Evidence map›Paper›PMID 27903324›Full record

ArticleEpidemiology and infection2017

Epidemiological and serological investigation of a waterborne Campylobacter jejuni outbreak in a Danish town.

K Gaardbo Kuhn, G Falkenhorst, H-D Emborg, T Ceper, M Torpdahl, K A Krogfelt, S Ethelberg, K Mølbak

Abstract read
In one paragraph

Article in Epidemiology and infection, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Genetic Factors ofPathogens (Basel, Switzerland) · 2025
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Recommended Practices to EliminateFood safety (Tokyo, Japan) · 2021
    Article
  10. The ProbioticAnimals : an open access journal from MDPI · 2021
    Article
  11. Article
  12. Waterborne Isolates ofFrontiers in microbiology · 2021
    Article
  13. Large waterborneEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2020
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Characterization and Phylogenetic Analysis ofInternational journal of environmental research and public health · 2019
    Article
  20. ExploringEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2019
    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

8 authors.

K Gaardbo KuhnDepartment of Infectious Disease Epidemiology,Statens Serum Institut,Copenhagen,Denmark.
G FalkenhorstDepartment for Infectious Disease Epidemiology,Robert Koch Institute,Berlin,Germany.
H-D EmborgDepartment of Infectious Disease Epidemiology,Statens Serum Institut,Copenhagen,Denmark.
T CeperDepartment of Microbiological Diagnostics and Virology,Statens Serum Institut,Copenhagen,Denmark.
M TorpdahlDepartment of Microbiology and Infection Control,Statens Serum Institut,Copenhagen,Denmark.
K A KrogfeltDepartment of Microbiology and Infection Control,Statens Serum Institut,Copenhagen,Denmark.
S EthelbergDepartment of Infectious Disease Epidemiology,Statens Serum Institut,Copenhagen,Denmark.
K MølbakDepartment of Infectious Disease Epidemiology,Statens Serum Institut,Copenhagen,Denmark.ORCID 0000-0002-3100-4990

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Following an unusually heavy rainfall in June 2009, a community-wide outbreak of Campylobacter gastroenteritis occurred in a small Danish town. The outbreak investigation consisted of (1) a cohort study using an e-questionnaire of disease determinants, (2) microbiological study of stool samples, (3) serological study of blood samples from cases and asymptomatic members of case households, and (4) environmental analyses of the water distribution system. The questionnaire study identified 163 cases (respondent attack rate 16%). Results showed a significant dose-response relationship between consumption of tap water and risk of gastroenteritis. Campylobacter jejuni belonging to two related flaA types were isolated from stool samples. Serum antibody levels against Campylobacter were significantly higher in cases than in asymptomatic persons. Water samples were positive for coliform bacteria, and the likely mode of contamination was found to be surface water leaking into the drinking-water system. This geographically constrained outbreak presented an ideal opportunity to study the serological response in persons involved in a Campylobacter outbreak. The serology indicated that asymptomatic persons from the same household may have been exposed, during the outbreak period, to Campylobacter at doses that did not elicit symptoms or alternatively had been exposed to Campylobacter at a time prior to the outbreak, resulting in residual immunity and thus absence of clinical signs.

Indexed as

Disease OutbreaksWater MicrobiologyAdolescentAdultAgedAged, 80 and overAntibodies, BacterialCampylobacter InfectionsCampylobacter jejuniChildChild, PreschoolCohort StudiesDenmarkFecesFemaleFlagellinAntibodies, BacterialflaA protein, bacteriaFlagellinCampylobactercohort studyoutbreakserologywaterborne

Identifiers

PMID27903324
PMCPMC9507752

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.