Evidence map›Paper›PMID 27387755›Full record

ArticlePLoS neglected tropical diseases2016

Molecular Characterization of Cryptosporidium Species and Giardia duodenalis from Symptomatic Cambodian Children.

Catrin E Moore, Kristin Elwin, Nget Phot, Chanthou Seng, Saroeun Mao, Kuong Suy, Varun Kumar, Johanna Nader, Rachel Bousfield, Sanuki Perera and 5 more

Abstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 5 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

35 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Global prevalence ofParasitology · 2023
    Pooled it
  2. Asia-Pacific journal of public health · 2020
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
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  9. Prevalence and molecular characterization ofFood and waterborne parasitology · 2025
    Article
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  11. Current research in parasitology & vector-borne diseases · 2025
    Review
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  15. Article
  16. Article
  17. Current research in parasitology & vector-borne diseases · 2023
    Review
  18. Article
  19. A survey ofPeerJ · 2022
    Article
  20. An Update on ZoonoticAnimals : an open access journal from MDPI · 2021
    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

15 authors.

Catrin E MooreMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Kristin ElwinCryptosporidium Reference Unit, Public Health Wales Microbiology, Singleton Hospital, Swansea, United Kingdom.
Nget PhotAngkor Hospital for Children, Siem Reap, Cambodia.
Chanthou SengAngkor Hospital for Children, Siem Reap, Cambodia.
Saroeun MaoAngkor Hospital for Children, Siem Reap, Cambodia.
Kuong SuyAngkor Hospital for Children, Siem Reap, Cambodia.
Varun KumarAngkor Hospital for Children, Siem Reap, Cambodia.
Johanna NaderClinical Sciences Group, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
Rachel BousfieldMicrobiology Department, Addenbrooke's Hospital, Cambridge, United Kingdom.
Sanuki PereraModernising Medical Microbiology Consortium, Nuffield Department of Clinical Medicine, John Radcliffe Hospital, University of Oxford, Oxford, United Kingdom.
J Wendi BaileyClinical Sciences Group, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
Nicholas J BeechingClinical Sciences Group, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
Nicholas P J DayMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Christopher M ParryMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Rachel M ChalmersCryptosporidium Reference Unit, Public Health Wales Microbiology, Singleton Hospital, Swansea, United Kingdom.

Funding

Department of HealthWellcome Trust
6 · The paper itself

Abstract

backgroundIn a prospective study, 498 single faecal samples from children aged under 16 years attending an outpatient clinic in the Angkor Hospital for Children, northwest Cambodia, were examined for Cryptosporidium oocysts and Giardia cysts using microscopy and molecular assays. METHODOLOGY/PRINCIPAL

findingsCryptosporidium oocysts were detected in 2.2% (11/498) of samples using microscopy and in 7.7% (38/498) with molecular tests. Giardia duodenalis cysts were detected in 18.9% (94/498) by microscopy and 27.7% (138/498) by molecular tests; 82% of the positive samples (by either method) were from children aged 1-10 years. Cryptosporidium hominis was the most common species of Cryptosporidium, detected in 13 (34.2%) samples, followed by Cryptosporidium meleagridis in 9 (23.7%), Cryptosporidium parvum in 8 (21.1%), Cryptosporidium canis in 5 (13.2%), and Cryptosporidium suis and Cryptosporidium ubiquitum in one sample each. Cryptosporidium hominis and C. parvum positive samples were subtyped by sequencing the GP60 gene: C. hominis IaA16R6 and C. parvum IIeA7G1 were the most abundant subtypes. Giardia duodenalis was typed using a multiplex real-time PCR targeting assemblages A and B. Assemblage B (106; 76.8% of all Giardia positive samples) was most common followed by A (12.3%) and mixed infections (5.1%). Risk factors associated with Cryptosporidium were malnutrition (AOR 9.63, 95% CI 1.67-55.46), chronic medical diagnoses (AOR 4.51, 95% CI 1.79-11.34) and the presence of birds in the household (AOR 2.99, 95% CI 1.16-7.73); specifically C. hominis (p = 0.03) and C. meleagridis (p<0.001) were associated with the presence of birds. The use of soap was protective against Giardia infection (OR 0.74, 95% CI 0.58-0.95). CONCLUSIONS/SIGNIFICANCE: This is the first report to describe the different Cryptosporidium species and subtypes and Giardia duodenalis assemblages in Cambodian children. The variety of Cryptosporidium species detected indicates both anthroponotic and zoonotic transmission in this population. Interventions to improve sanitation, increase hand washing after defecation and before preparing food and promote drinking boiled water may reduce the burden of these two parasites.

Indexed as

AdolescentAnimalsCambodiaChildChild, PreschoolCryptosporidiosisCryptosporidiumFecesFemaleGiardiaGiardiasisHumansInfantMaleProspective Studies

Identifiers

PMID27387755
PMCPMC4936737

What OpenQuestion holds

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LicenceCC BY
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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.