Evidence map›Paper›PMID 33256619›Full record

ArticleBMC infectious diseases2020

Prevalence, phylogeny, and antimicrobial resistance of Escherichia coli pathotypes isolated from children less than 5 years old with community acquired- diarrhea in Upper Egypt.

Rasha M M Khairy, Zahra Atef Fathy, Doaa Mohamed Mahrous, Ebtisam S Mohamed, Soha S Abdelrahim

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
6.1field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 50 citations in OpenAlex.

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  10. Prevalence of DiarrhoeagenicMicroorganisms · 2023
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  17. Comparative Study of CTX-M-15 ProducingInfection and drug resistance · 2021
    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 1 institution in 1 country.

Rasha M M KhairyDepartment of Microbiology and Immunology, Faculty of Medicine, Minia University, Minia, 61511, Egypt. rashakhiry1@gmail.com.ORCID http://orcid.org/0000-0003-4481-8608
Zahra Atef FathyDepartment of Clinical Pathology, Mallawi Hospital, Mallawi, Egypt.
Doaa Mohamed MahrousDepartment of Pediatrics, Faculty of Medicine, Minia University, Minia, Egypt.
Ebtisam S MohamedDepartment of Microbiology and Immunology, Faculty of Medicine, Minia University, Minia, 61511, Egypt.
Soha S AbdelrahimDepartment of Microbiology and Immunology, Faculty of Medicine, Minia University, Minia, 61511, Egypt.
Minia University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiarrhoea, affecting children in developing countries, is mainly caused by diarrheagenic Escherichia coli (DEC). This study principally aimed to determine the prevalence of DEC pathotypes and Extended-spectrum β-lactamase (ESBL) genes isolated from children under 5 years old with diarrhea.

methodsA total of 320 diarrhoea stool samples were investigated. E. coli isolates were investigated for genes specific for enterotoxigenic E. coli (ETEC), enteropathogenic E. coli (EPEC), enteroaggregative E. coli (EAEC), enteroinvasive E. coli (EIEC) and enterohemorrhagic E. coli (EHEC) using polymerase chain reaction (PCR). Furthermore, antimicrobial susceptibility testing, detection of antibiotic resistance-genes and phylogenetic typing were performed.

resultsOver all, DEC were isolated from 66/320 (20.6%) of the children with diarrhoea. EAEC was the predominant (47%), followed by typical EPEC (28.8%) and atypical EPEC (16.6%). Co-infection by EPEC and EAEC was detected in (7.6%) of isolates. However, ETEC, EIEC and EHEC were not detected. Phylogroup A (47%) and B2 (43.9%) were the predominant types. Multidrug-resistance (MDR) was found in 55% of DEC isolates. Extended-spectrum β-lactamase (ESBL) genes were detected in 24 isolates (24 blaTEM and 15 blaCTX-M-15). Only one isolate harbored AmpC β-lactamase gene (DHA gene).

conclusionThe study concluded that, EAEC and EPEC are important causative agents of diarrhoea in children under 5 years. MDR among DEC has the potential to be a big concern.

Indexed as

PhylogenyAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesChild, PreschoolCohort StudiesCoinfectionCommunity-Acquired InfectionsDiarrheaDrug Resistance, Multiple, BacterialEgyptEnteropathogenic Escherichia coliEscherichia coliEscherichia coli InfectionsFecesFemaleAmpC beta-lactamasesAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesAmpC β-lactamaseDiarrheagenic Escherichia coli (DEC)Pathotypes- ESBL

Identifiers

PMID33256619
PMCPMC7708180
OpenAlexW3107365989

What OpenQuestion holds

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LicenceCC BY
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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.