Evidence map›Paper›PMID 34597302›Full record

ArticlePloS one2021

High-throughput low-cost nl-qPCR for enteropathogen detection: A proof-of-concept among hospitalized patients in Bangladesh.

Katelyn E Flaherty, Jessica A Grembi, Vasavi V Ramachandran, Farhana Haque, Selina Khatun, Mahmudu Rahman, Stace Maples, Torben K Becker, Alfred M Spormann, Gary K Schoolnik and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Molecular Methods to DetectmedRxiv : the preprint server for health sciences · 2026
    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

12 authors at 5 institutions in 3 countries.

Katelyn E FlahertyDepartment Environmental and Global Health, University of Florida, Gainesville, Florida, United States of America.ORCID 0000-0002-9874-2912
Jessica A GrembiDepartment of Civil and Environmental Engineering, Stanford University, Stanford, California, United States of America.ORCID 0000-0001-6142-4913
Vasavi V RamachandranDepartment of Pediatrics, School of Medicine, Stanford University, Stanford, California, United States of America.
Farhana HaqueInstitute of Epidemiology, Disease Control and Research, Ministry of Health and Family Welfare, Government of Bangladesh, Dhaka, Bangladesh.
Selina KhatunInstitute of Epidemiology, Disease Control and Research, Ministry of Health and Family Welfare, Government of Bangladesh, Dhaka, Bangladesh.
Mahmudu RahmanInstitute of Epidemiology, Disease Control and Research, Ministry of Health and Family Welfare, Government of Bangladesh, Dhaka, Bangladesh.
Stace MaplesGeospatial Center, Branner Library, Stanford University, Stanford, California, United States of America.
Torben K BeckerDepartment Environmental and Global Health, University of Florida, Gainesville, Florida, United States of America.
Alfred M SpormannDepartment of Civil and Environmental Engineering, Stanford University, Stanford, California, United States of America.
Gary K SchoolnikDepartment of Medicine, School of Medicine, Stanford University, Stanford, California, United States of America.
Andrew J HryckowianDepartment of Medical Microbiology and Immunology, University of Wisconsin-Madison, Madison, Wisconsin, United States of America.
Eric J NelsonDepartment Environmental and Global Health, University of Florida, Gainesville, Florida, United States of America.
Stanford University · USUniversity of Florida Health · USInstitute of Epidemiology, Disease Control and Research · BDInternational Centre for Diarrhoeal Disease Research · BDUniversity of Wisconsin–Madison · US

Funding

A novel approach to improve patient care and diarrheal disease research using mobile technologyDP5OD019893 · OD · UNIVERSITY OF FLORIDA · PI NELSON, ERIC JORGE · 2014 to 2018
$1.9M
The evaluation of a mHealth platform for diarrheal disease decision support and real-time epidemiologyR21TW010182 · FIC · UNIVERSITY OF FLORIDA · PI KHAN, ASHRAFUL ISLAM, NELSON, ERIC JORGE · 2016 to 2017
$320k
FIC NIH HHS R21 TW010182NIH HHS DP5 OD019893
6 · The paper itself

Abstract

backgroundDiarrheal disease is a leading cause of morbidity and mortality globally, especially in low- and middle-income countries. High-throughput and low-cost approaches to identify etiologic agents are needed to guide public health mitigation. Nanoliter-qPCR (nl-qPCR) is an attractive alternative to more expensive methods yet is nascent in application and without a proof-of-concept among hospitalized patients.

methodsA census-based study was conducted among diarrheal patients admitted at two government hospitals in rural Bangladesh during a diarrheal outbreak period. DNA was extracted from stool samples and assayed by nl-qPCR for common bacterial, protozoan, and helminth enteropathogens as the primary outcome.

resultsA total of 961 patients were enrolled; stool samples were collected from 827 patients. Enteropathogens were detected in 69% of patient samples; More than one enteropathogen was detected in 32%. Enteropathogens most commonly detected were enteroaggregative Escherichia coli (26.0%), Shiga toxin-producing E.coli (18.3%), enterotoxigenic E. coli (15.5% heat stable toxin positive, 2.2% heat labile toxin positive), Shigella spp. (14.8%), and Vibrio cholerae (9.0%). Geospatial analysis revealed that the median number of pathogens per patient and the proportion of cases presenting with severe dehydration were greatest amongst patients residing closest to the study hospitals."

conclusionsThis study demonstrates a proof-of-concept for nl-qPCR as a high-throughput low-cost method for enteropathogen detection among hospitalized patients.

Indexed as

DiarrheaEscherichia coliShigellaVibrio choleraeAdolescentAdultAgedBangladeshChildChild, PreschoolFecesFemaleHumansMaleMiddle AgedProof of Concept Study

Identifiers

PMID34597302
PMCPMC8486112
OpenAlexW3203814937

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.