Evidence map›Paper›PMID 27501842›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2016

Epidemiology and Impact of Campylobacter Infection in Children in 8 Low-Resource Settings: Results From the MAL-ED Study.

Caroline Amour, Jean Gratz, Estomih Mduma, Erling Svensen, Elizabeth T Rogawski, Monica McGrath, Jessica C Seidman, Benjamin J J McCormick, Sanjaya Shrestha, Amidou Samie and 18 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 137 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
137citing papers in PubMed, 6 pooled it
13.4field-weighted citation impact, top 1% 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

137 citing papers in PubMed, 6 syntheses or guidelines pooled it, 185 citations in OpenAlex.

  1. Pooled it
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  6. A systematic review of source attribution of human campylobacteriosis using multilocus sequence typing.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2019
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  15. Enhancing surveillance of foodborne bacteria and antimicrobial resistance using a large centralized laboratory database: Case study of Campylobacter and nontyphoidal Salmonella in Peru.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026
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  19. Antimicrobial and anti-inflammatory properties ofMicrobiology (Reading, England) · 2026
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77 more citing papers are in PubMed but not listed here.

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

28 authors at 16 institutions in 10 countries.

Caroline AmourHaydom Lutheran Hospital, Haydom, Tanzania.
Jean GratzHaydom Lutheran Hospital, Haydom, Tanzania Division of Infectious Diseases and International Health, University of Virginia, Charlottesville.
Estomih MdumaHaydom Lutheran Hospital, Haydom, Tanzania.
Erling SvensenHaukeland University Hospital, Bergen, Norway.
Elizabeth T RogawskiDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville.
Monica McGrathFogarty International Center, National Institutes of Health.
Jessica C SeidmanFogarty International Center, National Institutes of Health.
Benjamin J J McCormickFogarty International Center, National Institutes of Health.
Sanjaya ShresthaArmed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Amidou SamieUniversity of Venda, Thohoyandou, South Africa.
Mustafa MahfuzInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Shahida QureshiAga Khan University, Karachi, Pakistan.
Aneeta HotwaniAga Khan University, Karachi, Pakistan.
Sudhir BabjiChristian Medical College, Vellore, India.
Dixner Rengifo TrigosoAsociación Benéfica PRISMA, Iquitos, Peru.
Aldo A M LimaClinical Research Unit and Institute of Biomedicine, Federal University of Ceara, Fortaleza, Brazil.
Ladaporn BodhidattaArmed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Pascal BessongUniversity of Venda, Thohoyandou, South Africa.
Tahmeed AhmedInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Sadia ShakoorAga Khan University, Karachi, Pakistan.
Gagandeep KangChristian Medical College, Vellore, India.
Margaret KosekBloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland Asociación Benéfica PRISMA, Iquitos, Peru.
Richard L GuerrantDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville.
Dennis LangFoundation for the National Institutes of Health, Bethesda.
Michael GottliebFoundation for the National Institutes of Health, Bethesda.
Eric R HouptDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville.
James A Platts-MillsDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville.
Etiology, Risk Factors, and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development Project (MAL-ED) Network Investigators
University of Virginia Health System · USFogarty International Center · USArmed Forces Research Institute of Medical Science · THChristian Medical College & Hospital · INFoundation for the National Institutes of Health · USHaydom Lutheran Hospital · TZInternational Centre for Diarrhoeal Disease Research · BDUniversity of Venda · ZAAga Khan University · TZPrisma · PEUniversity of Virginia · USHaukeland University Hospital · NOUniversidade Federal do Ceará · BRAga Khan University · PKJohns Hopkins University · USNational Institutes of Health · US

Funding

The Water and Health in Limpopo Innovations Fellowship ProgramD43TW009359 · FIC · UNIVERSITY OF VIRGINIA · PI GUERRANT, RICHARD L · 2012 to 2016
$1.7M
Quantitative molecular diagnostics for diarrhea etiology and vaccine efficacyK23AI114888 · NIAID · UNIVERSITY OF VIRGINIA · PI PLATTS-MILLS, JAMES ALEXANDER · 2015 to 2019
$932k
FIC NIH HHS D43 TW009359NIAID NIH HHS K23 AI114888
6 · The paper itself

Abstract

backgroundEnteropathogen infections have been associated with enteric dysfunction and impaired growth in children in low-resource settings. In a multisite birth cohort study (MAL-ED), we describe the epidemiology and impact of Campylobacter infection in the first 2 years of life.

methodsChildren were actively followed up until 24 months of age. Diarrheal and nondiarrheal stool samples were collected and tested by enzyme immunoassay for Campylobacter Stool and blood samples were assayed for markers of intestinal permeability and inflammation.

resultsA total of 1892 children had 7601 diarrheal and 26 267 nondiarrheal stool samples tested for Campylobacter We describe a high prevalence of infection, with most children (n = 1606; 84.9%) having a Campylobacter-positive stool sample by 1 year of age. Factors associated with a reduced risk of Campylobacter detection included exclusive breastfeeding (risk ratio, 0.57; 95% confidence interval, .47-.67), treatment of drinking water (0.76; 0.70-0.83), access to an improved latrine (0.89; 0.82-0.97), and recent macrolide antibiotic use (0.68; 0.63-0.74). A high Campylobacter burden was associated with a lower length-for-age Z score at 24 months (-1.82; 95% confidence interval, -1.94 to -1.70) compared with a low burden (-1.49; -1.60 to -1.38). This association was robust to confounders and consistent across sites. Campylobacter infection was also associated with increased intestinal permeability and intestinal and systemic inflammation.

conclusionsCampylobacter was prevalent across diverse settings and associated with growth shortfalls. Promotion of exclusive breastfeeding, drinking water treatment, improved latrines, and targeted antibiotic treatment may reduce the burden of Campylobacter infection and improve growth in children in these settings.

Indexed as

Cost of IllnessCampylobacter InfectionsChild DevelopmentCohort StudiesDiarrheaFemaleFollow-Up StudiesGastroenteritisHumansInfantInfant, NewbornMalePrevalenceProspective StudiesRisk FactorsCampylobacterchildrengrowthinflammationrisk factors

Identifiers

PMID27501842
PMCPMC5064165
OpenAlexW2513619720

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.