Evidence map›Paper›PMID 28427454›Full record

ReviewParasites & vectors2017

Cryptosporidium and Giardia in Africa: current and future challenges.

Sylvia Afriyie Squire, Una Ryan

Abstract readReview
In one paragraph

Review in Parasites & vectors, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 140 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
140citing 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

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

  1. Frontiers in microbiology · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Asia-Pacific journal of public health · 2020
    Pooled it
  6. Trial
  7. Article
  8. Review
  9. Article
  10. Antiparasitic Potential of Bioactive Compounds FromJournal of parasitology research · 2026
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Prevalence and Molecular Characterization ofPathogens (Basel, Switzerland) · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article

80 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

2 authors.

Sylvia Afriyie SquireSchool of Veterinary and Life Sciences, Murdoch University, Perth, Australia.
Una RyanSchool of Veterinary and Life Sciences, Murdoch University, Perth, Australia. Una.Ryan@murdoch.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cryptosporidium and Giardia are important causes of diarrhoeal illness. Adequate knowledge of the molecular diversity and geographical distribution of these parasites and the environmental and climatic variables that influence their prevalence is important for effective control of infection in at-risk populations, yet relatively little is known about the epidemiology of these parasites in Africa. Cryptosporidium is associated with moderate to severe diarrhoea and increased mortality in African countries and both parasites negatively affect child growth and development. Malnutrition and HIV status are also important contributors to the prevalence of Cryptosporidium and Giardia in African countries. Molecular typing of both parasites in humans, domestic animals and wildlife to date indicates a complex picture of both anthroponotic, zoonotic and spill-back transmission cycles that requires further investigation. For Cryptosporidium, the only available drug (nitazoxanide) is ineffective in HIV and malnourished individuals and therefore more effective drugs are a high priority. Several classes of drugs with good efficacy exist for Giardia, but dosing regimens are suboptimal and emerging resistance threatens clinical utility. Climate change and population growth are also predicted to increase both malnutrition and the prevalence of these parasites in water sources. Dedicated and co-ordinated commitments from African governments involving "One Health" initiatives with multidisciplinary teams of veterinarians, medical workers, relevant government authorities, and public health specialists working together are essential to control and prevent the burden of disease caused by these parasites.

Indexed as

CryptosporidiumGiardiaAfricaAnimalsAntiprotozoal AgentsChildClimate ChangeCost of IllnessCryptosporidiosisDiarrheaDisease ManagementFecesGenotyping TechniquesGiardiasisHumansNitro CompoundsAntiprotozoal AgentsnitazoxanideNitro CompoundsThiazolesAfricaClimate changeCryptosporidiumGiardiaHIVMalnutritionMolecular typing

Identifiers

PMID28427454
PMCPMC5397716

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.