Evidence map›Paper›PMID 27180973›Full record

ArticleEpidemiology and infection2016

Resistant Shigella strains in refugees, August-October 2015, Greece.

T Georgakopoulou, G Mandilara, K Mellou, K Tryfinopoulou, A Chrisostomou, H Lillakou, C Hadjichristodoulou, A Vatopoulos

Open access · bronzeAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Epidemiology and infection, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Impact of the Refugee Crisis on the Greek Healthcare System: A Long Road to Ithaca.International journal of environmental research and public health · 2018
    Review
  7. Article
  8. A Brief History ofEcoSal Plus · 2018
    Review
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 3 institutions in 2 countries.

T GeorgakopoulouDepartment of Epidemiological Surveillance and Intervention,Hellenic Centre for Disease Control and Prevention (HCDCP),Athens,Greece.ORCID http://orcid.org/0000-0001-9559-7476
G MandilaraNational Reference Centre for Salmonella and Shigella,National School of Public Health & Central Public Health Laboratory,Hellenic Centre for Diseases Control and Prevention,Vari,Greece.
K MellouDepartment of Epidemiological Surveillance and Intervention,Hellenic Centre for Disease Control and Prevention (HCDCP),Athens,Greece.
K TryfinopoulouNational Reference Centre for Salmonella and Shigella,National School of Public Health & Central Public Health Laboratory,Hellenic Centre for Diseases Control and Prevention,Vari,Greece.
A ChrisostomouDepartment of Epidemiological Surveillance and Intervention,Hellenic Centre for Disease Control and Prevention (HCDCP),Athens,Greece.
H LillakouDepartment of Epidemiological Surveillance and Intervention,Hellenic Centre for Disease Control and Prevention (HCDCP),Athens,Greece.
C HadjichristodoulouDepartment of Hygiene and Epidemiology,University of Thessaly,Larissa,Greece.
A VatopoulosNational Reference Centre for Salmonella and Shigella,National School of Public Health & Central Public Health Laboratory,Hellenic Centre for Diseases Control and Prevention,Vari,Greece.
Hellenic Center for Disease Control & Prevention · GRNational School of Public Health · GRUniversity of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Shigellosis is endemic in most developing countries and thus a known risk in refugees and internally displaced persons. In 2015, a massive influx of refugees into Greece, due to the political crisis in the Middle East, led to the development of appropriate conditions for outbreaks of communicable diseases as shigellosis. We present a cluster of 16 shigellosis cases in refugees, detected by the implementation of a syndromic notification system in one transit centre in Athens, between 20 August and 7 October 2015. Both Shigella flexneri (n = 8) and S. sonnei (n = 8) were identified, distributed in various serotypes. All tested isolates (n = 13) were multidrug resistant; seven were CTX-M-type extended-spectrum β-lactamase producers. Our results indicate lack of a potential common source, although pulsed-field gel electrophoresis typing results revealed small clusters in isolates of the same serotype indicating possible limited person-to-person transmission without identifying secondary community cases related to the refugees. To prevent the spread of shigellosis, empirical antibiotic treatment as well as environmental hygiene measures were implemented. The detection of multi-drug resistance is important for determining the appropriate empirical antibiotic treatment for the more severe cases, while at the same time real-time typing is useful for epidemiological investigation and control measures.

Indexed as

Drug Resistance, Multiple, BacterialAnti-Bacterial AgentsChildChild, PreschoolDysentery, BacillaryFemaleGreeceHumansInfantInfant, NewbornMaleMicrobial Sensitivity TestsRefugeesShigella flexneriShigella sonneiAnti-Bacterial AgentsAntibiotic resistanceGreecerefugeesShigella

Identifiers

PMID27180973
PMCPMC9150517
OpenAlexW2408347837

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.