Evidence map›Paper›PMID 34726137›Full record

ArticleEpidemiology and infection2021

An outbreak of food poisoning due to

K Kashima, M Sato, Y Osaka, N Sakakida, S Kando, K Ohtsuka, R Doi, Y Chiba, S Takase, A Fujiwara and 7 more

Abstract read
In one paragraph

Article in Epidemiology and infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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.

  1. Article
  2. Hybrid enteric-extraintestinal lineages in astA-positive Escherichia coli: Molecular characterization and high-risk MDR clones in Neonatal Calves.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. An Optimized PCR Assay to DetectFood safety (Tokyo, Japan) · 2025
    Article
  7. A foodborne outbreak caused by atypical enteropathogenicApplied and environmental microbiology · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. 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

17 authors.

K KashimaSaitama Institute of Public Health, Saitama, Japan.ORCID 0000-0002-4414-0289
M SatoSaitama Institute of Public Health, Saitama, Japan.
Y OsakaSaitama Institute of Public Health, Saitama, Japan.
N SakakidaSaitama Institute of Public Health, Saitama, Japan.
S KandoSaitama Institute of Public Health, Saitama, Japan.
K OhtsukaSaitama Institute of Public Health, Saitama, Japan.
R DoiSaitama Institute of Public Health, Saitama, Japan.
Y ChibaSaitama Institute of Public Health, Saitama, Japan.
S TakaseSaitama Institute of Public Health, Saitama, Japan.
A FujiwaraSaitama Institute of Public Health, Saitama, Japan.
S ShimadaSaitama Institute of Public Health, Saitama, Japan.
R IshiiSaitama Institute of Public Health, Saitama, Japan.
A MizokoshiOita Prefectural Institute of Health and Environment, Oita, Japan.
M TakanoOita Prefectural Institute of Health and Environment, Oita, Japan.
K LeeDepartment of Bacteriology I, National Institute of Infectious Diseases, Tokyo, Japan.ORCID 0000-0002-4765-0989
S IyodaDepartment of Bacteriology I, National Institute of Infectious Diseases, Tokyo, Japan.
A HondaSaitama Institute of Public Health, Saitama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In June 2020, a large-scale food poisoning outbreak involving about 3000 elementary and junior high school students occurred in Yashio, Saitama, Japan. A school lunch was the only food stuff ingested by all of the patients. Escherichia coli serotype O7:H4 carrying the astA gene for enteroaggregative E. coli (EAggEC) heat-stable enterotoxin 1 (EAST1) was detected in faecal specimens from the patients, and sample inspection revealed its presence in a seaweed salad and red seaweed (Gigartina tenella) as one of the raw materials. Analysis of the antibiotic sensitivity of the isolates revealed resistance to ampicillin and cefotaxime. All isolates were confirmed to be of the same origin by pulsed-field gel electrophoresis after digestion with the restriction enzyme XbaI, and single nucleotide polymorphism analysis using whole genome sequencing. To our knowledge, this is the first report of a large-scale food poisoning caused by E. coli O7:H4, which lacks well-characterized virulence genes other than astA.

Indexed as

Disease OutbreaksBacterial ToxinsDNA, BacterialDrug Resistance, BacterialEnterotoxinsEscherichia coliEscherichia coli InfectionsEscherichia coli ProteinsFoodborne DiseasesFood ContaminationFood ServicesHumansJapanRhodophytaWhole Genome SequencingBacterial ToxinsDNA, BacterialEnterotoxinsEscherichia coli Proteinsheat stable toxin (E coli)

Identifiers

PMID34726137
PMCPMC8637459

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.