Evidence map›Paper›PMID 30816414›Full record

ArticleThe Journal of infectious diseases2019

Etiology of Diarrhea Among Hospitalized Children in Blantyre, Malawi, Following Rotavirus Vaccine Introduction: A Case-Control Study.

Miren Iturriza-Gómara, Khuzwayo C Jere, Daniel Hungerford, Naor Bar-Zeev, Kayoko Shioda, Oscar Kanjerwa, Eric R Houpt, Darwin J Operario, Richard Wachepa, Louisa Pollock and 3 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 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

47 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Burden ofBMJ global health · 2026
    Pooled it
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  3. Trial
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  17. Semi-quantitative assessment of gastrointestinal viruses in stool samples with Seegene Allplex gastrointestinal panel assays: a solution to the interpretation problem of multiple pathogen detection?European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
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  18. Open forum infectious diseases · 2024
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  19. The Enterics for Global Health (EFGH)Open forum infectious diseases · 2024
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  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

13 authors.

Miren Iturriza-GómaraCentre for Global Vaccine Research, Institute of Infection and Global Health, University of Liverpool, United Kingdom.
Khuzwayo C JereCentre for Global Vaccine Research, Institute of Infection and Global Health, University of Liverpool, United Kingdom.
Daniel HungerfordCentre for Global Vaccine Research, Institute of Infection and Global Health, University of Liverpool, United Kingdom.
Naor Bar-ZeevMalawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre.
Kayoko ShiodaDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, Yale University, New Haven, Connecticut.
Oscar KanjerwaMalawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre.
Eric R HouptDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville.
Darwin J OperarioDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville.
Richard WachepaMalawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre.
Louisa PollockCentre for Global Vaccine Research, Institute of Infection and Global Health, University of Liverpool, United Kingdom.
Aisleen BennettCentre for Global Vaccine Research, Institute of Infection and Global Health, University of Liverpool, United Kingdom.
Virginia E PitzerDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, Yale University, New Haven, Connecticut.
Nigel A CunliffeCentre for Global Vaccine Research, Institute of Infection and Global Health, University of Liverpool, United Kingdom.

Funding

Modeling the impact and cost-effectiveness of next-generation rotavirus vaccine strategies in low- and middle-income countriesR01AI112970 · NIAID · YALE UNIVERSITY · PI PITZER, VIRGINIA E · 2015 to 2024
$4.1M
NIAID NIH HHS R01 AI112970Wellcome Trust 091909/Z/10/ZWellcome Trust 102464/Z/13/AWellcome Trust 102466/Z/13/AWellcome Trust 201945/Z/16/Z
6 · The paper itself

Abstract

Despite rotavirus vaccination, diarrhea remains a leading cause of child mortality. We collected stool specimens from 684 children <5 years of age hospitalized with diarrhea (cases) and 527 asymptomatic community controls for 4 years after rotavirus vaccine introduction in Malawi. Specimens were tested for 29 pathogens, using polymerase chain reaction analysis. Three or more pathogens were detected in 71% of cases and 48% of controls. Pathogens significantly associated with diarrhea included rotavirus (in 34.7% of cases and 1.5% of controls), enteric adenovirus (in 29.1% and 2.7%, respectively), Cryptosporidium (in 27.8% and 8.2%, respectively), heat-stable enterotoxin-producing Escherichia coli (in 21.2% and 8.5%, respectively), typical enteropathogenic E. coli (in 18.0% and 8.3%, respectively), and Shigella/enteroinvasive E. coli (in 15.8% and 5.7%, respectively). Additional interventions are required to prevent diarrhea due to rotavirus and other common causal pathogens.

Indexed as

Case-Control StudiesChild, HospitalizedCryptosporidiosisCryptosporidiumDiarrheaEscherichia coliFecesFemaleGastroenteritisHumansInfantMalawiMaleRotavirusRotavirus InfectionsRotavirus VaccinesRotavirus Vaccinescase-controlchildrendiarrheaGastroenteritisMalawiPCRrotavirus

Identifiers

PMID30816414
PMCPMC6581894

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.