Evidence map›Paper›PMID 27199966›Full record

ArticleFrontiers in microbiology2016

Prevalence of Escherichia coli Virulence Genes in Patients with Diarrhea and a Subpopulation of Healthy Volunteers in Madrid, Spain.

Adriana Cabal, María García-Castillo, Rafael Cantón, Christian Gortázar, Lucas Domínguez, Julio Álvarez

Abstract read
In one paragraph

Article in Frontiers in microbiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–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

24 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Diarrhoeal pathogens in the stools of children living with HIV in Ibadan, Nigeria.Frontiers in cellular and infection microbiology · 2023
    Article
  7. Article
  8. Article
  9. Microbiology and Epidemiology ofMicroorganisms · 2022
    Review
  10. Article
  11. Article
  12. Article
  13. Profiling Virulence and Antimicrobial Resistance Markers of EnterovirulentOsong public health and research perspectives · 2020
    Article
  14. Characterization and Lytic Activity of IsolatedIranian journal of medical sciences · 2020
    Article
  15. Article
  16. Article
  17. Article
  18. DiarrheagenicFrontiers in public health · 2019
    Article
  19. Article
  20. 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

6 authors.

Adriana CabalVISAVET Health Surveillance Centre, Universidad ComplutenseMadrid, Spain; SaBio-IREC (CSIC-UCLM-JCCM)Ciudad Real, Spain.
María García-CastilloServicio de Microbiología, Hospital Universitario Ramón y CajalMadrid, Spain; Servicio de Microbiología, Instituto Ramón y Cajal de Investigación SanitariaMadrid, Spain.
Rafael CantónServicio de Microbiología, Hospital Universitario Ramón y CajalMadrid, Spain; Servicio de Microbiología, Instituto Ramón y Cajal de Investigación SanitariaMadrid, Spain.
Christian GortázarSaBio-IREC (CSIC-UCLM-JCCM) Ciudad Real, Spain.
Lucas DomínguezVISAVET Health Surveillance Centre, Universidad Complutense Madrid, Spain.
Julio ÁlvarezDepartment of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, St. Paul MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Etiological diagnosis of diarrheal diseases may be complicated by their multi-factorial nature. In addition, Escherichia coli strains present in the gut can occasionally harbor virulence genes (VGs) without causing disease, which complicates the assessment of their clinical significance in particular. The aim of this study was to detect and quantify nine VGs (stx1, stx2, eae, aggR, ehxA, invA, est, elt and bfpA) typically present in five E. coli enteric pathotypes [enterohaemorrhagic E. coli (EHEC), enterotoxigenic E. coli (ETEC), enteropathogenic E. coli (EPEC), enteroaggregative E. coli (EAEC), and enteroinvasive E. coli (EIEC)] in fecal samples collected from 49 patients with acute diarrhea and 32 healthy controls from Madrid, Spain. In addition, the presence of four serotype-related genes (wzx O104 and fliCH4, rfb O157, and fliCH7) was also determined. Presence of target genes was assessed using a quantitative real-time PCR assay previously developed, and the association of presence and burden of VGs with clinical disease and/or other risk factors was explored. Prevalence of ehxA [typically associated with Shigatoxin producing E. coli (STEC) and (EPEC), invA (EIEC), and the rfb O157+fliCH7 (STEC)] combination were significantly (p < 0.02) higher in the diarrheic group, while the wzx O104+fliCH4 combination was significantly (p = 0.014) more prevalent in the control group. On the other hand, eae was detected in more than 90% of the individuals in both patient and control populations, and it was not associated with bfpA, suggesting the absence of typical EPEC. No significant differences in the quantitative values were detected for any VG among study groups, but the difference in the load of aggR (EAEC) and invA in the patients with respect to the controls was close to the significance, suggesting a potential role of these VGs in the clinical signs observed when they are present at high levels.

Indexed as

diarrheaE. colipathotypesprevalencevirulence genes

Identifiers

PMID27199966
PMCPMC4859089

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Registered trials

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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.