Evidence map›Paper›PMID 29254489›Full record

ArticleBMC infectious diseases2017

High prevalence of diarrheagenic Escherichia coli carrying toxin-encoding genes isolated from children and adults in southeastern Brazil.

Liliana Cruz Spano, Keyla Fonseca da Cunha, Mariane Vedovatti Monfardini, Rita de Cássia Bergamaschi Fonseca, Isabel Christina Affonso Scaletsky

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 39 citations in OpenAlex.

  1. EnteroaggregativeEcoSal Plus · 2025
    Review
  2. Combating EnteroaggregativeAIMS microbiology · 2025
    Article
  3. DiarrheagenicInternational journal of molecular sciences · 2024
    Article
  4. Article
  5. Article
  6. Are non-lactose-fermentingAccess microbiology · 2023
    Article
  7. Article
  8. Transmission Media of Foodborne Diseases as an Index Prediction of DiarrheagenicInternational journal of environmental research and public health · 2020
    Observational
  9. Article
  10. Article
  11. Profiling Virulence and Antimicrobial Resistance Markers of EnterovirulentOsong public health and research perspectives · 2020
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Diversity of Virulence Genes in Multidrug ResistantInfection and drug resistance · 2019
    Article
  17. Typical and Atypical EnteroaggregativeFrontiers in microbiology · 2019
    Article
  18. 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

5 authors at 2 institutions in 1 country.

Liliana Cruz SpanoDepartamento de Patologia, Laboratório de Virologia e Gastrenterite Infecciosa, Centro de Ciências da Saúde, Universidade Federal do Espírito Santo, Av. Marechal Campos 1468, 29043-900, Maruípe, Vitória, Espírito Santo, Brazil. liliana.spano@ufes.br.
Keyla Fonseca da CunhaNúcleo de Doenças Infecciosas, Departamento de Medicina Social, Centro de Ciências da Saúde, Universidade Federal do Espírito Santo, Vitória, Espírito Santo, Brazil.
Mariane Vedovatti MonfardiniDepartamento de Microbiologia, Imunologia e Parasitologia, Universidade Federal de São Paulo, Vitória, Espírito Santo, Brazil.
Rita de Cássia Bergamaschi FonsecaLaboratório Central Municipal, Vitória, Espírito Santo, Brazil.
Isabel Christina Affonso ScaletskyDepartamento de Microbiologia, Imunologia e Parasitologia, Universidade Federal de São Paulo, Vitória, Espírito Santo, Brazil.
Universidade Federal do Espírito Santo · BRPrefeitura Municipal de Vitória · BR

Funding

Foundation for Science and Technology of Victoria Municipality 007/2007
6 · The paper itself

Abstract

backgroundDiarrheagenic Escherichia coli (DEC) are important bacterial causes of childhood diarrhea in Brazil, but its impact in adults is unknown. This study aimed at investigating DEC among children and adults living in endemic areas.

methodsA total of 327 stools specimens were collected from children (n = 141) and adults (n = 186) with diarrhea attending health centers. Diarrheagenic E. coli (DEC) were identified by their virulence genes (multiplex polymerase chain reaction) and HEp-2 cell adherence patterns.

resultsDEC were detected in 56 (40%) children and 74 (39%) adults; enteroaggregative E. coli (EAEC) (23%) was the most prevalent pathotype, followed by diffusely adherent E. coli (DAEC) (13%), and occurred at similar frequencies in both diarrheal groups. Atypical enteropathogenic E. coli (aEPEC) strains were recovered more frequently from children (6%) than from adults (1%). Twenty-six percent of the EAEC were classified as typical EAEC possessing aggR gene, and carried the aap gene. EAEC strains carrying aggR-aap-aatA genes were significantly more frequent among children than adults (p < 0.05). DAEC strains possessing Afa/Dr. genes were detected from children (10%) and adults (6%). EAEC and DAEC strains harboring genes for the EAST1 (astA), Pet, Pic, and Sat toxins were common in both diarrheal groups. The astA and the porcine AE/associated adhesin (paa) genes were found in most of aEPEC strains. High levels of resistance to antimicrobial drugs were found among DAEC and aEPEC isolates.

conclusionThe results show a high proportion of EAEC and DAEC carrying toxin-encoding genes among adults with diarrhea.

Indexed as

AdolescentAdultAnimalsBacterial ToxinsBrazilChildChild, PreschoolDiarrheaEnteropathogenic Escherichia coliEscherichia coli InfectionsEscherichia coli ProteinsFemaleHumansMaleMultiplex Polymerase Chain ReactionPrevalenceBacterial ToxinsEscherichia coli ProteinsVirulence FactorsAdultsChildrenDiarrheagenic E. coli

Identifiers

PMID29254489
PMCPMC5735577
OpenAlexW2780368257

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.