Evidence map›Paper›PMID 29273882›Full record

ArticleInternational journal of colorectal disease2018

The oral microbiome-the relevant reservoir for acute pediatric appendicitis?

Carlotta Blod, Nadine Schlichting, Sara Schülin, Anne Suttkus, Nicole Peukert, Catalina Suzana Stingu, Christian Hirsch, Wieland Elger, Martin Lacher, Ulf Bühligen and 1 more

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In one paragraph

Article in International journal of colorectal disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  15. Oral microbiome: possible harbinger for children's health.International journal of oral science · 2020
    Review
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  17. Oropharyngeal Microbiome in Obstructive Sleep Apnea: Decreased Diversity and Abundance.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019
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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

11 authors at 1 institution in 1 country.

Carlotta BlodDepartment of Pediatric Surgery, University of Leipzig, Liebigstr. 20A, 04103, Leipzig, Germany.
Nadine SchlichtingDepartment of Pediatric Surgery, University of Leipzig, Liebigstr. 20A, 04103, Leipzig, Germany.
Sara SchülinDepartment of Pediatric Surgery, University of Leipzig, Liebigstr. 20A, 04103, Leipzig, Germany.
Anne SuttkusDepartment of Pediatric Surgery, University of Leipzig, Liebigstr. 20A, 04103, Leipzig, Germany.
Nicole PeukertDepartment of Pediatric Surgery, University of Leipzig, Liebigstr. 20A, 04103, Leipzig, Germany.
Catalina Suzana StinguInstitute for Medical Microbiology and Epidemiology of Infectious Diseases, University of Leipzig, Leipzig, Germany.
Christian HirschDepartment of Pediatric Dentistry and Primary Prevention, University of Leipzig, Leipzig, Germany.
Wieland ElgerDepartment of Pediatric Dentistry and Primary Prevention, University of Leipzig, Leipzig, Germany.
Martin LacherDepartment of Pediatric Surgery, University of Leipzig, Liebigstr. 20A, 04103, Leipzig, Germany.
Ulf BühligenDepartment of Pediatric Surgery, University of Leipzig, Liebigstr. 20A, 04103, Leipzig, Germany.
Steffi MayerDepartment of Pediatric Surgery, University of Leipzig, Liebigstr. 20A, 04103, Leipzig, Germany. steffi.mayer@medizin.uni-leipzig.de.
Leipzig University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe oral microbiome has been related to numerous extra oral diseases. Recent studies detected a high abundance of oral bacteria in inflamed appendices in pediatric patients. To elucidate the role of oral bacteria in acute pediatric appendicitis, we studied the oral and appendiceal microbiome of affected children compared to healthy controls.

methodsBetween January and June 2015, 21 children undergoing appendectomy for acute appendicitis and 28 healthy controls were prospectively enrolled in the study. All individuals underwent thorough dental examination and laboratory for inflammatory parameters. Samples of inflamed appendices and the gingival sulcus were taken for 16S rDNA sequencing. RT-qPCR of Fusobacterium nucleatum, Peptostreptococcus stomatis, and Eikenella corrodens was performed and their viability was tested under acidic conditions to mimic gastric transfer.

resultsIn phlegmonous appendices, Bacteroidetes and Porphyromonas were discovered as dominant phylum and genus. In sulcus samples, Firmicutes and Streptococcus were detected predominantly. P. stomatis, E. corrodens, and F. nucleatum were identified in each group. Viable amounts of P. stomatis were increased in sulci of children with acute appendicitis compared to sulci of healthy controls. In inflamed appendices, viable amounts of E. corrodens and F. nucleatum were decreased compared to sulci of children with appendicitis. Postprandial viability could be demonstrated for all tested bacteria.

conclusionIn children with acute appendicitis, we identified several oral bacterial pathogens. Based on postprandial viability of selected species, a viable migration from the oral cavity through the stomach to the appendix seems possible. Thus, the oral cavity could be a relevant reservoir for acute appendicitis.

Indexed as

MicrobiotaAcute DiseaseAppendicitisChildFemaleHumansHydrogen-Ion ConcentrationMaleMicrobial ViabilityMouth MucosaRNA, Ribosomal, 16SSpecies SpecificityRNA, Ribosomal, 16SAppendixMicrobiomeOral bacteriaPeptostreptococcus stomatisSequencing

Identifiers

PMID29273882
OpenAlexW2777839047

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.