (45% vs 60%, respectively; P < .01). Viral pathogens were detected more commonly in the winter, whereas bacterial pathogens were detected more commonly in the summer.

conclusionsToxigenic C difficile, diarrheagenic E coli, and norovirus were the leading organisms detected among these children with diarrhea. Viral pathogens are identified frequently among young children with acute gastroenteritis.

Indexed as

AdolescentChildChild, PreschoolDiarrheaFemaleHumansInfantInfant, NewbornMaleMultiplex Polymerase Chain ReactionSeasonsUtahacute gastroenteritischildrenFilmArraygastrointestinal illness

Identifiers

PMID27147712
PMCPMC5907859
OpenAlexW2346122755

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.