Evidence map›Paper›PMID 32639105›Full record

ArticlePediatric transplantation2020

Multi-organism gastrointestinal polymerase chain reaction positivity among pediatric transplant vs non-transplant populations: A single-center experience.

John M Stone, Andrew Savage, Michelle Hudspeth, Katherine Twombley, Nagraj Kasi, Jose Antonio Quiros, Ricardo A Arbizu, Scott Curry

Open access · greenAbstract read
In one paragraph

Article in Pediatric transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 42% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pathogens and global health · 2024
    Pooled it
  2. Article
  3. Article
  4. 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 at 1 institution in 1 country.

John M StoneDepartment of Pediatric Gastroenterology Hepatology and Nutrition, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID 0000-0002-8595-1598
Andrew SavageDepartment of Pediatric Cardiology, Medical University of South Carolina, Charleston, South Carolina, USA.
Michelle HudspethDepartment of Pediatric Hematology and Oncology, Medical University of South Carolina, Charleston, South Carolina, USA.
Katherine TwombleyDepartment of Pediatric Nephrology, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID 0000-0003-2073-2834
Nagraj KasiDepartment of Pediatric Gastroenterology Hepatology and Nutrition, Medical University of South Carolina, Charleston, South Carolina, USA.
Jose Antonio QuirosDepartment of Pediatric Gastroenterology Hepatology and Nutrition, Mount Sinai Kravis Children's Hospital, New York, New York, USA.
Ricardo A ArbizuDepartment of Pediatric Gastroenterology Hepatology and Nutrition, Medical University of South Carolina, Charleston, South Carolina, USA.
Scott CurryDepartment of Infectious Disease, Medical University of South Carolina, Charleston, South Carolina, USA.
Medical University of South Carolina · US

Funding

Proteomics CoreP30DK123704 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DON C. ROCKEY · 2020 to 2026
$8.8M
Asymptomatic Colonization and Transmission of Clostridium difficile in Solid Organ Transplant PatientsK23AI125607 · NIAID · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI CURRY, SCOTT R · 2016 to 2020
$974k
NIAID NIH HHS K23 AI125607NIDDK NIH HHS P30 DK123704
6 · The paper itself

Abstract

backgroundDiarrhea is a common problem in the pediatric post-solid organ transplant and post-hematopoietic stem cell transplant populations. Infectious etiology incidences are poorly defined, and the possibility of multi-organism positivity is often uninvestigated. The aim of this study is to utilize stool multiplex GIP assays to compare the PTP and NTP regarding the incidence and profiles of single-organism and multi-organism infectious diarrhea.

methodsA single-center retrospective review was conducted, investigating stool multiplex GIP panel results over a more than 3-year period, for pediatric patients. Assays test for 23 viral, bacterial, and protozoal organisms.

resultsPositive assays in the PTP and NTP were 70/101 (69.3%) and 962/1716 (56.1%), respectively (P = .009). Thirty-two percent (32/101) of assays within the PTP were multi-organism positive, significantly more than 14.8% (254/1716) in the NTP (P < .00001). There was no significant difference in the incidence of single-organism positives, 37.6% (38/101) in PTP and 41.3% (708/1716) in the NTP. The PTP demonstrated a statistically significantly higher incidence of the following organisms within multi-agent positive GIPs (P < .05 for each): Clostridioides difficile, Cryptosporidium, EPEC, norovirus, and sapovirus.

conclusionsThe pediatric PTP demonstrates higher incidence of positive GIPs, higher rate of multi-organism positivity, and unique infectious organism incidence profiles. These data can provide a framework for understanding organism-specific pathogenicity factors, assessing the clinical impact of enteric co-infection, and understanding the utility of this testing modality in this unique population.

Indexed as

AdolescentChildChild, PreschoolClostridioides difficileCryptosporidiosisCryptosporidiumDiarrheaEnteropathogenic Escherichia coliFecesFemaleHematopoietic Stem Cell TransplantationHumansIncidenceInfantInfant, NewbornMalediarrheamulti-organismpediatricpolymerase chain reactiontransplant

Identifiers

PMID32639105
PMCPMC8103891
OpenAlexW3040836333

What OpenQuestion holds

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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.