Evidence map›Paper›PMID 30850018›Full record

ArticleBMC research notes2019

Diarrheal disease outbreak in Gaidatar village of Rautahat District, Nepal.

Kul Raj Rai, Reena Kiran Mukhiya, Santosh Thapa, Ganesh Rai, Sabina Kc, Phanu Maya Thapa, Prasha Shrestha, Shiba Kumar Rai

Abstract read
In one paragraph

Article in BMC research notes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

8 authors.

Kul Raj RaiShiGan International College of Science and Technology (SICOST), Narayangopal, Chowk, Chakrapath, Kathmandu, Nepal.
Reena Kiran MukhiyaShiGan International College of Science and Technology (SICOST), Narayangopal, Chowk, Chakrapath, Kathmandu, Nepal.
Santosh ThapaShiGan International College of Science and Technology (SICOST), Narayangopal, Chowk, Chakrapath, Kathmandu, Nepal. sthapa@bcm.edu.ORCID http://orcid.org/0000-0002-4534-1349
Ganesh RaiShiGan International College of Science and Technology (SICOST), Narayangopal, Chowk, Chakrapath, Kathmandu, Nepal.
Sabina KcShiGan International College of Science and Technology (SICOST), Narayangopal, Chowk, Chakrapath, Kathmandu, Nepal.
Phanu Maya ThapaShiGan International College of Science and Technology (SICOST), Narayangopal, Chowk, Chakrapath, Kathmandu, Nepal.
Prasha ShresthaShiGan International College of Science and Technology (SICOST), Narayangopal, Chowk, Chakrapath, Kathmandu, Nepal.
Shiba Kumar RaiShiGan International College of Science and Technology (SICOST), Narayangopal, Chowk, Chakrapath, Kathmandu, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDiarrheal diseases, including cholera, remain a major public health concern in developing countries like Nepal. This study investigated a diarrheal outbreak that affected over 1500 people in Gaidatar village of Rautahat district in central Nepal and sought to identify the source and causation of the disease. Stool samples were collected from individuals with acute diarrheal illness (n = 16) and healthy non-diarrheal children (n = 39), along with samples from local drinking water sources (n = 8) and their sewage system (n = 10). None of the individuals were sampled multiple times. Diarrheic stool and sewage samples were analysed for the presence of Vibrio cholerae, while coliforms were tested in drinking water samples following standard microbiological protocols. Enteric parasites were tested in both diarrheic and non-diarrheic stool samples.

resultsVibrio cholerae O1 Ogawa serotype was isolated in 18.7% of the diarrheic stool and 20.0% of the sewage. Coliforms were found in all drinking water samples, with 87.5% testing positive for fecal coliform. Additionally, 43.6% of the stool samples (n = 55) had at least one of the intestinal parasites tested, primarily Giardia lamblia (21.8%). However, almost all parasites were found in non-diarrheal stool. Taken together, our results provide evidence that the diarrheal outbreak was associated with V. cholerae O1 Ogawa serotype, possibly transmitted through the drinking water sources contaminated with fecal matters from their sewage (drainage) system. These findings warrant regular surveillance of drinking water sources to help prevent future outbreaks.

Indexed as

Disease OutbreaksAdultChildCholeraDiarrheaDrinking WaterEnterobacteriaceaeEnterobacteriaceae InfectionsFecesGiardia lambliaHumansIntestinal Diseases, ParasiticNepalSewageVibrio cholerae O1Drinking WaterSewageCholeraDiarrheaNepalVibrio cholerae

Identifiers

PMID30850018
PMCPMC6408753

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Registered trials

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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.