Evidence map›Paper›PMID 29059195›Full record

ArticlePLoS neglected tropical diseases2017

Strongyloides stercoralis is associated with significant morbidity in rural Cambodia, including stunting in children.

Armelle Forrer, Virak Khieu, Fabian Schär, Jan Hattendorf, Hanspeter Marti, Andreas Neumayr, Meng Chuor Char, Christoph Hatz, Sinuon Muth, Peter Odermatt

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
5.4field-weighted citation impact, top 3% 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

39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Morbidity Associated with ChronicThe American journal of tropical medicine and hygiene · 2019
    Pooled it
  5. Trial
  6. Review
  7. Seroprevalence ofJournal of parasitology research · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Strongyloidiasis.Nature reviews. Disease primers · 2024
    Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

10 authors at 2 institutions in 2 countries.

Armelle ForrerDepartment of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.
Virak KhieuNational Centre for Parasitology, Entomology and Malaria Control, Ministry of Health, Phnom Penh, Cambodia.
Fabian SchärDepartment of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.
Jan HattendorfDepartment of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.
Hanspeter MartiUniversity of Basel, Basel, Switzerland.
Andreas NeumayrUniversity of Basel, Basel, Switzerland.
Meng Chuor CharNational Centre for Parasitology, Entomology and Malaria Control, Ministry of Health, Phnom Penh, Cambodia.
Christoph HatzUniversity of Basel, Basel, Switzerland.
Sinuon MuthNational Centre for Parasitology, Entomology and Malaria Control, Ministry of Health, Phnom Penh, Cambodia.
Peter OdermattDepartment of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.ORCID http://orcid.org/0000-0002-0296-2508
Swiss Tropical and Public Health Institute · CHMinistry of Health · KH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStrongyloides stercoralis is a soil-transmitted nematode that can replicate within its host, leading to long-lasting and potentially fatal infections. It is ubiquitous and highly prevalent in Cambodia. The extent of morbidity associated with S. stercoralis infection is difficult to assess due to the broad spectrum of symptoms and, thus, remains uncertain. METHODOLOGY/PRINCIPAL

findingsClinical signs were compared among S. stercoralis infected vs. non-infected participants in a cross-sectional survey conducted in 2012 in eight villages of Northern Cambodia, and before and after treatment with a single oral dose of ivermectin (200μg/kg BW) among participants harboring S. stercoralis. Growth retardation among schoolchildren and adolescents was assessed using height-for-age and thinness using body mass index-for-age. S. stercoralis prevalence was 31.1% among 2,744 participants. Urticaria (55% vs. 47%, OR: 1.4, 95% CI: 1.1-1.6) and itching (52% vs. 48%, OR: 1.2, 95% CI: 1.0-1.4) were more frequently reported by infected participants. Gastrointestinal, dermatological, and respiratory symptoms were less prevalent in 103 mono-infected participants after treatment. Urticaria (66% vs. 11%, OR: 0.03, 95% CI: 0.01-0.1) and abdominal pain (81 vs. 27%, OR: 0.07, 95% CI: 0.02-0.2) mostly resolved by treatment. S. stercoralis infection was associated with stunting, with 2.5-fold higher odds in case of heavy infection. CONCLUSIONS/SIGNIFICANCE: The morbidity associated with S. stercoralis confirmed the importance of gastrointestinal and dermatological symptoms unrelated to parasite load, and long-term chronic effects when associated with malnutrition. The combination of high prevalence and morbidity calls for the integration of S. stercoralis into ongoing STH control measures in Cambodia.

Indexed as

AdolescentAnimalsAntinematodal AgentsCambodiaChildCross-Sectional StudiesFecesFemaleGrowth DisordersHumansIvermectinMaleMorbidityPrevalenceRural PopulationStrongyloides stercoralisAntinematodal AgentsIvermectin

Identifiers

PMID29059195
PMCPMC5695629
OpenAlexW2765079885

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.