Evidence map›Paper›PMID 27527635›Full record

ArticleThe American journal of tropical medicine and hygiene2016

Aeromonas-Associated Diarrhea in Children Under 5 Years: The GEMS Experience.

Farah Naz Qamar, Muhammad Imran Nisar, Farheen Quadri, Sadia Shakoor, Samba O Sow, Dilruba Nasrin, William C Blackwelder, Yukun Wu, Tamer Farag, Sandra Panchalingham and 20 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

23 citing papers in PubMed, 46 citations in OpenAlex.

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  18. An Update on the GenusMicroorganisms · 2020
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  19. Waterborne Infections in Reunion Island, 2010-2017.The American journal of tropical medicine and hygiene · 2018
    Observational
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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

30 authors at 10 institutions in 9 countries.

Farah Naz QamarDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan. farah.qamar@aku.edu.
Muhammad Imran NisarDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Farheen QuadriDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Sadia ShakoorDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Samba O SowCenter for Vaccine Development, Ministry of Health, Bamako, Mali.
Dilruba NasrinDepartment of Medicine, University of Maryland, Baltimore School of Medicine, Maryland. Center for Vaccine Development, University of Maryland School of Medicine, Baltimore, Maryland.
William C BlackwelderDepartment of Medicine, University of Maryland, Baltimore School of Medicine, Maryland. Center for Vaccine Development, University of Maryland School of Medicine, Baltimore, Maryland.
Yukun WuDepartment of Medicine, University of Maryland, Baltimore School of Medicine, Maryland. Center for Vaccine Development, University of Maryland School of Medicine, Baltimore, Maryland.
Tamer FaragDepartment of Medicine, University of Maryland, Baltimore School of Medicine, Maryland. Center for Vaccine Development, University of Maryland School of Medicine, Baltimore, Maryland. Vaccine Development and Surveillance, Bill & Melinda Gates Foundation, Seattle, Washington.
Sandra PanchalinghamDepartment of Medicine, University of Maryland, Baltimore School of Medicine, Maryland.
Dipika SurDivision of Epidemiology, National Institute of Cholera and Enteric Diseases, Kolkata, India.
Shahida QureshiDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Abu S G FaruqueClinical Sciences Division, International Centre for Diarrheal Disease Research (icddr,b), Dhaka, Bangladesh.
Debasish SahaCentre for Nutrition and Food Security (CNFS), International Centre for Diarrheal Disease Research (icddr,b), Dhaka, Bangladesh.
Pedro L AlonsoInternational Health Research, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic-Universitat de Barcelona, Barcelona, Spain. Microbiology, Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Robert F BreimanInternational Emerging Infections Program, Kenya Medical Research Institute/Centers for Disease Control and Prevention (KEMRI/CDC), Nairobi, Kenya.
Quique BassatInternational Health Research, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic-Universitat de Barcelona, Barcelona, Spain. ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic-Universitat de Barcelona, Barcelona, Spain.
Boubou TambouraDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan. Centre National d'Appui à la lutte contre la Maladie/Centre pour le Développement des Vaccins (CNAM/CVD-Mali), Bamako, Mali.
Thandavarayan RamamurthyDivision of Epidemiology, National Institute of Cholera and Enteric Diseases, Kolkata, India.
Suman KanungoDivision of Epidemiology, National Institute of Cholera and Enteric Diseases, Kolkata, India.
Shahnawaz AhmedCentre for Nutrition and Food Security (CNFS), International Centre for Diarrheal Disease Research (icddr,b), Dhaka, Bangladesh.
Anowar HossainCentre for Nutrition and Food Security (CNFS), International Centre for Diarrheal Disease Research (icddr,b), Dhaka, Bangladesh.
Sumon K DasCentre for Nutrition and Food Security (CNFS), International Centre for Diarrheal Disease Research (icddr,b), Dhaka, Bangladesh.
Martin AntonioChild Survival Theme, Molecular Diagnostics, Medical Research Council (MRC) Unit, Banjul, The Gambia.
M Jahangir HossainChild Survival Theme, Molecular Diagnostics, Medical Research Council (MRC) Unit, Banjul, The Gambia.
Inacio MandomandoInternational Health Research, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic-Universitat de Barcelona, Barcelona, Spain. Microbiology, Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Sharon M TennantDepartment of Medicine, University of Maryland, Baltimore School of Medicine, Maryland. Center for Vaccine Development, University of Maryland School of Medicine, Baltimore, Maryland.
Karen L KotloffDepartment of Medicine, University of Maryland, Baltimore School of Medicine, Maryland. Center for Vaccine Development, University of Maryland School of Medicine, Baltimore, Maryland.
Myron M LevineDepartment of Medicine, University of Maryland, Baltimore School of Medicine, Maryland. Center for Vaccine Development, University of Maryland School of Medicine, Baltimore, Maryland.
Anita K M ZaidiVaccine Development and Surveillance, Bill & Melinda Gates Foundation, Seattle, Washington.
University of Maryland, Baltimore · USAga Khan University · PKInternational Centre for Diarrhoeal Disease Research · BDNational Institute of Cholera and Enteric Diseases · INManhiça Health Research Centre · MZMRC Unit the Gambia · GMBarcelona Institute for Global Health · ESCenters for Disease Control and Prevention · KECentre Pour le Développement des Vaccins-Mali · MLGates Foundation · US

