Evidence map›Paper›PMID 33407198›Full record

ArticleBMC infectious diseases2021

Etiology of diarrhea by multiplex polymerase chain reaction among young children in the United Arab Emirates: a case-control study.

Ahmed R Alsuwaidi, Klaithem Al Dhaheri, Sania Al Hamad, Junu George, Judy Ibrahim, Ghassan Ghatasheh, Mohammed Issa, Suleiman Al-Hammadi, Hassib Narchi

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  11. Global epidemiology of campylobacteriosis and the impact of COVID-19.Frontiers in cellular and infection microbiology · 2022
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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

9 authors at 3 institutions in 1 country.

Ahmed R AlsuwaidiDepartment of Pediatrics, College of Medicine and Health Sciences, United Arab Emirates University, P. O. Box 17666, Al Ain, UAE. alsuwaidia@uaeu.ac.ae.ORCID http://orcid.org/0000-0002-1187-522X
Klaithem Al DhaheriInstitute of Child Health, Al Ain Hospital, Abu Dhabi Health Services Company (SEHA), Al Ain, UAE.
Sania Al HamadDepartment of Pediatrics, College of Medicine and Health Sciences, United Arab Emirates University, P. O. Box 17666, Al Ain, UAE.
Junu GeorgeDepartment of Pediatrics, College of Medicine and Health Sciences, United Arab Emirates University, P. O. Box 17666, Al Ain, UAE.
Judy IbrahimDepartment of Pediatrics, Tawam Hospital, Abu Dhabi Health Services Company (SEHA), Al Ain, UAE.
Ghassan GhatashehDepartment of Pediatrics, Tawam Hospital, Abu Dhabi Health Services Company (SEHA), Al Ain, UAE.
Mohammed IssaDepartment of Emergency Medicine, Tawam Hospital, Abu Dhabi Health Services Company (SEHA), Al Ain, UAE.
Suleiman Al-HammadiDepartment of Pediatrics, College of Medicine and Health Sciences, United Arab Emirates University, P. O. Box 17666, Al Ain, UAE.
Hassib NarchiDepartment of Pediatrics, College of Medicine and Health Sciences, United Arab Emirates University, P. O. Box 17666, Al Ain, UAE.
United Arab Emirates University · AETawam Hospital · AEAl Ain Hospital · AE

Funding

College of Medicine and Health Sciences, United Arab Emirates University 31M319
6 · The paper itself

Abstract

backgroundLittle is known about the etiology of childhood diarrhea in the United Arab Emirates (UAE) especially after the introduction of rotavirus vaccines. This study aimed to identify gastrointestinal pathogens in children with diarrhea (cases) and the carriage rate of these pathogens in asymptomatic children (controls).

methodsStool samples were collected from 203 cases and 73 controls who presented to two major hospitals in Al Ain city, UAE. Samples were analyzed with Allplex™ Gastrointestinal Full Panel Assay for common entero-pathogens. The association between diarrhea and the isolated pathogens was calculated in a multivariate logistic regression model. The adjusted attributable fractions (aAFs) were calculated for all pathogens significantly associated with cases.

resultsAt least one pathogen was identified in 87 samples (42.8%) from cases and 17 (23.3%) from controls (P < 0.001). Rotavirus, norovirus GII and adenovirus were significantly more prevalent in cases. Their aAFs with 95% ci are 0.95 (0.64, 1.00) for rotavirus, 0.86 (0.38, 0.97) for norovirus GII and 0.84 (0.29, 0.96) for adenovirus. None of the 13 bacteria tested for were more commonly found in the cases than in controls. Cryptosporidium spp. were more significantly detected in cases than in controls. Co-infections occurred in 27.9% of the children. Viruses and parasites were significantly more likely to occur together only in the cases.

conclusionsMultiplex PCR revealed high positivity rates in both cases and controls which demand a cautious interpretation. Rotavirus remains the main childhood diarrhea pathogen in UAE. Effective strategies are needed to better control rotavirus and other causative pathogens.

Indexed as

Adenoviruses, HumanAdenovirus Infections, HumanAnimalsCaliciviridae InfectionsCase-Control StudiesChild, PreschoolCoinfectionCryptosporidiosisCryptosporidiumDiarrheaFecesFemaleHumansInfantMaleMultiplex Polymerase Chain ReactionRotavirus VaccinesAttributable fractionsCryptosporidiumDiarrheaMultiplex PCRRotavirus

Identifiers

PMID33407198
PMCPMC7788778
OpenAlexW3118826145

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.