Evidence map›Paper›PMID 33647514›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2021

Clinical and socio-environmental determinants of multidrug-resistant vibrio cholerae 01 in older children and adults in Bangladesh.

Stephanie C Garbern, Tzu-Chun Chu, Phillip Yang, Monique Gainey, Sabiha Nasrin, Samika Kanekar, Kexin Qu, Eric J Nelson, Daniel T Leung, Dilruba Ahmed and 3 more

Abstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
  2. Antimicrobial Resistance of EnvironmentalInfectious disorders drug targets · 2025
    Pooled it
  3. Whole Genome Sequencing of Drug-ResistantPathogens (Basel, Switzerland) · 2025
    Article
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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

13 authors.

Stephanie C GarbernDepartment of Emergency Medicine, Alpert Medical School, Brown University, 55 Claverick Street, Providence, RI, 02903, USA. Electronic address: sgarbern@brown.edu.
Tzu-Chun ChuDepartment of Biostatistics, Brown University School of Public Health, 121 South Main Street, Providence, RI, 02903, USA.
Phillip YangBrown University, 69 Brown St, Providence, RI, 02906, USA.
Monique GaineyRhode Island Hospital, 593 Eddy St, Providence, RI, 02903, USA.
Sabiha NasrinInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Ave, Dhaka, 1212, Bangladesh.
Samika KanekarBrown University, 69 Brown St, Providence, RI, 02906, USA.
Kexin QuDepartment of Biostatistics, Brown University School of Public Health, 121 South Main Street, Providence, RI, 02903, USA.
Eric J NelsonDepartments of Pediatrics and Environmental and Global Health, Emerging Pathogens Institute, University of Florida, 2055 Mowry Road, Gainesville, FL, 32610, USA.
Daniel T LeungDivision of Infectious Diseases, University of Utah School of Medicine, 30 N 1900 E, ROOM 4B319, Salt Lake City, UT, 84132, USA.
Dilruba AhmedInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Ave, Dhaka, 1212, Bangladesh.
Christopher H SchmidDepartment of Biostatistics, Brown University School of Public Health, 121 South Main Street, Providence, RI, 02903, USA.
Nur H AlamInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Ave, Dhaka, 1212, Bangladesh.
Adam C LevineDepartment of Emergency Medicine, Alpert Medical School, Brown University, 55 Claverick Street, Providence, RI, 02903, USA.

Funding

External Validation and Implementation of a Novel Mobile Health Application for Acute Diarrhea Management across the LifespanR01DK116163 · NIDDK · RHODE ISLAND HOSPITAL · PI Adam Carl Levine · 2018 to 2026
$4.7M
NIDDK NIH HHS R01 DK116163
6 · The paper itself

Abstract

objectivesFew studies have evaluated determinants of multidrug-resistant (MDR) Vibrio cholerae O1 in older children and adults. This study aimed to characterize the prevalence of MDR V. cholerae O1 and associated risk factors among patients over five years of age in Bangladesh.

methodsStool culture and antimicrobial susceptibility testing were performed as a part of a larger study at Dhaka Hospital in Bangladesh from March 2019-March 2020. Univariate statistics and multiple logistic regression were used to assess the association between a range of variables and MDR V. cholerae O1.

resultsMDR was found in 175 of 623 (28.1%) V. cholerae O1 isolates. High levels of resistance were found to erythromycin (99.2%), trimethoprim-sulfamethoxazole (99.7%), and ampicillin (88.9%), while susceptibility was high to tetracyclines (99.7%), azithromycin (99.2%), ciprofloxacin (99.8%), and cephalosporins (98.6%). MDR was associated with prior antibiotic use, longer transport time to hospital, higher income, non-flush toilet use, greater stool frequency, lower blood pressure, lower mid-upper arm circumference, and lower percent dehydration.

conclusionsMDR V. cholerae O1 was common among patients over five in an urban hospital in Bangladesh. Significant factors associated with MDR may be actionable in identifying patients with a high likelihood of MDR.

Indexed as

AdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsChildChild, PreschoolDrug Resistance, Multiple, BacterialFecesFemaleHumansMaleMicrobial Sensitivity TestsMiddle AgedVibrio cholerae O1Young AdultAnti-Bacterial AgentsAntimicrobial resistanceBangladeshDiarrheaGlobal healthMultidrug resistanceVibrio cholera

Identifiers

PMID33647514
PMCPMC8117161

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.