Funding

Pediatric Infectious Diseases, Enteric Health and Malnutrition in Pakistan (PIDEMP) Research Training ProgramD43TW007585 · FIC · AGA KHAN UNIVERSITY (PAKISTAN) · PI ALI, SYED ASAD, MOORE, SEAN RYAN · 2006 to 2024
$3.7M
FIC NIH HHS D43 TW007585Medical Research Council MC_U190074190Medical Research Council MC_U190081991Medical Research Council MC_UP_A900_1122
6 · The paper itself

Abstract

We report the clinical findings, epidemiology, and risk factors for moderate-to-severe diarrhea (MSD) associated with Aeromonas species in children 0-59 months of age, from the Global Enteric Multicenter Study, conducted at three sites in south Asia and four sites in sub-Saharan Africa. Children with MSD were enrolled along with controls matched for age, gender, and neighborhood. Pooled, age-stratified conditional logistic regression models were applied to evaluate the association of Aeromonas infection controlling for coinfecting pathogens and sociodemographic variables. A pooled, age-stratified, multivariate logistic regression analysis was done to identify risk factors associated with Aeromonas positivity in MSD cases. A total of 12,110 cases and 17,291 matched controls were enrolled over a period of 48 months. Aeromonas was identified as a significant pathogen in 736 cases of MSD in Pakistan and Bangladesh (22.2%). Aeromonas remained a significant pathogen even after adjustment for the presence of other pathogens and sociodemographic factors. Odds ratio (OR) for Aeromonas were higher in the presence of Shigella (matched OR: 6.2, 95% confidence interval [CI]: 1.9-20.2). Cases of Aeromonas were likely to present with dysentery, particularly in the 0-11 months (OR: 1.4, 95% CI 1.0-2.0) and 12-23 months (OR: 1.8, 95% CI: 1.3-2.5) age group. The odds of Aeromonas increased with increasing degree of stunting, being highest for severe stunting (OR: 10.1, 95% CI: 3.6-28.9). Aeromonas is a significant pathogen for MSD in Pakistan and Bangladesh. Presence of dysentery and co-occurrence with other pathogens, notably Shigella spp. are significant features of Aeromonas-associated diarrhea.

Indexed as

AeromonasAfrica South of the SaharaBangladeshCase-Control StudiesChild, PreschoolCoinfectionDiarrheaDysenteryDysentery, BacillaryFemaleGram-Negative Bacterial InfectionsHumansInfantLogistic ModelsMalePakistan

Identifiers

PMID27527635
PMCPMC5062620
OpenAlexW2514602681

What OpenQuestion holds

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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.